4.0 Article

Parent-Coaching Telehealth Intervention for Youth with Autism Spectrum Disorder: A Pilot Program

Journal

CHILD & FAMILY BEHAVIOR THERAPY
Volume 43, Issue 2, Pages 86-102

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/07317107.2021.1894719

Keywords

Autism spectrum disorder; adolescents; behavior; multimodal communication; children; parent coaching; parent-mediated; parent training; social; telehealth; telepractice

Funding

  1. Texas Higher Education Coordinating Board (THECB) Autism Grant Program (Coach to Communicate (C2C): Partnering to Improve Communication for Individuals with Autism) [17108, 20465]

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The pilot program effectively improved social communication skills in children with ASD through parent-coaching intervention, with significant changes observed in skill domains directly related to social communication targets. Additionally, the positive impact of parents implementing behavior strategies was evident in skill domains not specifically targeted, although there were some study limitations that need to be addressed in future research.
A pilot program investigated the effect of a parent-coaching intervention using naturalistic instruction with 41 parents of children (ages 2-18) with autism spectrum disorder (ASD) on social communication skills. Using a one-group pretest-posttest design, parents reported on ASD symptoms prior to and directly following a 12-week telehealth intervention, where parents implemented behavior strategies with the support of a coach. Results suggested a significant change in skill domains directly corresponding to social communication targets (Cohen's d = .49), as well as skills not targeted (e.g., behavioral rigidity). Discussion of findings as indicative of true changes in social communication versus parent perception of improvements in child's skills, future research targets, and study limitations provided.

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