Initial efficacy of project ImPACT: a parent-mediated social communication intervention for young children with ASD.
Project ImPACT parent coaching quickly lifts parent fidelity and sparks spontaneous language in most preschoolers with ASD.
01Research in Context
What this study did
Ingersoll et al. (2013) taught eight moms how to use Project ImPACT. The kids were preschoolers with autism.
The team used a multiple-baseline design. They watched parent fidelity and child language during home visits.
What they found
All eight moms hit high fidelity scores. Six of the eight kids began to talk more on their own.
Better parent fidelity lined up with more child words within the same session.
How this fits with other research
Yoder et al. (2020) ran an RCT with baby siblings. ImPACT helped only low-risk girls with one ASD sibling. It did not cut parent stress. The 2013 study looked rosier, but it used smaller samples and older kids.
Schertz et al. (2018) also coached parents of toddlers. They used mediated learning instead of ImPACT. Both teams saw social-communication gains, so the method matters less than parent delivery.
Ferguson et al. (2022) copied the telehealth route. Parents still hit high fidelity and kids gained mand, tact, and intraverbal skills. The mode can change; the parent skill link holds.
Why it matters
You can start parent ImPACT coaching today. Pick one routine—snack time or toy play. Model the strategy, let the parent practice, and give live praise. Track fidelity with a simple checklist. When the parent hits 80 %, watch for new child words in that same routine. The link is real and fast.
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02At a glance
03Original abstract
Project ImPACT is a parent-mediated social communication intervention for young children with ASD that was developed in community settings to encourage dissemination. A single-subject, multiple-baseline design was conducted across 8 preschoolers with ASD and their mothers to examine the efficacy of the model for improving parent intervention fidelity and child spontaneous language. Multilevel modeling was used to examine the relationship between parent fidelity and child language within session. All parents increased their use of the intervention techniques. Improvements in spontaneous use of language targets were observed for 6 of the 8 children. There was a significant association between parents' use of the intervention strategies and their child's spontaneous language use.
Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-013-1840-9