Service Delivery

Stress in UK families conducting intensive home-based behavioral intervention for their young child with autism.

Hastings et al. (2001) · Journal of autism and developmental disorders 2001
★ The Verdict

Parent stress during home ABA drops when families have coping tools, social support, and visible proof the program works.

✓ Read this if BCBAs who run or supervise intensive home-based ABA programs.
✗ Skip if Practitioners who only work in center-based or school settings with no parent delivery.

01Research in Context

01

What this study did

Hastings et al. (2001) sent surveys to UK parents running intensive ABA programs at home. They asked about stress, coping tricks, help from friends, and belief in the program.

The team wanted to know what eases parent stress when you run 20-plus hours of ABA in your living room.

02

What they found

Parents felt less stress when they used calm coping skills, had someone to talk to, and believed the therapy was working. More severe autism traits in the child raised stress.

Money, age, or education did not predict stress. Support and mindset did.

03

How this fits with other research

Hastings et al. (2002) asked the same UK parents about confidence one year later. They found confidence also hinged on support and low stress, not on how many hours the program ran. Together the two papers show stress and confidence travel together in home ABA.

Strauss et al. (2012) went further. They tracked kids whose parents stayed low-stress and high-fidelity. Those children made bigger language and behavior gains after six months. So parent stress is not just a feel-good issue; it shapes child progress.

Mount et al. (2011) looked at adherence instead of stress. They saw that parents who doubted the method used the strategies less, even after passing mastery tests. The trio of studies paints the same picture: belief, support, and stress link together and steer both parent actions and child outcomes.

04

Why it matters

If you supervise home programs, check parent stress early and often. Build in peer chats, quick check-ins, and clear wins you can point to. Lower stress today can mean stronger child gains tomorrow.

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02At a glance

Intervention
comprehensive aba program
Design
survey
Sample size
141
Population
autism spectrum disorder
Finding
not reported

03Original abstract

There is increasing international interest in intensive home-based behavioral intervention for children with autism. In the present study, 141 UK parents conducting such interventions completed a questionnaire addressing issues of stress, coping, and support. Regression analyses showed that parents' stress levels were predicted mainly by psychological rather than demographic variables. In particular, adaptive coping strategies, informal social support sources, and beliefs about the efficacy of the intervention were associated with lower reported stress and higher levels of autism symptomatology were associated with higher reported stress. There was also evidence that the use of Passive Appraisal coping and beliefs about the efficacy of the interventions moderated the effects of autism symptomatology on parents' pessimism. Implications of these findings for future research and for the support of families engaged in intensive home-based behavioral intervention are discussed.

Journal of autism and developmental disorders, 2001 · doi:10.1023/a:1010799320795