The Characteristics and Results of Parent Training Interventions in Children with Autism Spectrum Disorder: A Systematic Review
-
Seyed Hasan Tabatabaei
,
Hassan Shahrokhi
,
Kamal Gholipour
,
Shabnam Izadi
,
Ramin Rezapour
,
Saber Azami-Aghdash
,
Deniz Naghibi
Abstract
Background: The role of parents in taking care of children with Autism Spectrum Disorder (ASD) is critical. This systematic review aimed to investigate the characteristics and results of parent training interventions for autistic children.
Methods: All relevant studies were searched using Boolean operators such as "AND" and "OR" with the keywords such as “Autism Spectrum Disorders,” “Autism,” “Autistic disorder,” “Asperger syndrome,” “Rett’s syndrome”, “Childhood disintegrative disorder”, “Non-specific pervasive disorder”, Parent*, Education*, train*, teach*, indoctrinate*, and instruct* in electronic databases such as PubMed, Scopus, Google Scholar, Cochrane Library, Science Direct, Web of knowledge, and also via manual searching in relevant journals, checking the reference list of articles, expert contact, and grey literature from 1 Jan 2000 to 30 Feb 2020. The retrieved studies were screened and reviewed then quality assessed by CONSORT checklist. The qualitative data were analyzed using content analysis method.
Results: Eventually, 53 articles were considered in which 1758 parents with autistic children participated. Overall, 49 studies were conducted in high-income countries, 19 at home, 25 in training centers, 14 carried out only in training way, 39 in training along with practices and assignments, 30 individual interventions, and 21 in groups. Moreover, the effectiveness of interventions was studied in both parents and children groups. The results for parents show direct and indirect favorable impacts of interventions on them. The results for the children indicate direct and indirect favorable effects of the parents-based interventions on the child and the symptoms of their disorder.
Conclusion: According to the included studies, parents-based training interventions significantly impact parents and their children's behavior.
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24. Fami Tafreshi F, Mohammadi MR, Sharifi Saki S, et al (2016). Effectiveness of Training Applied Behavior Analysis to Parents on Increasing Self-help of Children with Autism. J Child Ment Health, 3(1): 9-18.
25. Jabery MAA, Arabiat DH, Khamra HAA, et al (2014). Parental perceptions of services provided for children with autism in Jordan. Journal of Child and Family Studies, 23:475-486.
26. Blake JM, Rubenstein E, Tsai P-C, et al (2017). Lessons learned while developing, adapting and implementing a pilot parent-mediated behavioural intervention for children with autism spectrum disorder in rural Bangladesh. Autism, 21:611-621.
27. Maleki MR, Derakhshani N, Azami-Aghdash S, et al (2020). Quality of Life of People with HIV/AIDS in Iran: A Systematic Review and Meta-Analysis. Iran J Public Health, 49:1399-1410.
28. Jafari M, Farajzadeh F, Asgharlu Z, et al (2019). Effect of Kangaroo Mother Care on hospital management indicators: A systematic review and meta-analysis of randomized controlled trials. J Educ Health Promot, 8:96.
29. Derakhshani N, Doshmangir L, Ahmadi A, et al (2020). Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis. Clinicoecon Outcomes Res, 12:459-472.
30. Derakhshani N, Maleki M, Pourasghari H, Azami-Aghdash S (2021). The influential factors for achieving universal health coverage in Iran: a multimethod study. BMC Health Serv Res, 21:724.
31. Moosavi A, Sadeghpour A, Azami-Aghdash S, et al (2020). Evidence-based medicine among health-care workers in hospitals in Iran: A nationwide survey. J Educ Health Promot, 9:365.
32. Lofland KB (2016). The use of technology in the treatment of autism. In: Technology and the treatment of children with autism spectrum disorder. Ed(s): Springer, pp. 27-35.
33. Preece D, Trajkovski V (2017). Parent education in autism spectrum disorder–a review of the literature. Hrvatska revija za rehabilitacijska istraživanja.
34. Llewellyn-Bennett R, Bowman L, Bulbulia R (2016). Post-trial follow-up methodology in large randomized controlled trials: a systematic review protocol. Syst Rev, 5:214.
35. Johnson J (2017). Social learning theory as a framework for recreational therapy intervention in children with neurodevelopmental disorders. Illuminare, 15.
36. Beaudoin AJ, Sébire G, Couture M (2014). Parent training interventions for toddlers with autism spectrum disorder. Autism Research And Treatment, 2014.
37. Pastor-Cerezuela G, Fernández-Andrés MI, Tárraga-Mínguez R, Navarro-Peña JM (2016). Parental stress and ASD: Relationship with autism symptom severity, IQ, and resilience. Focus on Autism and Other Developmental Disabilities, 31:300-311.
38. Karst JS, Van Hecke AV (2012). Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation. Clin Child Fam Psychol Rev, 15:247-277.
39. Zablotsky B, Boswell K, Smith C (2012). An evaluation of school involvement and satisfaction of parents of children with autism spectrum disorders. Am J Intellect Dev Disabil, 117:316-330.
40. Estes A, Vismara L, Mercado C, et al (2014). The impact of parent-delivered intervention on parents of very young children with autism. J Autism Dev Disord, 44:353-365.
41. Sisavath J (2014) A review of parent training interventions for children with autism spectrum disorder and proposed guidelines for choosing best practices. https://repositories.lib.utexas.edu/handle/2152/26277
42. Schultz TR, Schmidt CT, Stichter JP (2011). A review of parent education programs for parents of children with autism spectrum disorders. Focus on autism and other developmental disabilities, 26:96-104.
43. Gengoux GW, Berquist KL, Salzman E, et al (2015). Pivotal response treatment parent training for autism: Findings from a 3-month follow-up evaluation. J Autism Dev Disord, 45:2889-2898.
44. Oosterling I, Visser J, Swinkels S, et al (2010). Randomized controlled trial of the focus parent training for toddlers with autism: 1-year outcome. J Autism Dev Disord, 40:1447-1458.
45. Drew A, Baird G, Baron-Cohen S, et al (2002). A pilot randomised control trial of a parent training intervention for pre-school children with autism. Eur Child Adolesc Psychiatry, 11:266-272.
2. Autism, Investigators DDMNSYP (2012). Prevalence of autism spectrum disorders—autism and developmental disabilities monitoring network, 14 sites, United States, 2008. MMWR Surveill Summ, 61(3):1-19.
3. Lord C, Brugha TS, Charman T, et al (2020). Autism spectrum disorder. Nat Rev Dis Primer,6(1):5.
4. Association AP (2000) Diagnostic and statistical manual of mental disorders: DSM-IV-TR. (ed)^(eds), Washington, DC: American Psychiatric Association,
5. Rajabi Damavandi G, Poushaneh K, Ghobari Bonab B (2009). Relationship between Personality Traits and Coping Strategies in Parents of Children with Autistic Spectrum Disorders. Journal of Exceptional Children, 9:133-144.
6. Khanna R, Madhavan SS, Smith MJ, et al (2011). Assessment of health-related quality of life among primary caregivers of children with autism spectrum disorders. J Autism Dev Disord, 41:1214-1227.
7. Kelly AB, Garnett MS, Attwood T, Peterson C (2008). Autism spectrum symptomatology in children: The impact of family and peer relationships. J Abnorm Child Psychol, 36(7):1069-81.
8. Gau SS-F, Chou M-C, Chiang H-L, et al (2012). Parental adjustment, marital relationship, and family function in families of children with autism. Research in Autism Spectrum Disorders, 6:263-270.
9. Mugno D, Ruta L, D'Arrigo VG, Mazzone L (2007). Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health Qual Life Outcomes, 5:22.
10. Yatawara C, Einfeld S, Hickie I, Davenport T, Guastella A (2016). The effect of oxytocin nasal spray on social interaction deficits observed in young children with autism: a randomized clinical crossover trial. Mol Psychiatry, 21:1225-1231.
11. Fakhoury M (2015). Autistic spectrum disorders: A review of clinical features, theories and diagnosis. Int J Dev Neurosci, 43:70-77.
12. Landa R (2007). Early communication development and intervention for children with autism. Ment Retard Dev Disabil Res Rev, 13:16-25.
13. Ingersoll B, Schreibman L (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: Effects on language, pretend play, and joint attention. J Autism Dev Disord, 36(4):487-505.
14. Kalyva E (2011). Autism: Educational and therapeutic approaches. ed. Sage Publications.
15. Minjarez MB, Williams SE, Mercier EM, Hardan AY (2011). Pivotal response group treatment program for parents of children with autism. J Autism Dev Disord, 41:92-101.
16. Bearss K, Johnson C, Smith T, et al (2015). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: a randomized clinical trial. JAMA, 313:1524-1533.
17. Scahill L, Bearss K, Lecavalier L, et al (2016). Effect of parent training on adaptive behavior in children with autism spectrum disorder and disruptive behavior: results of a randomized trial. J Am Acad Child Adolesc Psychiatry, 55:602-609.e3.
18. Khodabakhshi Koolaee A, Arab Varamin A, Rooshan Cheseli R (2016). Effectiveness of “Kozloff Parental Training Program” on Expressed Emotion and Burden Among Mothers With Autistic Child. Iranian Journal of Rehabilitation Research in Nursing, 3:29-34.
19. shojaii s, imani m, teymori mm, shahin m (2017). Comparing Parenting Styles of Parents of Children with and without Autism Spectrum Disorder. Journal of Counseling Research, 15:100-118.
20. Khan K, Kunz R, Kleijnen J, Antes G (2011). Systematic reviews to support evidence-based medicine. ed. Crc Press.
21. Schulz KF, Altman DG, Moher D (2010). CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMC, 340:c332.
22. Schulz KF, Altman DG, Moher D (2011). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomized trials. Ann Intern Med, 154(4):290-1.
23. Bagherian Ks, Pouretemad Hr, Fathabadi J, et al (2016). Developing “Family Integrated Treatment” for Autistic Disorders and Comparing its Efficacy on Decreasing Parenting Stress of Parents of Autistic Children with “Little Bird” Method. J Res Rehabil Sci, 12(1): 10-8.
24. Fami Tafreshi F, Mohammadi MR, Sharifi Saki S, et al (2016). Effectiveness of Training Applied Behavior Analysis to Parents on Increasing Self-help of Children with Autism. J Child Ment Health, 3(1): 9-18.
25. Jabery MAA, Arabiat DH, Khamra HAA, et al (2014). Parental perceptions of services provided for children with autism in Jordan. Journal of Child and Family Studies, 23:475-486.
26. Blake JM, Rubenstein E, Tsai P-C, et al (2017). Lessons learned while developing, adapting and implementing a pilot parent-mediated behavioural intervention for children with autism spectrum disorder in rural Bangladesh. Autism, 21:611-621.
27. Maleki MR, Derakhshani N, Azami-Aghdash S, et al (2020). Quality of Life of People with HIV/AIDS in Iran: A Systematic Review and Meta-Analysis. Iran J Public Health, 49:1399-1410.
28. Jafari M, Farajzadeh F, Asgharlu Z, et al (2019). Effect of Kangaroo Mother Care on hospital management indicators: A systematic review and meta-analysis of randomized controlled trials. J Educ Health Promot, 8:96.
29. Derakhshani N, Doshmangir L, Ahmadi A, et al (2020). Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis. Clinicoecon Outcomes Res, 12:459-472.
30. Derakhshani N, Maleki M, Pourasghari H, Azami-Aghdash S (2021). The influential factors for achieving universal health coverage in Iran: a multimethod study. BMC Health Serv Res, 21:724.
31. Moosavi A, Sadeghpour A, Azami-Aghdash S, et al (2020). Evidence-based medicine among health-care workers in hospitals in Iran: A nationwide survey. J Educ Health Promot, 9:365.
32. Lofland KB (2016). The use of technology in the treatment of autism. In: Technology and the treatment of children with autism spectrum disorder. Ed(s): Springer, pp. 27-35.
33. Preece D, Trajkovski V (2017). Parent education in autism spectrum disorder–a review of the literature. Hrvatska revija za rehabilitacijska istraživanja.
34. Llewellyn-Bennett R, Bowman L, Bulbulia R (2016). Post-trial follow-up methodology in large randomized controlled trials: a systematic review protocol. Syst Rev, 5:214.
35. Johnson J (2017). Social learning theory as a framework for recreational therapy intervention in children with neurodevelopmental disorders. Illuminare, 15.
36. Beaudoin AJ, Sébire G, Couture M (2014). Parent training interventions for toddlers with autism spectrum disorder. Autism Research And Treatment, 2014.
37. Pastor-Cerezuela G, Fernández-Andrés MI, Tárraga-Mínguez R, Navarro-Peña JM (2016). Parental stress and ASD: Relationship with autism symptom severity, IQ, and resilience. Focus on Autism and Other Developmental Disabilities, 31:300-311.
38. Karst JS, Van Hecke AV (2012). Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation. Clin Child Fam Psychol Rev, 15:247-277.
39. Zablotsky B, Boswell K, Smith C (2012). An evaluation of school involvement and satisfaction of parents of children with autism spectrum disorders. Am J Intellect Dev Disabil, 117:316-330.
40. Estes A, Vismara L, Mercado C, et al (2014). The impact of parent-delivered intervention on parents of very young children with autism. J Autism Dev Disord, 44:353-365.
41. Sisavath J (2014) A review of parent training interventions for children with autism spectrum disorder and proposed guidelines for choosing best practices. https://repositories.lib.utexas.edu/handle/2152/26277
42. Schultz TR, Schmidt CT, Stichter JP (2011). A review of parent education programs for parents of children with autism spectrum disorders. Focus on autism and other developmental disabilities, 26:96-104.
43. Gengoux GW, Berquist KL, Salzman E, et al (2015). Pivotal response treatment parent training for autism: Findings from a 3-month follow-up evaluation. J Autism Dev Disord, 45:2889-2898.
44. Oosterling I, Visser J, Swinkels S, et al (2010). Randomized controlled trial of the focus parent training for toddlers with autism: 1-year outcome. J Autism Dev Disord, 40:1447-1458.
45. Drew A, Baird G, Baron-Cohen S, et al (2002). A pilot randomised control trial of a parent training intervention for pre-school children with autism. Eur Child Adolesc Psychiatry, 11:266-272.
| Files | ||
| Issue | Vol 51 No 3 (2022) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v51i3.8927 | |
| Keywords | ||
| Autism spectrum disorder Effectiveness Interventions Parents training Systematic review | ||
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How to Cite
1.
Tabatabaei SH, Shahrokhi H, Gholipour K, Izadi S, Rezapour R, Azami-Aghdash S, Naghibi D. The Characteristics and Results of Parent Training Interventions in Children with Autism Spectrum Disorder: A Systematic Review. Iran J Public Health. 2022;51(3):518-530.
