A Parent-Mediated Intervention to Increase Responsive Parental Behaviors and Child Communication in Children with ASD: A Randomized Clinical Trial

被引:179
作者
Siller, Michael [1 ,2 ]
Hutman, Ted [1 ]
Sigman, Marian [1 ]
机构
[1] Univ Calif Los Angeles, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90024 USA
[2] CUNY Hunter Coll, Dept Psychol, New York, NY 10065 USA
关键词
Autism; Randomized clinical trial; Parent child communication; Language; Intervention; YOUNG-CHILDREN; MOTHERS INSIGHTFULNESS; MATERNAL SENSITIVITY; JOINT ATTENTION; AUTISM PREDICT; MISSING DATA; LANGUAGE; SPECTRUM;
D O I
10.1007/s10803-012-1584-y
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Longitudinal research has demonstrated that responsive parental behaviors reliably predict subsequent language gains in children with autism spectrum disorder. To investigate the underlying causal mechanisms, we conducted a randomized clinical trial of an experimental intervention (Focused Playtime Intervention, FPI) that aims to enhance responsive parental communication (N = 70). Results showed a significant treatment effect of FPI on responsive parental behaviors. Findings also revealed a conditional effect of FPI on children's expressive language outcomes at 12-month follow up, suggesting that children with baseline language skills below 12 months (n = 24) are most likely to benefit from FPI. Parents of children with more advanced language skills may require intervention strategies that go beyond FPI's focus on responsive communication.
引用
收藏
页码:540 / 555
页数:16
相关论文
共 56 条
  • [1] Joint Engagement and the Emergence of Language in Children with Autism and Down Syndrome
    Adamson, Lauren B.
    Bakeman, Roger
    Deckner, Deborah F.
    Romski, MaryAnn
    [J]. JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2009, 39 (01) : 84 - 96
  • [2] Aiken LS., 1991, MULTIPLE REGRESSION
  • [3] DIRECTIVE INTERACTIONS AND EARLY VOCABULARY DEVELOPMENT - THE ROLE OF JOINT ATTENTIONAL FOCUS
    AKHTAR, N
    DUNHAM, F
    DUNHAM, PJ
    [J]. JOURNAL OF CHILD LANGUAGE, 1991, 18 (01) : 41 - 49
  • [4] Anderson S., 1987, EDUC TREAT CHILD, V10, P352
  • [5] [Anonymous], 2004, Applied Longitudinal Analysis
  • [6] Baker JK, 2007, AM J MENT RETARD, V112, P375, DOI 10.1352/0895-8017(2007)112[0375:POSSIY]2.0.CO
  • [7] 2
  • [8] A Pilot Study of Maternal Sensitivity in the Context of Emergent Autism
    Baker, Jason K.
    Messinger, Daniel S.
    Lyons, Kara K.
    Grantz, Caroline J.
    [J]. JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2010, 40 (08) : 988 - 999
  • [9] Relations among joint attention, amount of intervention and language gain in autism
    Bono, MA
    Daley, T
    Sigman, M
    [J]. JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2004, 34 (05) : 495 - 505
  • [10] Mediators and moderators in early intervention research
    Breitborde, Nicholas J. K.
    Srihari, Vinod H.
    Pollard, Jessica M.
    Addington, Donald N.
    Woods, Scott W.
    [J]. EARLY INTERVENTION IN PSYCHIATRY, 2010, 4 (02) : 143 - 152