Service Delivery

Brief Parent-Mediated Intervention for Children with Autism Spectrum Disorder: A Feasibility Study from South India.

Manohar et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Five short home visits taught South-Indian parents to lower their own stress and grow toddler skills.

✓ Read this if BCBAs running early-intervention programs for toddlers with ASD in low-resource or rural areas.
✗ Skip if Clinicians who only serve older verbal clients or have mandated 20-hour-per-week center models.

01Research in Context

01

What this study did

Researchers in South India worked with the toddlers who had autism.

Each family got five 1-hour coaching visits at home over the study period.

Coaches showed parents how to play, talk, and teach daily living skills.

Half the families were put on a wait-list to serve as the control group.

02

What they found

Parents in the coaching group felt much less stress than the wait-list parents.

Their children also gained more language and daily-living skills.

Almost every family finished all five visits and used the skills correctly.

03

How this fits with other research

Sinai-Gavrilov et al. (2024) ran a similar parent-coaching study in China, but used 26 weekly sessions instead of five.

Both studies saw child gains and lower parent stress, so a very short program can still work.

Shepley et al. (2021) tested a brief hospital clinic model and saw high dropout, yet Harshini kept families engaged by meeting at home.

Eugenia Gras et al. (2003) showed that even phone-based parent training cuts stress, hinting that travel and time matter less than clear coaching.

04

Why it matters

You can give busy families a big boost with just five home visits.

Try scheduling short, focused parent sessions and teach one skill at a time.

If families travel far or miss clinic slots, home coaching may keep them in treatment.

Track parent stress with a quick rating scale; it can move faster than full skill assessments.

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02At a glance

Intervention
parent training
Design
randomized controlled trial
Sample size
50
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

The study assesses the acceptability and feasibility of a brief parent-mediated home-based intervention for children with autism spectrum disorder (ASD), deliverable in resource-limited settings, with an emphasis on addressing parental stress from a socio-cultural perspective. 50 children (2-6 years), with a DSM 5 diagnosis of ASD were randomized to intervention (n = 26) or active control group (n = 24). The intervention based on naturalistic developmental behavioral approach, focusing on joint attention, imitation, social and adaptive skills was structured to be delivered in five outpatient sessions over 12 weeks. All children were followed up at 4, 8 and 12 weeks. Parents of children randomized to the intervention group reported more improvements across parental stress and child outcome measures compared to those in the control group. The intervention was found to be acceptable and feasible, with high fidelity measures and retention rates.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04032-x