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The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses

BACKGROUND: Various parent training interventions have been shown to have some effect on the symptoms of children with autism. We carried out a systematic review and meta-analyses to assess effectiveness of parental training for children with autism on their symptoms and parental stress. METHODS: Fo...

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Autores principales: Deb, Shoumitro (Shoumi), Retzer, Ameeta, Roy, Meera, Acharya, Rupali, Limbu, Bharati, Roy, Ashok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7720449/
https://www.ncbi.nlm.nih.gov/pubmed/33287762
http://dx.doi.org/10.1186/s12888-020-02973-7
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author Deb, Shoumitro (Shoumi)
Retzer, Ameeta
Roy, Meera
Acharya, Rupali
Limbu, Bharati
Roy, Ashok
author_facet Deb, Shoumitro (Shoumi)
Retzer, Ameeta
Roy, Meera
Acharya, Rupali
Limbu, Bharati
Roy, Ashok
author_sort Deb, Shoumitro (Shoumi)
collection PubMed
description BACKGROUND: Various parent training interventions have been shown to have some effect on the symptoms of children with autism. We carried out a systematic review and meta-analyses to assess effectiveness of parental training for children with autism on their symptoms and parental stress. METHODS: Four electronic databases, CINAHL, EMBASE, MEDLINE and PsycINFO were searched until March 2020 for relevant literature. Two reviewers independently screened bibliographies using an eligibility checklist and extracted data using a structured proforma. We have also carried out meta-analyses when data were available for pooling. RESULTS: Seventeen papers from 15 studies were included for data analysis. Fifteen papers showed a positive treatment effect when compared with the control group, although not always significant. Meta-analysis based on pooled data from only two studies in each respective intervention, showed small to moderate treatment effects for three interventions, DIR/Floortime, Pivotal Response and Parent focused training respectively. CONCLUSIONS: As in previous systematic reviews there was a mild to moderate treatment effects of three specific types of interventions respectively. However, it was difficult to draw any definitive conclusion about the effectiveness and generalisability of any intervention because of the wide variation in the interventions, control groups, outcome measures, small sample size, small number of studies in meta-analysis, overlap between the intervention and control procedures used in the included studies. There is an urgent need for experts in various international centres to jointly standardise a parent training intervention for children with autism and carry out a large scale RCT to assess its clinical and economic effectiveness. Research Registry Unique Identifying Number: reviewregistry915. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-020-02973-7.
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spelling pubmed-77204492020-12-07 The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses Deb, Shoumitro (Shoumi) Retzer, Ameeta Roy, Meera Acharya, Rupali Limbu, Bharati Roy, Ashok BMC Psychiatry Research Article BACKGROUND: Various parent training interventions have been shown to have some effect on the symptoms of children with autism. We carried out a systematic review and meta-analyses to assess effectiveness of parental training for children with autism on their symptoms and parental stress. METHODS: Four electronic databases, CINAHL, EMBASE, MEDLINE and PsycINFO were searched until March 2020 for relevant literature. Two reviewers independently screened bibliographies using an eligibility checklist and extracted data using a structured proforma. We have also carried out meta-analyses when data were available for pooling. RESULTS: Seventeen papers from 15 studies were included for data analysis. Fifteen papers showed a positive treatment effect when compared with the control group, although not always significant. Meta-analysis based on pooled data from only two studies in each respective intervention, showed small to moderate treatment effects for three interventions, DIR/Floortime, Pivotal Response and Parent focused training respectively. CONCLUSIONS: As in previous systematic reviews there was a mild to moderate treatment effects of three specific types of interventions respectively. However, it was difficult to draw any definitive conclusion about the effectiveness and generalisability of any intervention because of the wide variation in the interventions, control groups, outcome measures, small sample size, small number of studies in meta-analysis, overlap between the intervention and control procedures used in the included studies. There is an urgent need for experts in various international centres to jointly standardise a parent training intervention for children with autism and carry out a large scale RCT to assess its clinical and economic effectiveness. Research Registry Unique Identifying Number: reviewregistry915. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-020-02973-7. BioMed Central 2020-12-07 /pmc/articles/PMC7720449/ /pubmed/33287762 http://dx.doi.org/10.1186/s12888-020-02973-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Deb, Shoumitro (Shoumi)
Retzer, Ameeta
Roy, Meera
Acharya, Rupali
Limbu, Bharati
Roy, Ashok
The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses
title The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses
title_full The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses
title_fullStr The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses
title_full_unstemmed The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses
title_short The effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses
title_sort effectiveness of parent training for children with autism spectrum disorder: a systematic review and meta-analyses
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7720449/
https://www.ncbi.nlm.nih.gov/pubmed/33287762
http://dx.doi.org/10.1186/s12888-020-02973-7
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