Autism & Developmental

Managing repetitive behaviours in young children with autism spectrum disorder (ASD): pilot randomised controlled trial of a new parent group intervention.

Grahame et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

An 8-week parent group on repetitive behaviors keeps families coming; we still need data on whether it helps the kids.

✓ Read this if BCBAs writing parent-training grants or clinics starting autism parent groups.
✗ Skip if Clinicians who only need proven treatments right now.

01Research in Context

01

What this study did

The team ran a small pilot RCT of an 8-week parent group. The goal was to teach parents how to manage restricted and repetitive behaviors in preschool and early-elementary autistic kids.

Parents met once a week. Staff tracked who showed up and asked them how they liked the sessions. No child outcome numbers are given.

02

What they found

Almost every parent came: 90% attendance. Parents said the program was easy to use and helpful. The paper does not report any change in child repetitive behavior.

03

How this fits with other research

Harrop (2015) looked at 29 parent-mediated autism studies and found most skip repetitive behaviors. Grahame et al. (2015) is one of the first pilots to put RRB front and center.

Ip et al. (2024) later copied the 8-week group style but moved it online and swapped the target from RRB to sleep. Their telehealth version worked, showing the format travels.

Sánchez-Luquez et al. (2025) went bigger: 85 families, six-month parent-run VB-MAPP program, large skill gains. Their success builds on small feasibility work like Grahame et al. (2015).

04

Why it matters

You now have proof that parents will attend and enjoy an RRB-focused group. Use this when you ask for funding or clinic time. Run your own small cohort, track child data, and you could give the field the outcome numbers this pilot did not yet show.

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Pitch a lunch-and-learn to parents about the 8-week RRB group and pre-register interest.

02At a glance

Intervention
parent training
Design
randomized controlled trial
Sample size
45
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Early intervention for autism spectrum disorder (ASD) tends to focus on enhancing social-communication skills. We report the acceptability, feasibility and impact on child functioning of a new 8 weeks parent-group intervention to manage restricted and repetitive behaviours (RRB) in young children with ASD aged 3-7 years. Forty-five families took part in the pilot RCT. A range of primary and secondary outcome measures were collected on four occasions (baseline, 10, 18 and 24 weeks) to capture both independent ratings and parent-reported changes in RRB. This pilot established that parents were willing to be recruited and randomised, and the format and content of the intervention was feasible. Fidelity of delivery was high, and attendance was 90 %. A fully powered trial is now planned.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-015-2474-x