Contextual Intervention Adapted for Autism Spectrum Disorder: An RCT of a Parenting Program with Parents of Children Diagnosed with Autism Spectrum Disorder (ASD)

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PASHAZADEH AZARI ZAHRA; HOSSEINI SEYED ALI; RASSAFIANI MEHDI; SAMADI SEYYED ALI; HOSEINZADEH SAMANEH; Dunn Winnie

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Journal Paper

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Journal: Iranian Journal of Child Neurology Year:2019 | Volume:13 | Issue:4 Page(s): 19-35

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Information Journal Paper

Title

Contextual Intervention Adapted for Autism Spectrum Disorder: An RCT of a Parenting Program with Parents of Children Diagnosed with Autism Spectrum Disorder (ASD)

Author(s)

Keywords

Contextual intervention

Sensory processing patterns

Coaching

Autism spectrum disorders

Abstract

Objectives We investigated the effects of a manualized Contextual intervention adapted for Autism spectrum disorders (CI-ASD), and essential elements of the intervention in promoting children’ s participation and mothers’ parenting self-efficacy. Materials & Methods In this randomized controlled trial, conducted in Tehran, Iran in 2017, participants (36 parents of children with ASD) were randomly assigned to wait-list control or intervention groups. The intervention comprised contextually reflective occupational therapy combines 3 elements: Sensory processing patterns, Coaching, and social support. We provided the program to promote child’ s participation and parent’ s efficiency. During phase 1, the participants in the intervention group received CIASD as long as Treatment As Usual (TAU) and during phase 2 they received TAU only. We completed the outcome measures at threetime points (pre-intervention, post-intervention, and follow-up). We conducted semi-structured interviews post-intervention to explore acceptability of intervention and participants’ experiences of CI-ASD. Results CI-ASD can produce meaningful effects in eliminating sensory issues, promoting child participation and parenting efficiency in ASD families, compared to TAU. Parents reported high levels of acceptance and also confirmed the family’ s achievements. Conclusion These gains suggest CI-ASD as an effective intervention for children who have ASD and their families, but further studies are needed to declare and generalize the findings over time. Estimated effect sizes were in the large and medium ranges and favored the intervention group.

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APA: Copy

PASHAZADEH AZARI, ZAHRA, HOSSEINI, SEYED ALI, RASSAFIANI, MEHDI, SAMADI, SEYYED ALI, HOSEINZADEH, SAMANEH, & Dunn, Winnie. (2019). Contextual Intervention Adapted for Autism Spectrum Disorder: An RCT of a Parenting Program with Parents of Children Diagnosed with Autism Spectrum Disorder (ASD). IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN), 13(4), 19-35. SID. https://sid.ir/paper/742048/en

Vancouver: Copy

PASHAZADEH AZARI ZAHRA, HOSSEINI SEYED ALI, RASSAFIANI MEHDI, SAMADI SEYYED ALI, HOSEINZADEH SAMANEH, Dunn Winnie. Contextual Intervention Adapted for Autism Spectrum Disorder: An RCT of a Parenting Program with Parents of Children Diagnosed with Autism Spectrum Disorder (ASD). IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN)[Internet]. 2019;13(4):19-35. Available from: https://sid.ir/paper/742048/en

IEEE: Copy

ZAHRA PASHAZADEH AZARI, SEYED ALI HOSSEINI, MEHDI RASSAFIANI, SEYYED ALI SAMADI, SAMANEH HOSEINZADEH, and Winnie Dunn, “Contextual Intervention Adapted for Autism Spectrum Disorder: An RCT of a Parenting Program with Parents of Children Diagnosed with Autism Spectrum Disorder (ASD),” IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN), vol. 13, no. 4, pp. 19–35, 2019, [Online]. Available: https://sid.ir/paper/742048/en

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