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Participant flow diagram
Source publication
Having access to parenting interventions in the early years is key to improve the developmental outcomes of children with neurodevelopmental problems. The Incredible Years® (IY) Parent Program is a group intervention that has demonstrated efficacy in terms of reducing stress in parents, as well as improving behavioral, emotional, and social outcome...
Citations
... A pragmatic randomized controlled trial has supported the feasibility and acceptance of delivering this intervention for ASD children in the UK National Health Service [26]. Within the Spanish mental health system, this program has recently been piloted for parents of children with ASD and preterm children with communication or socialization difficulties [27], showing high satisfaction and compliance with the intervention [28]. However, this intervention has never been implemented for children with neurodevelopmental problems related to genetic syndromes, a particularly vulnerable and hardto-ascertain sample. ...
... The IY-ASLD ® has also been piloted within the Spanish Mental Health System. A recent multicentric randomized pilot study was conducted by researchers of the present investigation [27]. The intervention was conducted during the COVID-19 pandemic and 22 weekly sessions were carried out online. ...
Background
Children with genetic conditions are at increased risk for mental health and neurodevelopmental problems, often accompanied by significant parental distress. Genetic and family factors can impact children and parents’ mental health. Early parenting interventions, like the Incredible Years® programs, have demonstrated to improve parental distress and children’s mental health. The recent version for young children with language delays or autism spectrum disorder (IY-ASLD®) has shown to be feasible and effective to support parents in their children’s developmental trajectories. The effectiveness of treatments for children with genetic conditions and neurodevelopmental problems is largely unexplored, leaving significant gaps in evidence-based options. Clinicians lack guidance, especially when patients exhibit language or social communication impairments but do not meet diagnostic criteria for a full-blown autism spectrum disorder (ASD). We aim to fill this gap, providing evidence on the feasibility and effectiveness of the IY-ASLD® intervention for such patients.
Methods
We designed a prospective multicenter pragmatic randomized controlled trial including approximately 68 children aged 3 to 7 years, recruited from three tertiary care reference hospitals. Inclusion criteria will necessitate genetic confirmation of a neurodevelopmental disorder along with language, communication, or socialization difficulties. Individuals with an ASD diagnosis will be excluded. All subjects are included in a territorial register for rare conditions (ReMin, Registre de Malalties Minoritàries de Catalunya). Families will randomly be assigned to the intervention or the control group. The intervention will be held online by clinical psychologists and child and adolescent psychiatrists.
Discussion
Our group has recently piloted the online implementation of the IY-ASLD® intervention for the first time in Spain, for parents of children with language delays, socialization difficulties, or ASD, but not genetically determined. Our multicenter research consortium is well-positioned to recruit patients with rare conditions and implement efficient treatment pathways within the National Health System. Given the geographical dispersion of families affected by rare conditions, the online format offers logistical advantages and improved therapy access, enhancing homogeneity across all patients. The results of this study will inform clinicians and policymakers about evidence-based treatment options for this vulnerable and overlooked group of young children.
Trial registration
ClinicalTrials.gov NCT06125093. Date of registration: first submitted 2023–10-23; first posted 2023–11-09. URL of trial registry record.
... Entre a negociação de competências e objetivos comuns e específicos, estão as competências colaborativas que garantem a integralidade do cuidado e o trabalho em rede (Peduzzi, 2017). Esses questionamentos visam contribuir O coaching parental precoce é uma das intervenções mediadas pelos familiares mais mencionada nas pesquisas (Green et al., 2017;Stahmer et al., 2020;Tripathi et al., 2021;Valencia et al., 2021;Vernon et al., 2019). Malucelli et al. (2021) Curitiba, v.9, n.6, p. 19852-19869, jun., 2023 cuidadores e familiares sobre como lidar com crianças no espectro. ...
... Malucelli et al. (2021) Curitiba, v.9, n.6, p. 19852-19869, jun., 2023 cuidadores e familiares sobre como lidar com crianças no espectro. Algumas dessas experiências promoveram o treinamento dos familiares em grupo, adaptação que orienta um maior número de pessoas, tornando-se economicamente viável e permitindo que a intervenção seja mais acessível para a implementação pública comunitária (Malucelli et al., 2021;Valencia et al., 2021). ...
... Segundo os estudos, a efetividade destas estratégias depende da capacitação dos cuidadores que devem contar com profissionais treinados para ensiná-los e apoiá-los na implementação, usando recursos didáticos e de fácil compreensão (Kitzerow et al., 2020;Stahmer et al., 2020;Tripathi et al., 2021;Waddington et al., 2021;Zhou et al., 2018), além de práticas e modos de aprendizagem multimodais (Malucelli et al., 2021). Alguns estudos utilizaram recursos digitais como veículo de treinamento e feedback, como o uso de vídeos/filmagens da interação familiar (Green et al., 2017;Holzinger et al., 2019;Kitzerow et al., 2020;Malucelli et al., 2021;Stahmer et al., 2020;Waddington et al., 2021;Zhou et al., 2018), e do treinamento online que ocorreu durante a pandemia de Covid-19 (Valencia et al., 2021). ...
A intervenção precoce, linha de cuidado ofertada nos primeiros anos de vida, tem seus ganhos reconhecidos pela melhora da qualidade de vida de crianças com falhas no desenvolvimento ou em risco. Crianças com Transtorno do Espectro Autista (TEA), quando atendidas precocemente, são beneficiadas quanto ao desenvolvimento sociocomunicativo e às oportunidades de participação social. O objetivo deste estudo é descrever programas de intervenção precoce nos casos de TEA analisando e correlacionando a atuação da equipe multi e interprofissional, com o papel da Fonoaudiologia e das famílias. Foram consultadas as bases de dados SciELO, MEDLINE (portal PUBMED e BVS), LILACS e Google Acadêmico. Ao todo 18 artigos foram selecionados para compor a revisão. Dentre as categorias de análise, os métodos e programas que enfocam a participação da família na intervenção é uma tendência descrita em 13 artigos, o papel da Fonoaudiologia, entretanto, é descrito apenas em 1 achado. Há uma variedade de métodos e programas em estudo, a maioria cita a realização em equipes multiprofissionais, mas sem definição de papéis e objetivos específicos, gerais e compartilhados entre as diferentes categorias.
... Therefore, there is no possibility of having solid evidence. A second limitation relates to the design of the study, as some records were excluded because they were research protocols and characterized by the absence of includable results [79,80]. However, this also signals the emerging interest of the scientific community in interventions that can be implemented following the discharge of premature infants from the NICU. ...
Children born preterm (<37 weeks of gestation) are at increased risk of socio-emotional difficulties. This study aims to determine the effects of rehabilitation intervention on the emotional regulation of children born preterm through a systematic review. We conducted a systematic review according to PRISMA guidelines. The literature screening was carried out on PUBMED, SCOPUS and WEB OF SCIENCE in August 2022. An author identified eligible studies based on predefined inclusion criteria and extracted the data. RCT quality was assessed using the JADAD and PEDro scales. We selected five RCTs for qualitative synthesis, having the common objective of evaluating the changes in emotional regulation after a rehabilitation intervention. Evidence of benefits was found after parent training intervention (PCIT; p < 0.05). Moreover, there was an improvement in day-to-day executive life and fewer behavioral problems after mindfulness intervention. Clinical, but not statistical, efficacy was found for the group-based physiotherapy intervention. In conclusion, parent training and mindfulness interventions can be helpful rehabilitation techniques, but the relatively small sample limited statistical power, so the discovery needs to be interpreted cautiously. Further research on these aspects is recommended.
... Other studies included perspectives on integrated mental health care for autism ) and parent training for youth with autism in community settings (Straiton et al. 2021). A protocol for implementing the Incredible Years-ASLD® programme with Spanish children with autism and pre-term children with communication and/or socialisation difficulties was developed and delivered promising results (Valencia et al. 2021). ...
This evidence review presents the mental health peer reviewed research articles accessed to meet the Mental Health Commission (MHC) requirements for the development of a new quality framework. The extensive search includes research pertaining to mental health care and services. This includes frameworks, audits, toolkits, quality, recovery and wellness, legislation, acute adult and continuing long stay care, carers/family and peers, CAMHS, digital e-technology, forensics,
medication management, intellectual disability, LGBTQ+, mother and infant, rehabilitation, professionals, psychiatry of later life and therapies including CBT.
Objective Autism spectrum disorder (ASD) is a neurodevelopmental disorder with onset in infancy. Early intervention is critical to improve the prognosis for these children. E-health interventions have tremendous potential. This review aimed to determine the status and effectiveness of family interventions for parents of children aged 0–6 years with ASD in the context of e-health.Methods The review methodology was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. PubMed, Web of Science, and China National Knowledge Infrastructure were searched from inception to June 2022. The searches were limited to children with ASD of the age range between 0 and 6 years. We collated the available information and used descriptive statistics to analyze the synthesized data.Results Our initial search identified 3,672 articles, of which 30 studies met the inclusion criteria. The 30 articles selected were released between 2012 and 2022. All articles are in English. Most articles reviewed were from high-income countries (27/30, 90.0%), especially from the United States (16/30, 53.3%). Four major themes emerged from the 30 studies that matched the inclusion criteria, as follows: 1) type of e-health interventions, 2) duration of interventions, 3) clinical aspects of e-health interventions, and 4) evidence for intervention effectiveness, looking into the positive, negative, and mixed findings of previous studies.Conclusion These findings suggest that a wide variety of e-health interventions may actually help support both children with ASD aged 0–6 years and their parents.
Purpose
This study purposed to evaluate the effect of the Incredible Years Autism Spectrum and Language Delays (IY-ASD) program in reducing parents' stress and improving aggressive and disruptive behaviors in the parents among parents of children with autism spectrum disorder in Palestine.
Design and methods
A one-group pre-posttest design was used. Thirty-four parents who enrolled in the Palestinian Child Institute in Nablus were recruited.
Results
Findings revealed a significant difference between parents' total stress pre and post-IY-ASD (t = 1.2, p < 0.01 and parents' behavioral management skills toward their children with autism spectrum disorder. The study demonstrated that the IY-ASD program for 16 sessions reduced stress among parents of children with autism spectrum disorder in Palestine and improved aggressive and disruptive behaviors in the parents.
Conclusion
The IY-ASD program can be successfully implemented for parents of this cohort group.
Practice implications
Healthcare providers can adopt such a program for enhancing parenting roles with their children experiencing autism spectrum disorder.
