Pilot Randomized Controlled Trial of the WHO Caregiver Skills Training in Public Health Services in Italy
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Published:2021-10-22
Issue:
Volume:
Page:
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ISSN:0162-3257
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Container-title:Journal of Autism and Developmental Disorders
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language:en
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Short-container-title:J Autism Dev Disord
Author:
Salomone EricaORCID, Settanni Michele, McConachie Helen, Suma Katharine, Ferrara Federica, Foletti Giulia, Salandin Arianna, Brown Felicity L., Pacione Laura, Shire Stephanie, Servili Chiara, Adamson Lauren B.,
Abstract
AbstractParents of children with ASD (N = 86; mean age 44.8 months; 67 boys) were randomized to either WHO Caregiver Skills Training (CST) delivered in public health settings in Italy or enhanced treatment-as-usual. Primary blinded outcomes were 3-months post-intervention change scores of autism severity and engagement during caregiver-child interaction. CST was highly acceptable to caregivers and feasibly delivered by trained local clinicians. Intention-to-treat analysis showed a large and significant effect on parent skills supporting joint engagement and a smaller significant effect on flow of interaction. Expected changes in child autism severity and joint engagement did not meet statistical significance. Analysis of secondary outcomes showed a significant effect on parenting stress, self-efficacy, and child gestures. Strategies to improve the effectiveness of CST are discussed.
Funder
H2020 Marie Skłodowska-Curie Actions Compagnia di San Paolo Autism Speaks Università degli Studi di Milano - Bicocca
Publisher
Springer Science and Business Media LLC
Subject
Developmental and Educational Psychology
Reference60 articles.
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