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An initial trial of OPT-In-Early: An online training program for caregivers of autistic children.

Autism : the international journal of research and practice2023

Dai Yael G, Thomas Rebecca P, Brennan Lynn, Luu My-Linh, Hughes-Lika Jamie, Reilly Molly, Moreno Paula, Obe Brenda, Ahmed Kelli B, Berry Leandra N, Goin-Kochel Robin P, Helt Molly S, Barton Marianne L, Dumont-Mathieu Thyde, Robins Diana L, Fein Deborah A

What this study means for families

Researchers tested an online training program that teaches parents how to help their autistic children with language, social skills, and daily living skills. Parents who used the program for 4 months learned better techniques and used them more with their children compared to parents who didn't get the program. However, the children didn't show improvements in social communication yet, possibly because more time is needed to see changes.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This randomized controlled trial evaluated OPT-In-Early, a comprehensive online training program for caregivers of autistic children. The program teaches evidence-based intervention strategies through text and video demonstrations to improve children's language, social, and adaptive skills while reducing disruptive behaviors. Sixty-three parents from three states participated, with half receiving access to the program. After four months, parents with program access demonstrated significantly improved intervention strategies and increased use of these techniques during child interactions compared to controls.

However, children's social communication skills did not show significant improvements, suggesting longer intervention duration may be necessary for measurable child outcomes.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Parents who accessed OPT-In-Early learned more effective intervention strategies compared to control group

    Confidence: moderateRelevance: Demonstrates feasibility of online parent training programs for autism intervention
  • 2

    Parents increased use of learned intervention strategies during child interactions

    Confidence: moderateRelevance: Shows behavioral change in parent implementation of evidence-based techniques
  • 3

    No significant improvement in children's social communication skills after 4 months

    Confidence: moderateRelevance: Suggests longer intervention periods may be needed for measurable child outcomes

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Online parent training programs show promise for improving caregiver skills and addressing service access barriers. However, longer intervention periods may be required to achieve meaningful improvements in children's social communication outcomes. This approach could help address provider shortages and cost barriers.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Single study with moderate sample size (n=63). Four-month duration may be insufficient to detect child outcomes. No details provided on randomization, blinding procedures, or baseline characteristics. Long-term follow-up data not available.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Early intervention can help children learn language and improve social communication. However, many barriers, including the expense of services and an insufficient number of providers, prohibit families from accessing services when their children are young. We developed a comprehensive online program for caregivers of autistic children. The program, Online Parent Training in Early Behavioral Intervention (OPT-In-Early), uses text and video demonstrations to teach caregivers effective methods for improving their children's language, social, and adaptive skills (e.g. using utensils, toilet training), and reducing their children's disruptive behavior.

Sixty-three parents from three states participated in the study. Half of the parents received access to the OPT-In-Early program. After 4 months, parents who had access to the OPT-In-Early program learned more effective intervention strategies, and started using these strategies during interactions with their children, than parents who did not receive access to the program. Parent participation in OPT-In-Early did not significantly influence children's social communication compared to children whose parents did not have access to OPT-In-Early.

A longer duration of parents using learned intervention skills with their children may be needed for children's social communication skills to improve.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Autism : the international journal of research and practice
Year
2023
PMID
36519775
DOI
10.1177/13623613221142408

MeSH Terms

ChildHumansAutistic DisorderCaregiversAutism Spectrum DisorderParentsCommunication