Effects of Parent-Implemented Interventions on Outcomes of Children with Autism: A Meta-Analysis

J Autism Dev Disord. 2023 Nov;53(11):4147-4163. doi: 10.1007/s10803-022-05688-8. Epub 2022 Aug 22.

Abstract

Children with autism spectrum disorder (ASD) have been shown to benefit from parent-implemented interventions (PIIs). This meta-analysis improved on prior reviews of PIIs by evaluating RCTs and multiple potential moderators, including indicators of research quality. Fifty-one effect sizes averaged moderately strong overall benefits of PIIs (g = 0.553), with studies having lower risk of research bias yielding lower estimates (g = 0.47). Parent and observer ratings yielded similar averaged estimates for positive behavior/social skills (g = 0.603), language/communication (g = 0.545), maladaptive behavior (g = 0.519), and to a lesser extent, adaptive behavior/life skills (g = 0.239). No other study, intervention, or participant characteristic moderated outcomes. PIIs with children with ASD tend to be effective across a variety of circumstances.

Keywords: Autism spectrum disorder; Family delivered services; Home-based services; Meta-analysis; Parent training; Parent-mediated interventions.

Publication types

  • Meta-Analysis

MeSH terms

  • Autism Spectrum Disorder* / therapy
  • Autistic Disorder*
  • Child
  • Child Development Disorders, Pervasive*
  • Communication
  • Humans
  • Parents