A Parent-Mediated Intervention to Increase Responsive Parental Behaviors and Child Communication in Children with ASD: A Randomized Clinical Trial
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Longitudinal research has demonstrated that responsive parental behaviors reliably predict subsequent language gains in children with autism spectrum disorder. To investigate the underlying causal mechanisms, we conducted a randomized clinical trial of an experimental intervention (Focused Playtime Intervention, FPI) that aims to enhance responsive parental communication (N = 70). Results showed a significant treatment effect of FPI on responsive parental behaviors. Findings also revealed a conditional effect of FPI on children's expressive language outcomes at 12-month follow up, suggesting that children with baseline language skills below 12 months (n = 24) are most likely to benefit from FPI. Parents of children with more advanced language skills may require intervention strategies that go beyond FPI's focus on responsive communication.
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One larger multi-site trial found attenuated benefits with improvement in language outcomes at two of three trial sites, but no differences between treatment as usual and ESDM groups in overall developmental ability, adaptive behaviour or ASD severity.
“One larger multi-site trial found attenuated benefits with improvement in language outcomes at two of the three trial sites, but no differences between the treatment as usual and ESDM groups in overall developmental ability, adaptive behaviour or ASD severity 179,183 .”
From Autism spectrum disorder (2020) · cites this paper as [183]
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- Authors
- Siller, M., Hutman, T., & Sigman, M.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Siller, Michael
- ORCID
- Siller, Michael
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2012-07-24
- Volume
- 43
- Issue
- 3
- Pages
- 540-555
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC3511916
- OpenAlex
- W2049791637
- Cited by
- 293
- References
- 59
- Citations by year
- 2026: 13 · 2025: 10 · 2024: 15 · 2023: 21 · 2022: 33 · 2021: 25 · 2020: 29 · 2019: 26 · 2018: 37 · 2017: 11 · 2016: 32 · 2015: 17 · 2014: 13 · 2013: 10 · 2012: 1
- FWCI
- 6.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P01HD035470, U19HD035470, HD35470)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, responsive parenting, parent-mediated intervention, children's communication, expressive language development, parent-child communication, language intervention
- MeSH terms
- Adult, Child, Child Development Disorders, Pervasive, Child Language, Child, Preschool, Communication, Female, Humans, Language, Longitudinal Studies, Male, Parent-Child Relations, Parents, Play and Playthings, Prospective Studies, Treatment Outcome
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