Child and parent outcomes following parent interventions for child emotional and behavioral problems in autism spectrum disorders: A systematic review and meta-analysis

Tarver, Joanne; Palmer, Melanie; Webb, Sophie; Scott, Stephen; Slonims, Vicky; Simonoff, Emily; Charman, Tony

doi:10.1177/1362361319830042

Cited by 161Autism Spectrum Disorder ResearchBehavioral and Psychological StudiesFamily and Disability Support Research

Child and parent outcomes following parent interventions for child emotional and behavioral problems in autism spectrum disorders: A systematic review and meta-analysis

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Tarver, Joanne, Palmer, Melanie, Webb, Sophie, Scott, Stephen, Slonims, Vicky, Simonoff, Emily, Charman, Tony·2019·Autism

DOI 10.1177/1362361319830042

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Abstract

There is growing interest in the development of behavioral parent interventions targeting emotional and behavioral problems in children with autism spectrum disorders. Such interventions have potential to improve a number of child and parental well-being outcomes beyond disruptive child behavior. This systematic review and meta-analysis assesses evidence for the efficacy of behavioral parent interventions for disruptive and hyperactive child behavior in autism spectrum disorders, as well as parenting efficacy and stress. A total of 11 articles from nine randomized controlled trials were included. Sufficient data were available to calculate standardized mean difference and show favorable effects of behavioral parent interventions on parent-reported measures of child disruptive behavior (standardized mean difference = 0.67), hyperactivity (standardized mean difference = 0.31) and parent stress (standardized mean difference = 0.37); effects on parent efficacy are less clear (standardized mean difference = 0.39, p = 0.17). There were insufficient data to explore intervention effects on internalizing behavior in autism spectrum disorders, parenting behaviors, or observational and teacher-reported outcomes, providing important avenues for future research. This review adds to growing evidence of the efficacy of behavioral parent interventions for child behavior and parental well-being in autism spectrum disorders (Prospero: CRD42016033979).

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A 2012 systematic review identified only 32 studies published between 1980 and 2010 that evaluated treatment studies for adolescents and young adults with ASD.
“a 2012 systematic review identified only 32 studies published between 1980 and 2010 that evaluated treatment studies for adolescents and young adults with ASD 195 .”
From Autism spectrum disorder (2020) · cites this paper as [195]
The cited paper’s Results section reports 11 articles from 9 RCTs, not 32 studies. Its Search strategy says the searches were completed in December 2017, and its Eligibility criteria concern parent interventions for children aged 2–18, rather than treatment studies specifically for adolescents and young adults. No page numbers are available in our copy. (LLM, conf=0.87)
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There is some evidence supporting treatment efficacy for a limited number of symptoms, behaviors, and functional outcomes such as employment, social skills, and anxiety in adults with ASD, but in general the evidence base is weak.
“Despite the low number of treatment studies, there is some evidence supporting treatment efficacy for a limited number of symptoms, behaviors, and functional outcomes such as employment, social skills, and anxiety; however, in general, the evidence-base is weak 195,196 .”
From Autism spectrum disorder (2020) · cites this paper as [195]
The Discussion (page unavailable) reports evidence of benefits from parent interventions for disruptive behavior and hyperactivity in children with ASD, and the Limitations section notes insufficient data for several other outcomes. This supports the general point that evidence is limited, but the paper does not establish treatment efficacy for employment, social skills, or anxiety in adults with ASD. (LLM, conf=0.88)
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Non-pharmacological interventions for autistic children: An umbrella review
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Interventions to Improve Outcomes for Parents of Children with Autism Spectrum Disorder: A Meta-Analysis
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Behavioral Interventions for Autism Spectrum Disorder: A Brief Review and Guidelines With a Specific Focus on Applied Behavior Analysis
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A case study on the effect of light and colors in the built environment on autistic children’s behavior
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Behavioral interventions for infant sleep problems: the role of parental cry tolerance and sleep-related cognitions
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Interventions for Young Children’s Mental Health: A Review of Reviews
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Effectiveness of parent-focused interventions for improving the mental health of parents and their children with autism spectrum disorder: A systematic review and meta-analysis
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Effects of Acceptance and Commitment Training Plus Behavior Parent Training on Parental Implementation of Autism Treatment
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Anxiety in autistic individuals who speak few or no words: A qualitative study of parental experience and anxiety management
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The Incredible Years Autism Spectrum and Language Delays Parent Program: A Pragmatic, Feasibility Randomized Controlled Trial
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A systematic review of online parent-implemented interventions for children with neurodevelopmental disorders
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Pathways to adaptive functioning in autism from early childhood to adolescence
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Training Community Therapists to Deliver an Individualized Mental Health Intervention for Autism Spectrum Disorder: Changes in Caregiver Outcomes and Mediating Role on Child Outcomes
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Parent-Reported Assessment Scores Reflect the ASD Severity Level in 2- to 7-Year-Old Children
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Leveraging technology to make parent training more accessible: Randomized trial of in-person versus online executive function training for parents of autistic children
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Stress Reduction Interventions for Parents of Children with Autism Spectrum Disorder: A Focused Literature Review
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The effect of early autism intervention on parental sense of efficacy in a randomized trial depends on the initial level of parent stress
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Diagnosis and treatment of children and adolescents with autism and ADHD
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Marital Satisfaction, Parenting Styles, and Child Outcomes in Families of Autistic Children
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Parent–Teacher Disagreement on Ratings of Behavior Problems in Children with ASD: Associations with Parental School Involvement Over Time
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The characteristics and factors of the internalizing and externalizing behaviours of children at high risk for autism spectrum disorder
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Parent-mediated play‐based interventions to improve social communication and language skills of preschool autistic children: A systematic review and meta-analysis protocol
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Introducing ‘Predictive Parenting’: A Feasibility Study of a New Group Parenting Intervention Targeting Emotional and Behavioral Difficulties in Children with Autism Spectrum Disorder
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Parenting a Child with Autism: Considering the Stresses, Supports and Implications for Social Work Practice
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Development of the Observation Schedule for Children with Autism–Anxiety, Behaviour and Parenting (OSCA–ABP): A New Measure of Child and Parenting Behavior for Use with Young Autistic Children
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Exploring the Psychosocial Experiences of Individuals with Developmental Language Disorder During Childhood: A Qualitative Investigation
Burnley, A., Clair, M. S., Dack, C., Thompson, H., & Wren, Y. E. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-023-05946-3 · Cited by 22 · see citing works
A Novel Group Parenting Intervention for Emotional and Behavioral Difficulties in Young Autistic Children: Autism Spectrum Treatment and Resilience (ASTAR): A Randomized Controlled Trial
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Understanding Stability and Change in Perceived Social Support in Parents of Autistic Children and Adolescents
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A Longitudinal RCT of P-ESDM With and Without Parental Mindfulness Based Stress Reduction: Impact on Child Outcomes
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Elements of care that matter: Perspectives of families with multiple problems
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Feasibility study of the National Autistic Society EarlyBird parent support programme
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Is tuberous sclerosis complex-associated autism a preventable and treatable disorder?
Curatolo, P., Scheper, M., Gialloreti, L. E., Specchio, N., & Aronica, E. (2023) · World Journal of Pediatrics · doi:10.1007/s12519-023-00762-2 · Cited by 17 · see citing works
Are child autism symptoms, developmental level and adaptive function associated with caregiver feelings of wellbeing and efficacy in the parenting role?
Taylor, L. J., Luk, S. Y. L., Leadbitter, K., Moore, H. L., & Charman, T. (2021) · Research in Autism · doi:10.1016/j.rasd.2021.101738 · Cited by 17 · see citing works
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Exploring individual parent‐to‐parent support interventions for parents caring for children with brain‐based developmental disabilities: A scoping review
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Mother and child mental health over time in children with Autism and/or ADHD in the Longitudinal Study of Australian Children
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Early-Onset Trajectories of Emotional Dysregulation in Autistic Children
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Review: Evidence-Based Psychosocial Treatments for Childhood Irritability and Aggressive Behavior
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Autism spectrum disorder and various mechanisms behind it
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A Meta-Analysis of Parenting Interventions for Immigrants
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Family Processes and the Emotional and Behavioural Well-being of Autistic Children and Youth: A Systematic Review of Prospective Studies
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Interventions to address parenting stress among caregivers of children with chronic diseases: An umbrella review
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A pilot efficacy study of Parents Building Solutions: A universal parenting program using co-design and strength-based approaches
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The moderating effect of financial stress and autism severity on development of depression among parents and caregivers of Autistic children in Taif, Saudi Arabia
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Parent-mediated intervention delivered through telehealth for children with autism spectrum disorder
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Evaluating outcomes of a community-based parent training program for Japanese children with developmental disabilities: a retrospective pilot study
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Homotypic and Heterotypic Continuity in Psychiatric Symptoms From Childhood to Adolescence in Autistic Youth
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Content analysis of parent training programs for children with neurodisabilities and mental health or behavioral problems: a scoping review
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How effective are group-based psychoeducation programs for parents of children with ASD in Turkey? A systematic review and meta-analysis
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The Impact of Father Involvement in the Early Childhood Problematic Behavior
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The effect of fully immersive virtual reality technology combined with psychological and behavioral intervention on autism spectrum disorder
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Parent-Mediated Interventions for ASD Under 3 Years: A Systematic Review, Meta Analysis, and Moderator Analyses
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Direct observation in a large-scale randomized trial of parent training in children with autism spectrum disorder and disruptive behavior
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A Survey of Community Providers on Feeding Problems in Autism Spectrum Disorder
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Targeting the circadian modulation: novel therapeutic approaches in the management of ASD
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Parent-mediated Interventions Based on the NDBI for Children With ASD: A Systematic Review of Randomized Controlled Trials
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“There is Nowhere Else That I’d Rather be Than with Them”: Parents’ Positive Experiences Parenting Autistic Children
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Mindfulness and Psychoeducation Are Associated With Improved Perceived and Physiological Health Outcomes in Caregivers of Children With Autism
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Use of non‐directive therapy for adolescents with autism spectrum disorder: A systematic review
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Effects of a Parenting Intervention for Emotional and Behavioral Problems in Young Autistic Children Under Conditions of Enhanced Uncertainty: Two-Year Follow-up of a Pilot Randomized Controlled Trial Cohort (ASTAR) During the United Kingdom COVID-19 Pandemic
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Assessing the Effectiveness of Real-Time Online Parent Training for Parents of Children with Diverse Neurodevelopmental Disorders Residing in the Community
Yamanaka, T., Yuruki, K., Sanabe, Y., Yasutake, M., & Inoue, M. (2023) · Yonago acta medica · doi:10.33160/yam.2023.11.010 · Cited by 6 · see citing works
Perception and behavior toward neuropsychiatric disorders in Saudi Arabia: A systematic review and quality assessment
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Using Family Therapy in the Context of Autism: A Scoping Review
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Telehealth Parent Training for Challenging Behavior in Children with Developmental Disabilities: A Systematic Review and Meta-Analysis
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Parent-Mediated Online Art Therapy With a Mother and Her Children With Autism
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Parent Training for Disruptive Behaviors in Referred Children with Autism Spectrum Disorder: A Randomized Controlled Trial
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The Family-Check-Up® Autism Implementation Research (FAIR) Study: protocol for a study evaluating the effectiveness and implementation of a family-centered intervention within a Canadian autism service setting
Bennett, T. A., Drmic, I., Gross, J., Jambon, M. M., Kimber, M., Zaidman‐Zait, A., Andrews, K., Frei, J., Duku, E., Georgiades, S., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1309154 · Cited by 5 · see citing works
The correlation between brain structure characteristics and emotion regulation ability in children at high risk of autism spectrum disorder
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Virtual Parent Coaching of Music Interventions for Young Autistic Children in Mexico
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Parent Perceptions of Participating in a Parent-Mediated Program for Young Autistic Children
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The Father’s Part: A Pilot Evaluation of a Father-Centered Family Intervention Group in Child and Adolescent Psychiatry
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Comparison of social skills and problem behaviours of children with different developmental disabilities
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The effect of brief acceptance and commitment training on values-based behaviors of Japanese parents of children with autism
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Autism Spectrum Disorder
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Effectiveness of exercise interventions on gross motor skills in children with autism spectrum disorder: a systematic review and meta-analysis
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Au-delà du TED, des compétences parentales à ma portée : évaluation des effets d’un programme de soutien destiné aux parents d’enfants présentant un trouble du spectre de l’autisme
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Authors: Tarver, J., Palmer, M., Webb, S., Scott, S., Slonims, V., Simonoff, E., & Charman, T.
Affiliations: Aston University (GB)
King's College London (GB)
Guy's and St Thomas' NHS Foundation Trust (GB)
Corresponding author: Tarver, Joanne
ORCID: Tarver, Joanne
Palmer, Melanie
Webb, Sophie
Scott, Stephen
Slonims, Vicky
Simonoff, Emily
Charman, Tony
Venue: Autism
Publisher: SAGE Publications
Published: 2019-02-28
Volume: 23
Issue: 7
Pages: 1630-1644
ISSN: 1362-3613 (ISSN-L)
1461-7005
DOI: 10.1177/1362361319830042
OpenAlex: W2918863645
Cited by: 161
References: 59
Citations by year: 2026: 23 · 2025: 23 · 2024: 27 · 2023: 27 · 2022: 24 · 2021: 18 · 2020: 16 · 2019: 3
FWCI: 1.94
Type: journal article
Language: en
Open access: green
publications.aston.ac.uk
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Autism (publishedVersion)
PubMed (publishedVersion)
Aston Publications Explorer (Aston University) (submittedVersion)
Research Portal (King's College London) (submittedVersion, other-oa)
Funders: Programme Grants for Applied Research (RP-PG-1211-20016)
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, child emotional and behavioral problems, disruptive behavior, hyperactivity, parent stress, parental self-efficacy, parental well-being, child internalizing behavior
MeSH terms: Problem Behavior, Autism Spectrum Disorder, Behavior Therapy, Child, Child Behavior Disorders, Humans, Parents, Stress, Psychological, Parenting, Treatment Outcome

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Child and parent outcomes following parent interventions for child emotional and behavioral problems in autism spectrum disorders: A systematic review and meta-analysis

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