Service Delivery

Feasibility of Group Parent Training for Children with Autism Spectrum Disorder and Disruptive Behavior: A Demonstration Pilot.

Burrell et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Group RUBI parent training is feasible and yields clinically meaningful reductions in disruptive behavior for young autistic children.

✓ Read this if BCBAs running parent training for autistic children in clinic or community settings.
✗ Skip if BCBAs who only work with adolescents or use solely individual sessions.

01Research in Context

01

What this study did

Burrell et al. (2020) ran a small pilot to see if RUBI parent training can work when you teach the parents in groups instead of one-to-one. Eighteen families of autistic children with disruptive behavior met for eleven weekly group sessions. Therapists used the standard RUBI lessons and homework. No control group was used.

02

What they found

After the last session, 65% of parents rated their child as 'much' or 'very much' improved. Observers saw high treatment fidelity and parents said they liked the group format. The results suggest group RUBI is doable and acceptable.

03

How this fits with other research

Lee et al. (2024) later tested the same RUBI lessons delivered one family at a time to Korean parents. They also saw big behavior gains, showing the program works whether you run it individually or in a group. Andrews et al. (2024) shortened RUBI to only five sessions for parents of children with Down syndrome and still saw good behavior drops, proving you can trim the dose. The 2020 group pilot, the 2024 individual trial, and the 2024 five-session study all line up—no contradiction, just different ways to deliver the same core tools.

04

Why it matters

If your clinic has a waitlist, switch to group RUBI. You can serve six families at once without losing impact. Keep the eleven-lesson script or try the shorter five-lesson version—both have data. Start a new cohort every month and cut your wait time fast.

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→ Action — try this Monday

Schedule six families into one RUBI group and run Lesson 1 this week.

02At a glance

Intervention
parent training
Design
pre post no control
Sample size
18
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Delivery of interventions in a group format is a potential solution to limited access to specialized services for children with autism spectrum disorder (ASD). We conducted an open feasibility trial of group-based RUBI parent training in 18 children (mean age 6.12 ± 1.95 years) with ASD and disruptive behaviors. Parents participated in one of five groups (3 to 4 parents per group). Eighty-three percent of participants completed the 24-week trial. Session attendance was moderate (74.2%). All parents indicated that they would recommend the treatment. Therapists demonstrated 98.8% fidelity to the manual. Eleven of 18 (64.7%) participants were rated as much/very much improved by an independent evaluator at Week 24. Preliminary efficacy findings justify further study.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-020-04427-1