[Show abstract][Hide abstract] ABSTRACT: A significant proportion of children with autism spectrum disorder (ASD) are referred to mental health centers due to the presence of challenging behaviors. Because challenging behaviors in children and adolescents with ASD often result from underlying social and communication difficulties and comorbid anxiety, traditional caregiver-mediated behavior intervention techniques developed for children with disruptive behavior disorders may need to be adapted for this population. Behavioral interventions that target communication skills, social skills, anxiety, and sensory responsiveness in children with ASD may be needed. Notably, while best practice necessitates the involvement of caregivers in treating children and adolescents with ASD, few randomized control studies have examined the effectiveness of caregiver-implemented interventions in reducing challenging behaviors. This review summarizes the current literature with regard to caregiver-mediated behavioral interventions for children with ASD, and suggests areas for intervention development and research.
[Show abstract][Hide abstract] ABSTRACT: Background:
A myriad of parent education treatment approaches for parents of children with autism spectrum disorders (ASD) have been developed. Despite the critical nature of parent education programs, however, not all parents benefit equally. Unfortunately, there are relatively few studies that directly address how to conduct parent education sessions, especially for the parents who continue to struggle with the intervention techniques. Because of this, research identifying specific teaching methods that facilitate learning the intervention skills are necessary. Literature in related fields has found video feedback to facilitate learning through the process of self-observation, and that such feedback results in improved performance. In light of these positive findings, this study extended the use of video feedback to parent education for parents of children with autism. This study addresses the research gap and evaluates the effectiveness of video feedback as a training technique for parents who struggle with accurately implementing Pivotal Response Treatment (PRT) techniques.
The purpose was to evaluate the effectiveness of using video feedback for parents who did not meet treatment fidelity for an empirically supported autism intervention (PRT).
To examine the effects of video feedback in parent education, a multiple baseline design across three parent-child dyads (children: ages 3 – 7; parents: two mothers, one father) was used with parents with a history of not meeting treatment fidelity. During the baseline condition, parent education consisted of modeling and in-vivo feedback. In the intervention condition, parent education sessions consisted of clinician modeling and video feedback. This approach was evaluated to examine the impact on parents, children, and parent education variables.
The incorporation of video feedback into parent education yields positive results. Specifically, all three parents met treatment fidelity and displayed positive levels of affect, decreased parenting stress (Parenting Stress Index-Short Form), increased parental self-efficacy (Parenting Sense of Competence scale), and reported satisfaction with the intervention. Children displayed higher levels of affect and improved their individualized social communication target behavior. The type (e.g., constructive versus positive and general versus specific) and amount of feedback delivered by the clinician did not significantly differ between the conditions. Finally, findings suggest that the parents increased their amount of self-reflective feedback statements.
The successful use of video feedback contributes to the literature identifying video feedback an effective teaching tool that can be implemented in the natural environment. Parents not only met and maintained treatment fidelity, but also, showed positive collateral effects on affect, confidence, stress, and self-efficacy measures. Similarly, the children exhibited improvement in affect and made improvements in their individualized target behavior. Finally, the investigation found that parent’s self-reflective statements might be an important component to successful skill acquisition. In other words, the video feedback technique, which uses self-observation, results in increases in one’s awareness. As the parents’ awareness increases, positive behavior change is observed. Given this mechanism of change, video feedback has positive implications for use in parent education. Future research should examine these variables and identify characteristics of parents who may benefit from this intervention model.
2012 International Meeting for Autism Research; 05/2012
[Show abstract][Hide abstract] ABSTRACT: Participation of parents of children with autism is commonplace in most comprehensive intervention programs, yet, there is limited research relating to the best practices in this area. This article provides an overview of parent education programs for young children with autism and details data-driven procedures which are associated with improved parent and child outcomes. In addition, we provide a troubleshooting guide based on the literature for professionals regarding a variety of complex issues which may arise during parent education.
Journal of Autism and Developmental Disorders 02/2011; 42(6):1218-27. DOI:10.1007/s10803-011-1194-0 · 3.06 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Studies involving physical exercise and individuals with autism spectrum disorders (ASD) were reviewed. Systematic search procedures identified 18 studies meeting predetermined inclusion criteria. These studies were evaluated in terms of: (a) participant characteristics, (b) type of exercise, (c) procedures used to increase exercise, (d) outcomes, and (e) research methodology. Across the corpus of studies, exercise was implemented with 64 participants with ASD aged 3–41 years. A variety of exercise activities were employed (e.g., jogging, weight training, bike riding). Following the exercise interventions decreases in stereotypy, aggression, off-task behavior and elopement were reported. Fatigue was not likely the cause of decreases in maladaptive behavior because on-task behavior, academic responding, and appropriate motor behavior (e.g., playing catch) increased following physical exercise. Results suggest that programs for individuals with ASD may benefit from including components designed to incorporate regular and specific types of physical activity. Areas in need of further research are discussed.
Research in Autism Spectrum Disorders 10/2010; 4(4-4):565-576. DOI:10.1016/j.rasd.2010.01.006 · 2.96 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Collective traumas can negatively affect large numbers of people who ostensibly did not experience events directly, making it particularly important to identify which people are most vulnerable to developing mental and physical health problems as a result of such events. It is commonly believed that successful coping with a traumatic event requires expressing one's thoughts and feelings about the experience, suggesting that people who choose not to do so would be at high risk for poor adjustment. To test this idea in the context of collective trauma, 2,138 members of a nationally representative Web-enabled survey panel were given the opportunity to express their reactions to the terrorist attacks of September 11, 2001, on that day and those following. Follow-up surveys assessing mental and physical health outcomes were completed over the next 2 years. Contrary to common belief, participants who chose not to express any initial reaction reported better outcomes over time than did those who expressed an initial reaction. Among those who chose to express their immediate reactions, longer responses predicted worse outcomes over time. Implications for myths of coping, posttrauma interventions, and psychology in the media are discussed.
Journal of Consulting and Clinical Psychology 09/2008; 76(4):657-67. DOI:10.1037/0022-006X.76.4.657 · 4.85 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study examines ethnic and gender differences in open-ended immediate responses to an online prompt provided by a nationwide sample of 1,559 individuals in the days following the 9/11 terrorist attacks. These responses were used to predict longitudinal outcomes over the following 2 years. Results show that African Americans and women responded with more emotions (e.g., sadness, sympathy) than did Whites and men. African Americans and women also endorsed violent retaliation less often than did their White, male counterparts. Responding with sadness and sympathy and endorsing violent retaliation were, in turn, associated with higher distress and posttraumatic stress (PTS) symptoms over time. Results reveal considerable ethnic and gender differences in immediate responses to traumatic events that have long-term mental health consequences.
Basic and Applied Social Psychology 12/2006; 28(4):291-301. DOI:10.1207/s15324834basp2804_2 · 1.09 Impact Factor