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A randomized parent-mediated physical activity intervention for autistic children.

Autism research : official journal of the International Society for Autism Research2023

Prieto Laura A, Meera Benazir, Barry Ashlyn, Swarup Gayatri, Asmus Jennifer, Ku Byungmo, Roth Kristi, Foley John T, Columna Luis

What this study means for families

Researchers tested whether parents could help their autistic children (ages 4-11) develop better movement and ball skills through a 12-week program. Families received equipment and 200+ activities on a phone app. Children whose parents attended in-person workshops showed big improvements in running, jumping, and ball skills. Online training helped somewhat, but not as much. This suggests parents can effectively help their autistic children develop important physical skills.

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

Research summary

This randomized controlled trial examined a 12-week parent-mediated physical activity intervention for autistic children aged 4-11 years (n=31 parent-child dyads). Participants were assigned to three groups: in-person workshop, online delivery, or control. Each intervention group received adapted physical activity equipment and access to over 200 activities via mobile application. Results showed large effect sizes for the in-person group (locomotor skills: 1.18, ball skills: 0.82), medium to small effects for online delivery (locomotor: 0.49, ball skills: 0.26), and minimal effects for controls (locomotor: 0.12, ball skills: 0.06).

The study suggests parent-mediated interventions can effectively improve fundamental motor skills in autistic children, with in-person delivery showing superior outcomes.

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

Key findings

  • 1

    In-person parent training produced large improvements in both locomotor skills (effect size 1.18) and ball skills (effect size 0.82)

    Confidence: moderateRelevance: high
  • 2

    Online parent training showed medium effects for locomotor skills (0.49) but only small effects for ball skills (0.26)

    Confidence: moderateRelevance: medium
  • 3

    Control group showed minimal improvement in both skill areas (effect sizes 0.12 and 0.06)

    Confidence: moderateRelevance: medium

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

Clinical implications

Parent-mediated physical activity interventions show promise for improving fundamental motor skills in autistic children. In-person parent training appears more effective than online delivery. Given the importance of motor skills for daily functioning and participation, this approach could be valuable for families and therapists working with autistic children.

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

Limitations

Small sample size (n=31) limits generalizability. The abstract does not report statistical significance testing or confidence intervals for effect sizes. Long-term follow-up data not provided. No details about participant characteristics or intervention fidelity measures reported.

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

Original abstract

The purpose of this study was to examine the immediate and post effects of a parent-mediated physical activity intervention on the fundamental motor skills of autistic children. We randomly assigned parent-child dyads (n = 31) of autistic children aged 4-11 years into three groups (workshop, an online, or control group). Each dyad participated in a 12-week intervention and was given adapted physical activity equipment and over 200 activities via a mobile application. Children were tested at the start and end of the intervention.

The effect size (Cohen's) of the control group for pre-post locomotor and ball skill scores were 0.12 and 0.06, respectively, indicating small effect size. The effect size of the online group for pre-post locomotor and ball skill scores were 49 and 0.26, respectively, indicating medium and small effect sizes. The effect size of the in-person group for pre-post locomotor and ball skill scores were 1.18 and 0.82, respectively, indicating large effect sizes. The outcomes of this physical activity intervention suggest that parents may facilitate the acquisition of fundamental motor skills of their autistic children.

Although these results are positive, there is a need to further identify effective interventions for fundamental motor skill development in autistic children. Clinical Trials ID: NCT05159102.

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Evidence Grade

Emerging

moderate

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

Study Details

Journal
Autism research : official journal of the International Society for Autism Research
Year
2023
PMID
37357811
DOI
10.1002/aur.2969

MeSH Terms

HumansAutistic DisorderAutism Spectrum DisorderExerciseParentsMotor Skills