Service Delivery

The effects of relationship focused intervention on Korean parents and their young children with disabilities.

Kim et al. (2005) · Research in developmental disabilities 2005
★ The Verdict

Three months of video-aided responsive-play coaching doubled Korean mothers' attuned behaviors and raised child interaction in lock-step.

✓ Read this if BCBAs running early-intervention home visits or parent-training groups.
✗ Skip if Clinicians who only work with adolescents or use center-only models.

01Research in Context

01

What this study did

Kim et al. (2005) worked with Korean mothers of preschoolers with developmental delays. The team taught the moms responsive play skills through home visits, coaching, and short video clips of their own play.

Mothers met a coach once a week for three months. Each visit lasted about one hour. The coach praised what the mom already did well and showed one new skill, such as waiting for the child to lead or copying the child's sounds.

02

What they found

After three months, mothers in the program talked and played more in tune with their children. They waited longer, matched the child's pace, and used warmer voices.

The children also changed. They looked at mom more, shared toys, and took more turns during play. Moms who grew the most responsive had children who gained the most new interaction skills.

03

How this fits with other research

The result lines up with Einfeld et al. (1996), an earlier US study. That team switched parents from one-skill-at-a-time coaching to PRT-style pivotal training and saw happier dinner-time talks. Kim et al. (2005) shows the same parent-responsiveness lever works across cultures.

Lam et al. (2009) later ran a similar home program in Vietnam using the Portage Curriculum. They also beat a no-treatment group on adaptive skills after one year. Together the three studies form a chain: brief, culturally-tuned parent coaching keeps working in East and Southeast Asia.

Ingersoll et al. (2024) moved the model online. Their telehealth Project ImPACT raised parent strategy use first, then child language later. This 2024 RCT keeps the parent-first pathway Mee found in 2005, proving the link still holds when sessions happen on a screen.

04

Why it matters

You do not need a year-long clinic program to move the needle. A short, home-based package that shows moms their own video and gives one clear tip per visit can lift both parent and child interaction in twelve weeks. If you serve Korean families, copy the exact script. If you serve other groups, keep the core—video feedback plus praise for what parents already do well—and swap the language and toys. The chain of studies says the recipe travels.

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→ Action — try this Monday

Film a two-minute parent-child play clip, tag two responsive moves the parent already does, and ask them to try one more wait-and-watch moment next turn.

02At a glance

Intervention
parent training
Design
quasi experimental
Sample size
18
Population
developmental delay
Finding
positive
Magnitude
medium

03Original abstract

This study was conducted to examine the impact of Relationship Focused Intervention (RFI) on a sample of Korean mothers and their preschool-aged children with disabilities. Subjects were 18 mothers of children with developmental problems (ages 3-8 years). Ten of these mothers were assigned to an RFI Treatment group and eight to a No RFI Control group. The RFI was adopted from the Family/Child Curriculum (Mahoney, G. (1999; Family/Child Curriculum: A relationship focused approach to parent education/early intervention. Tallmadge, OH: Family Child Learning Center). This intervention focused on teaching mothers to use responsive interactive strategies through a process of modeling, coaching, role-playing and video feedback. It was implemented with parents during weekly group and individual intervention sessions that were conducted over three months period. Comparison of pre- and post-intervention assessments of parent-child interaction indicated that RFI was effective at encouraging parents to become more responsive, affective and achievement oriented with their children. These changes in mothers' interactional style were associated with an 18% increase in children's interactive behaviors. Regression analyses indicated that increases in children's behavior were associated positively with maternal responsiveness and negatively with maternal achievement orientation. Results from this study are discussed in terms of (a) implementing RFI with Korean mothers and (b) the mechanisms by which RFI promotes children's development.

Research in developmental disabilities, 2005 · doi:10.1016/j.ridd.2004.08.001