Service Delivery

Increasing Responsive Parent–Child Interactions and Joint Engagement: Comparing the Influence of Parent-Mediated Intervention and Parent Psychoeducation

Shire et al. (2016) · Journal of Autism and Developmental Disorders 2016
★ The Verdict

Parent-led JASPER coaching beats just talking about autism at making parents respond faster and kids stay in shared play.

✓ Read this if BCBAs running early-intervention home programs or parent-training groups.
✗ Skip if Clinicians who only work with verbal teens or school-only models.

01Research in Context

01

What this study did

Shire et al. (2016) split families of children with autism into two groups. One group got ten weeks of JASPER parent coaching. The other group got ten weeks of parent psychoeducation.

Trained coders watched short play clips before and after. They counted how fast parents responded to their child and how long the child stayed in shared play.

02

What they found

Parents who learned JASPER responded faster and more often. Their kids also stayed in joint play longer than kids in the psychoeducation group.

The gains held one month later.

03

How this fits with other research

Kim et al. (2008) also boosted joint attention in preschoolers, but used music therapy led by a therapist. Shire shows parents can do the same at home.

Cox et al. (2015) found that smaller class groups help older students stay engaged. Shire adds that teaching parents works even before school starts.

Safer-Lichtenstein et al. (2019) warn that most autism RCTs enroll mostly white, higher-IQ boys. Shire’s sample fits that pattern, so check if the same coaching helps families from other backgrounds.

04

Why it matters

You can teach JASPER skills in ten short home visits. Parents leave with clear steps: follow the child’s lead, wait, name the toy. Kids then play with others longer, which lowers later social delays. Try adding these brief JASPER steps to your parent-training plan next week.

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→ Action — try this Monday

Pick one play routine and coach the parent to wait, mirror, and label for five minutes.

02At a glance

Intervention
parent training
Design
randomized controlled trial
Sample size
85
Population
autism spectrum disorder
Finding
positive

03Original abstract

Enhancing immediate and contingent responding by caregivers to children’s signals is an important strategy to support social interactions between caregivers and their children with autism. Yet, there has been limited examination of parents’ responsive behaviour in association with children’s social behaviour post caregiver-mediated intervention. Eighty-five dyads were randomized to one of two 10-week caregiver-training interventions. Parent–child play interactions were coded for parental responsivity and children’s joint engagement. Significant gains in responsivity and time jointly engaged were found post JASPER parent-mediated intervention over a psychoeducation intervention. Further, combining higher levels of responsive behaviour with greater adoption of intervention strategies was associated with greater time jointly engaged. Findings encourage a focus on enhancing responsive behaviour in parent-mediated intervention models.

Journal of Autism and Developmental Disorders, 2016 · doi:10.1007/s10803-016-2702-z