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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
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