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Journal of Autism and Developmental Disorders

, Volume 43, Issue 3, pp 540–555 | Cite as

A Parent-Mediated Intervention to Increase Responsive Parental Behaviors and Child Communication in Children with ASD: A Randomized Clinical Trial

  • Michael SillerEmail author
  • Ted Hutman
  • Marian Sigman
Original Paper

Abstract

Longitudinal research has demonstrated that responsive parental behaviors reliably predict subsequent language gains in children with autism spectrum disorder. To investigate the underlying causal mechanisms, we conducted a randomized clinical trial of an experimental intervention (Focused Playtime Intervention, FPI) that aims to enhance responsive parental communication (N = 70). Results showed a significant treatment effect of FPI on responsive parental behaviors. Findings also revealed a conditional effect of FPI on children’s expressive language outcomes at 12-month follow up, suggesting that children with baseline language skills below 12 months (n = 24) are most likely to benefit from FPI. Parents of children with more advanced language skills may require intervention strategies that go beyond FPI’s focus on responsive communication.

Keywords

Autism Randomized clinical trial Parent child communication Language Intervention 

Notes

Acknowledgments

Preparation of this article was supported by CPEA Grant HD35470 from the National Institute of Child Health and Human Development, the M.I.N.D. Institute Research Program, and a PSC-CUNY grant. We gratefully acknowledge the contributions of the parents and children who participated in this study. We also wish to thank the researchers who contributed to this project over the years, especially Agata Rozga, Alma Lopez-Singh, Amanda Chinchilla, Angeline Dijamco DeLaurentis, Cindy Huang, Cynthia Zierhut, Cristina Fernandez, Elia Jimenez, James Earhart, Jenna Mendelson, Joanna Mussey, Laura Espana, Lisa Travis, Liz Lizaola, Lovella Gomez, Michael Bono, Mithi del Rosario, Nuri Reyes, Sarah Clavell, Stephanie Marshall, Stephany Cox, and Tamara Daley. Special Thanks to Paul Yoder and David MacKinnon for their invaluable support and feedback on drafts of this manuscript.

Supplementary material

10803_2012_1584_MOESM1_ESM.pdf (3.8 mb)
#1: Our special play time: Finding ways to improve play time with my young child with autism: Illustrated workbook for parents (unpublished document). Supplementary material 1 (PDF 3875 kb)
10803_2012_1584_MOESM2_ESM.pdf (2.5 mb)
#2: Our special play time: Finding ways to improve play time with my young child with autism: Treatment manual (unpublished manuscript). Supplementary material 2 (PDF 2529 kb)

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Psychiatry and Biobehavioral SciencesUniversity of CaliforniaLos AngelesUSA
  2. 2.Psychology DepartmentHunter College of The City University of New YorkNew YorkUSA

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