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A pilot randomised control trial of a parent training intervention for pre-school children with autism
Abstract
Few attempts have been made to conduct randomised control trials (RCTs) of interventions for pre-school children with autism. We report findings of a pilot RCT for a parent training intervention with a focus on the development of joint attention skills and joint action routines. Twenty-four children meeting ICD-10 criteria for childhood autism (mean age = 23 months) were identified using the CHAT screen and randomised to the parent training group or to local services only. A follow-up was conducted 12 months later (mean age = 35 months). There was some evidence that the parent training group made more progress in language development than the local services group. However, the present pilot study was compromised by several factors: a reliance on parental report to measure language, non-matching of the groups on initial IQ, and a lack of systematic checking regarding the implementation of the parent training intervention. Furthermore, three parents in the local services group commenced intensive, home-based behavioural intervention during the course of the study. The difficulties encountered in the conduct of RCTs for pre-school children with autism are discussed. Methodological challenges and strategies for future well-designed RCTs for autism interventions are highlighted.
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“Despite an apparent lack of change on standardized measures of social communication symptoms in 2 randomized controlled trials, 17 , 37 a growing body of research describes the beneficial effects early intervention has on the development of communication and social functioning.”
From Early Intervention for Children With Autism Spectrum Disorder Under 3 Years of Age: Recommendations for Practice and Research (2015) · cites this paper as [37]
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Metadata
- Authors
- Drew, A., Baird, G., Baron-Cohen, S., Cox, A., Slonims, V., Wheelwright, S., Swettenham, J., Berry, B., & Charman, T.
- Affiliations
- University of Cambridge (GB)
- University College London (GB)
- King's College London (GB)
- Corresponding author
- Charman, Tony
- Venue
- European Child & Adolescent Psychiatry
- Published
- 2002-12-01
- Volume
- 11
- Issue
- 6
- Pages
- 266-272
- ISSN
- 1018-8827 (ISSN-L)
- OpenAlex
- W1935081322
- Cited by
- 325
- References
- 25
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 5 · 2022: 11 · 2021: 11 · 2020: 14 · 2019: 15 · 2018: 19 · 2017: 13 · 2016: 14 · 2015: 19 · 2014: 24 · 2013: 23 · 2012: 22
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Medical Research Council
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- autism spectrum disorder, preschool children, parent training intervention, joint attention, language development, early intervention
- MeSH terms
- Autistic Disorder, Behavior Therapy, Child, Preschool, Community Mental Health Services, Curriculum, Female, Follow-Up Studies, Humans, Language Development Disorders, Male, Parents, Play and Playthings, Social Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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