Service Delivery

An Initial Trial of OPT-In-Early: An Online Training Program for Caregivers of Autistic Children

Dai et al. (2023) · Autism 2023
★ The Verdict

OPT-In-Early lifts parent know-how but needs more support or time to move child skills.

✓ Read this if BCBAs building parent education packages for newly diagnosed families.
✗ Skip if Clinicians seeking fast child social-communication gains within three months.

01Research in Context

01

What this study did

Researchers built a free online course called OPT-In-Early. It has 14 short lessons that teach parents how to grow social and communication skills at home.

Parents of autistic children watched videos, tried activities, and got email tips. The team then checked if parents learned more and if kids made gains.

02

What they found

Parents scored higher on knowledge tests and said they used the new strategies more often.

Child social-communication scores stayed flat after four to six months. The program helped parents, not kids, in this short window.

03

How this fits with other research

Dai et al. (2021) showed parents liked the same course and finished most modules. The new study moves past likes to hard outcomes.

Wetherby et al. (2018) also ran an online parent-coaching RCT, but they saw toddler gains in just three months. The difference: Wetherby added live coach calls, while OPT-In-Early was self-paced.

Bailey et al. (2022) tried another self-paced online program and found no child gains, matching the null child result here. Together these papers hint that real-time coaching may be needed for quick child change.

04

Why it matters

You can share OPT-In-Early as a free knowledge boost while you shape a bigger plan. Use it to teach terms and tactics, then layer in live coaching when child progress is the goal.

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→ Action — try this Monday

Send the OPT-In-Early link to your next intake family and schedule a follow-up call to add coached practice.

02At a glance

Intervention
telehealth parent training
Design
randomized controlled trial
Sample size
63
Population
autism spectrum disorder
Finding
mixed
Magnitude
medium

03Original abstract

Online Parent Training in Early Behavioral Intervention (OPT-In-Early) is a self-directed resource for caregivers of autistic children. Sixty-three parent-child dyads from three states in the U.S. were randomized to the OPT-In-Early or Treatment as Usual (TAU) Group. Parents in both groups completed baseline and post-treatment visits, which were targeted for four months apart but allowed to go up to six months. Compared to parents in the TAU group, parents randomized to OPT-In-Early learned more evidence-based intervention principles from baseline to posttreatment and were rated by observers blind to group and time as increasing their use of these strategies during brief semi-structured interactions with their children. Parent participation in OPT-In-Early did not significantly influence children’s social communication as coded from one observation session. Results suggest that parents acquired knowledge and skills in intervention techniques from OPT-In Early. Longer trials may be needed for gains in child behavior.

Autism, 2023 · doi:10.1177/13623613221142408