A randomized controlled trial evaluating a brief parenting program with children with autism spectrum disorders
Abstract
OBJECTIVE: This randomized controlled trial evaluated the efficacy of Primary Care Stepping Stones Triple P, a brief individualized parenting program, in a sample of parents of children with autism spectrum disorder (ASD). METHOD: Sixty-four parents of children aged 2-9 years (M = 5.67, SD = 2.14) with an ASD diagnosis participated in the study. Eighty-six percent of children were male, and 89% of parents identified their child's ethnicity as Australian/White. Families were randomly assigned to 1 of 2 conditions (intervention or care-as-usual) and were assessed at 3 time points (preintervention, postintervention, and 6-month follow-up). Parents completed a range of questionnaires to assess changes in child behavior (Eyberg Child Behavior Inventory) and parent outcomes (Parenting Scale, Depression Anxiety Stress Scale-21, Parent Problem Checklist, Relationship Quality Inventory, Parental Stress Scale) and 30-min home observations of parent-child interactions. RESULTS: Relative to the care-as-usual group, significant short-term improvements were found in the intervention group on parent-reported child behavior problems, dysfunctional parenting styles, parenting confidence, and parental stress, parental conflict, and relationship happiness. No significant intervention effects were found on levels of parental depression or anxiety, or on observed child disruptive and parent aversive behavior. The effect sizes for significant variables ranged from medium to large. Short-term effects were predominantly maintained at 6-month follow-up, and parents reported high levels of goal achievement and satisfaction with the program. CONCLUSIONS: The results indicate that a brief low intensity version of Stepping Stones Triple P is an efficacious intervention for parents of children with ASD.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There have been studies reporting both a reduction in laxness and overreactivity after a parent training for parents of children with ASD or IDD or no effect on parenting practices at all.
“However, it has to be noted that there have been studies reporting both a reduction in laxness and overreactivity after a parent training for parents of children with ASD (83) or IDD (67) or no effect on parenting practices at all (71).”
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Jacobson, N. S., & Truax, P. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.12 · Cited by 7,770 · see citing works
Measuring Marital Quality: A Critical Look at the Dependent Variable
Norton, R. W. (1983) · Journal of Marriage and the Family · doi:10.2307/351302 · Cited by 1,802 · see citing works
The Parenting Scale: A measure of dysfunctional parenting in discipline situations.
Arnold, D. S., O'Ĺeary, S. G., Wolff, L. S., & Acker, M. M. (1993) · Psychological Assessment · doi:10.1037/1040-3590.5.2.137 · Cited by 1,515 · see citing works
The parental stress scale: initial psychometric evidence
Berry, J. O., & Jones, W. H. (1995) · Journal of Social and Personal Relationships · doi:10.1177/0265407595123009 · Cited by 1,510 · see citing works
Eyberg, S. M. (1999) · Medical Entomology and Zoology · Cited by 602 · see citing works
Sanders, M. R., & Woolley, M. L. (2005) · Child: Care, Health and Development · doi:10.1111/j.1365-2214.2005.00487.x · Cited by 561 · see citing works
Self-citationStress Levels and Adaptability in Parents of Toddlers with and without Autism Spectrum Disorders
Baker-Ericzén, M. J., Brookman-Frazee, L. I., & Stahmer, A. C. (2005) · Research and Practice for Persons with Severe Disabilities · doi:10.2511/rpsd.30.4.194 · Cited by 511 · see citing works
Brereton, A. V., Tonge, B. J., & Einfeld, S. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0125-y · Cited by 507 · see citing works
Anderson, R. S., Elgar, E., & Craggs, S. R. (1995) · The Musical Times · doi:10.2307/1003916 · Cited by 316 · see citing works
Dadds, M. R., & Powell, M. B. (1991) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00925820 · Cited by 286 · see citing works
Western Australian Child Health Survey: Developing Health and Well-being in the Nineties
Zubrick, S. R., Silburn, S., Garton, A. F., Burton, P. R., Dalby, R., Carlton, J., Shepherd, C., & Lawrence, D. M. (1995) · UWA Profiles and Research Repository (University of Western Australia) · Cited by 221 · see citing works
Tellegen, C. L., & Sanders, M. R. (2013) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2013.01.022 · Cited by 189 · see citing works
Self-citationSanders, M. R., Mazzucchelli, T. G., & Studman, L. J. (2004) · Journal of Intellectual & Developmental Disability · doi:10.1080/13668250412331285127 · Cited by 177 · see citing works
Self-citationConsumer satisfaction measures for assessing parent training programs.
Eyberg, S. M. (1993) · Cited by 113 · see citing works
Behavioural Treatment of Challenging Behaviour: A Cost-benefit Analysis of a Service Delivery Model
Hudson, A. R., Jauernig, R., Wilken, P., et al. (1995) · Behaviour Change · doi:10.1017/s0813483900004071 · Cited by 18 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Project AIM: Autism intervention meta-analysis for studies of young children.
Sandbank, M., Bottema-Beutel, K., Crowley, S., Cassidy, M., Dunham, K., Feldman, J. I., Crank, J., Albarran, S. A., Raj, S., Mahbub, P., et al. (2020) · Psychological Bulletin · doi:10.1037/bul0000215 · Cited by 606 · see citing works
Postorino, V., Sharp, W. G., McCracken, C. E., Bearss, K., Burrell, T. L., Evans, A. N., & Scahill, L. (2017) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-017-0237-2 · Cited by 210 · see citing works
Tarver, J., Palmer, M., Webb, S., Scott, S., Slonims, V., Simonoff, E., & Charman, T. (2019) · Autism · doi:10.1177/1362361319830042 · Cited by 161 · see citing works
Hahs, A. D., Dixon, M. R., & Paliliunas, D. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.03.002 · Cited by 93 · see citing works
Interventions to Promote Well-Being in Parents of Children with Autism: a Systematic Review
Frantz, R., Hansen, S. G., & Machalicek, W. (2018) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-017-0123-3 · Cited by 76 · see citing works
Early Intervention with Parents of Children with Autism Spectrum Disorders: A Review of Programs
Rojas-Torres, L. P., Alonso-Esteban, Y., & Alcantud-Marín, F. (2020) · Children · doi:10.3390/children7120294 · Cited by 73 · see citing works
“Tellegen and Sanders [73] developed a randomized controlled trial to evaluate the efficacy of a short SSTP program (four sessions), applicable in primary care (i.e., Primary Care Stepping Stones Tripe P (PCSSTP)).”
BackgroundRuane, A., & Carr, A. (2019) · Family Process · doi:10.1111/famp.12352 · Cited by 59 · see citing works
Schrott, B., Kasperzack, D., Weber, L., Becker, K., Burghardt, R., & Kamp-Becker, I. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3764-x · Cited by 40 · see citing works
Sohmaran, C., & Shorey, S. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14166 · Cited by 24 · see citing works
Meerson, R., Buchholz, H., Kammerer, K., Göster, M., Schobel, J., Ratz, C., Pryss, R., Taurines, R., Romanos, M., Gamer, M., et al. (2024) · Frontiers in Digital Health · doi:10.3389/fdgth.2024.1462682 · Cited by 4 · see citing works
“However, it has to be noted that there have been studies reporting both a reduction in laxness and overreactivity after a parent training for parents of children with ASD (83) or IDD (67) or no effect on parenting practices at all (71).”
Background
- Authors
- Tellegen, C. L., & Sanders, M. R.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2014-12
- Volume
- 82
- Issue
- 6
- Pages
- 1193-1200
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2157608096
- Cited by
- 109
- References
- 16
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 11 · 2023: 7 · 2022: 8 · 2021: 13 · 2020: 21 · 2019: 9 · 2018: 11 · 2017: 8 · 2016: 6 · 2015: 4 · 2014: 2 · 2013: 1
- FWCI
- 3.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- autism spectrum disorder, parenting support, Stepping Stones Triple P, child behavior problems, dysfunctional parenting, parental stress, parental confidence, parent-child interaction, parent-child relationship, early childhood
- MeSH terms
- Autism Spectrum Disorder, Anxiety, Australia, Child, Child Behavior, Child, Preschool, Depression, Female, Humans, Male, Parent-Child Relations, Parents, Surveys and Questionnaires, Parenting, Treatment Outcome, White People
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 ›
Are you an author, or do you see a problem with this page? Request a review