Service Delivery

Challenges and contributors to self-efficacy for caregivers of toddlers with autism.

Schertz et al. (2020) · Autism : the international journal of research and practice 2020
★ The Verdict

Tell parents the why, not just the what, and they will trust themselves to run therapy moments at home.

✓ Read this if BCBAs coaching parents of toddlers with autism in home or clinic programs.
✗ Skip if RBTs working only at school without parent contact.

01Research in Context

01

What this study did

Giesbers et al. (2020) talked with mothers of toddlers with autism.

They asked what helps moms feel sure they can help their child.

The team recorded and coded every answer to find common themes.

02

What they found

Moms felt stronger when they learned the reason behind each strategy.

Copying therapists without knowing why left them unsure.

Using their own deep child knowledge gave them confidence to lead.

03

How this fits with other research

Scior et al. (2023) show mom stress can loop back and disturb child sleep years later. Teaching moms the why early may cut that stress loop.

Eugenia Gras et al. (2003) tracked moms for eleven years and saw depression stay low once routines settled. Giving leadership tools at the toddler stage could speed that settling.

van der Molen (2010) found adults with disabilities grow by leading, not following. H et al. hint the same rule applies to parents: lead, don’t mimic.

04

Why it matters

You can lift parent confidence in the first session. Explain why you place demands, why you reinforce, and why you fade prompts. Invite mom to plan goals using her insider knowledge of her toddler. A confident parent practices more, so the child gets more trials and learns faster.

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Pick one skill you plan to teach. Before you model it, give the parent the purpose in one kid-friendly sentence and ask her to choose the first toy or snack to use.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
11
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Parent-participatory early intervention practices are linked to parents' positive views of their own and their children's capabilities, beliefs that are associated with a range of parent and child outcomes. A qualitative study was conducted with 11 mothers of toddlers with autism who had experience with both professionally directed and parent-mediated early intervention. Participants were interviewed to explore their perspectives on their roles in relation to professionals and on how they viewed their ability to support their toddlers' social learning. An in-depth analysis of the transcribed interviews resulted in four themes. First, in the early stages, participants experienced challenges to their self-efficacy as they adjusted to the diagnosis and reached to connect with their child when social challenges emerged. Second, participants' views of their capability were stronger when they were provided with background knowledge enabling them to take the lead in guiding their children's learning than when professionals modeled predetermined intervention strategies for them to copy. Third, participants provided specific examples of their expertise to support their toddlers' social learning and viewed their close parent-child relationship and intimate knowledge of their children as valuable to the intervention. Fourth, participants voiced respect for their toddlers' natures and preferences, positioning them to build on their toddlers' strengths in everyday interactions. The results support the need for early intervention providers to promote and leverage family capacity for facilitating toddler learning as social challenges begin to appear for toddlers with autism.

Autism : the international journal of research and practice, 2020 · doi:10.1177/1362361319899761