A pilot study of parent training in young children with autism spectrum disorders and disruptive behavior.
A short 11-session parent course sliced parent-reported irritability in half for preschoolers with autism and disruptive behavior.
01Research in Context
What this study did
Bearss et al. (2013) ran a small pilot with parents of preschoolers who had autism and lots of tantrums.
The team taught parents new skills in 11 core sessions plus two optional boosters over six months.
There was no control group; they simply compared before-and-after parent ratings.
What they found
Parents scored their kids 54 % less irritable after the course.
Fourteen of the sixteen families said the child was “much” or “very much” improved.
The program looked doable and parents stuck with it.
How this fits with other research
Burrell et al. (2025) pooled nine later trials and found the same pattern: parent training reliably drops parent-rated disruptive behavior in autism.
Breider et al. (2024) went further with an RCT in real clinics. Face-to-face training beat wait-list, but a blended online version did not. That warns us that live coaching may still matter.
Allen et al. (2022) and Patton et al. (2020) show PCIT, a different manual, also cuts disruptive behavior. The 2013 pilot adds a shorter, home-grown 11-session option to the menu.
Why it matters
You now have choices: PCIT, Incredible Years, or this lighter 11-session package. If clinic slots are tight, Karen’s schedule gives a feasible roadmap you can copy next week. Track parent-rated irritability every month; if it does not dip, swap in a heavier protocol or add live coaching like Breider did.
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Join Free →Open one extra parent group slot, run session 1 of the 11-core plan, and send the irritability scale home for baseline data.
02At a glance
03Original abstract
Guidance on effective interventions for disruptive behavior in young children with autism spectrum disorders (ASDs) is limited. We present feasibility and initial efficacy data on a structured parent training program for 16 children (ages 3-6) with ASD and disruptive behavior. The 6-month intervention included 11 Core and up to 2 Optional sessions. The program was acceptable to parents as evidenced by an attendance rate of 84 % for Core sessions. Fourteen of 16 families completed the treatment. An independent clinician rated 14 of 16 subjects as much improved or very much improved at Week 24. Using last observation carried forward, the parent-rated Aberrant Behavior Checklist-Irritability subscale decreased 54 % from 16.00 (SD = 9.21) to 7.38 (SD = 6.15).
Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1624-7