| Literature DB >> 34677755 |
Chiara Servili1, Lauren B Adamson2, Erica Salomone3,4, Michele Settanni5, Helen McConachie6, Katharine Suma7, Federica Ferrara5, Giulia Foletti5, Arianna Salandin5.
Abstract
Parents of children with ASD (N = 86; mean age 44.8 months; 67 boys) were randomized to either WHO Caregiver Skills Training (CST) delivered in public health settings in Italy or enhanced treatment-as-usual. Primary blinded outcomes were 3-months post-intervention change scores of autism severity and engagement during caregiver-child interaction. CST was highly acceptable to caregivers and feasibly delivered by trained local clinicians. Intention-to-treat analysis showed a large and significant effect on parent skills supporting joint engagement and a smaller significant effect on flow of interaction. Expected changes in child autism severity and joint engagement did not meet statistical significance. Analysis of secondary outcomes showed a significant effect on parenting stress, self-efficacy, and child gestures. Strategies to improve the effectiveness of CST are discussed.Entities:
Keywords: Autism spectrum disorders; Caregiver skills training; Parenting education; Parent–Child relations; Public health; Randomized controlled trial
Year: 2021 PMID： 34677755 DOI： 10.1007/s10803-021-05297-x
Source DB: PubMed Journal: J Autism Dev Disord ISSN： 0162-3257