A systematic review and meta-analysis of parent training for disruptive behavior in children with autism spectrum disorder

Postorino, Valentina; Sharp, William G.; McCracken, Courtney E.; Bearss, Karen; Burrell, T. Lindsey; Evans, A. Nichole; Scahill, Lawrence

doi:10.1007/s10567-017-0237-2

Cited by 210Autism Spectrum Disorder ResearchBehavioral and Psychological StudiesChild Nutrition and Feeding Issues

A systematic review and meta-analysis of parent training for disruptive behavior in children with autism spectrum disorder

Postorino, Valentina, Sharp, William G., McCracken, Courtney E., Bearss, Karen, Burrell, T. Lindsey, Evans, A. Nichole, Scahill, Lawrence·2017·Clinical Child and Family Psychology Review

DOI 10.1007/s10567-017-0237-2

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Abstract

Parent training (PT) has emerged as a promising treatment for disruptive behavior in children with autism spectrum disorder (ASD). This review summarizes the essential elements of PT for disruptive behavior in children with ASD and evaluates the available evidence for PT using both descriptive and meta-analytic procedures. We searched Medline, PsycINFO, and PubMed databases (1980-2016) in peer-reviewed journals for randomized controlled trials (RCTs) of PT for disruptive behavior in children with ASD. The systematic search of 2023 publications yielded eight RCTs involving a total of 653 participants. We calculated effect sizes using either raw post-treatment means and standard deviations for each treatment group (PT and control) or group mean differences with associated 95% confidence intervals (CIs). Differences in post-treatment means were converted to a standardized difference in means (SMD) for each primary outcome. Results support the efficacy of PT for disruptive behavior in children with ASD, with a SMD of -0.59 [95% CI (-0.88, -0.30); p < 0.001]. Across these eight studies, there was significant heterogeneity in the effect of PT on disruptive behavior. This variability is likely due to differences in sample size, number of treatment sessions, study duration, and control condition employed. Current findings provide solid support for the efficacy of PT for disruptive behavior in children with ASD. Future studies should focus on effectiveness trials to promote wider implementation of PT in clinical settings.

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A meta-analysis on 8 randomized controlled trials including 653 children with autism spectrum disorder found a moderate effect of behavioural parent-training programs on children's disruptive behaviour.
“A meta-analysis on 8 randomized controlled trials (RCTs) including 653 children with ASD found a moderate effect of behavioural parent-training programs on children's disruptive behaviour (34).”
From ProVIA-Kids - outcomes of an uncontrolled study on smartphone-based behaviour analysis for challenging behaviour in children with intellectual and developmental disabilities or autism spectrum disorder (2024) · cites this paper as [34]
Numerous studies have examined the effectiveness of PT interventions to improve health outcomes for children with ASD.
“Numerous studies have examined the effectiveness of PT interventions to improve health outcomes for children with ASD [17,37,38].”
From The effect of acceptance and commitment therapy for improving psychological well‐being in parents of individuals with autism spectrum disorders: A randomized controlled trial (2021) · cites this paper as [37]

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Authors: Postorino, V., Sharp, W. G., McCracken, C. E., Bearss, K., Burrell, T. L., Evans, A. N., & Scahill, L.
Affiliations: Emory University (US)
University of Washington (US)
Corresponding author: Scahill, Lawrence
ORCID: Postorino, Valentina
Sharp, William G.
McCracken, Courtney E.
Bearss, Karen
Burrell, T. Lindsey
Scahill, Lawrence
Venue: Clinical Child and Family Psychology Review
Publisher: Springer Science and Business Media LLC
Published: 2017-06-09
Volume: 20
Issue: 4
Pages: 391-402
ISSN: 1096-4037 (ISSN-L)
1573-2827
DOI: 10.1007/s10567-017-0237-2
OpenAlex: W2624532739
Cited by: 210
References: 43
Citations by year: 2026: 15 · 2025: 19 · 2024: 27 · 2023: 25 · 2022: 39 · 2021: 27 · 2020: 32 · 2019: 14 · 2018: 9 · 2017: 2 · 2012: 1
FWCI: 1.74
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (unspecified)
Locations: Clinical Child and Family Psychology Review (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: parent training, disruptive behavior, autism spectrum disorder, children, treatment efficacy, effect size, treatment effect heterogeneity, parent-mediated intervention
MeSH terms: Problem Behavior, Autism Spectrum Disorder, Adult, Child, Child Behavior, Education, Nonprofessional, Humans, Parents

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A systematic review and meta-analysis of parent training for disruptive behavior in children with autism spectrum disorder

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