A Systematic Review and Meta-analysis of Parent Training for Disruptive Behavior in Children with Autism Spectrum Disorder
Parent training (PT) has emerged as a promising treatment for disruptive behavior in children with autism spectrum disorder (ASD). This review summarizes the essential elements of PT for disruptive behavior in children with ASD and evaluates the available evidence for PT using both descriptive and m...
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| Veröffentlicht in: | Clinical child and family psychology review 2017-12, Vol.20 (4), p.391-402 |
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| creator | Postorino, Valentina Sharp, William G. McCracken, Courtney E. Bearss, Karen Burrell, T. Lindsey Evans, A. Nichole Scahill, Lawrence |
| description | Parent training (PT) has emerged as a promising treatment for disruptive behavior in children with autism spectrum disorder (ASD). This review summarizes the essential elements of PT for disruptive behavior in children with ASD and evaluates the available evidence for PT using both descriptive and meta-analytic procedures. We searched Medline, PsycINFO, and PubMed databases (1980–2016) in peer-reviewed journals for randomized controlled trials (RCTs) of PT for disruptive behavior in children with ASD. The systematic search of 2023 publications yielded eight RCTs involving a total of 653 participants. We calculated effect sizes using either raw post-treatment means and standard deviations for each treatment group (PT and control) or group mean differences with associated 95% confidence intervals (CIs). Differences in post-treatment means were converted to a standardized difference in means (SMD) for each primary outcome. Results support the efficacy of PT for disruptive behavior in children with ASD, with a SMD of −0.59 [95% CI (−0.88, −0.30);
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| doi_str_mv | 10.1007/s10567-017-0237-2 |
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p
< 0.001]. Across these eight studies, there was significant heterogeneity in the effect of PT on disruptive behavior. This variability is likely due to differences in sample size, number of treatment sessions, study duration, and control condition employed. Current findings provide solid support for the efficacy of PT for disruptive behavior in children with ASD. Future studies should focus on effectiveness trials to promote wider implementation of PT in clinical settings.</description><identifier>ISSN: 1096-4037</identifier><identifier>EISSN: 1573-2827</identifier><identifier>DOI: 10.1007/s10567-017-0237-2</identifier><identifier>PMID: 28600643</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Autism ; Autism Spectrum Disorder - nursing ; Autism Spectrum Disorder - physiopathology ; Autism Spectrum Disorders ; Autistic children ; Behavior disorders ; Behavior modification ; Behavior Problems ; Behavioral Science and Psychology ; Child ; Child and School Psychology ; Child Behavior - physiology ; Children & youth ; Education, Nonprofessional - methods ; Effect Size ; Humans ; Literature reviews ; Meta Analysis ; Parents & parenting ; Parents - education ; Problem Behavior ; Psychology ; Randomized Controlled Trials ; Social Sciences ; Systematic review</subject><ispartof>Clinical child and family psychology review, 2017-12, Vol.20 (4), p.391-402</ispartof><rights>Springer Science+Business Media New York 2017</rights><rights>Clinical Child and Family Psychology Review is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-2d925f287e1697911d4503fef3285c944f7738935244b4ddba62e079535c6c5f3</citedby><cites>FETCH-LOGICAL-c372t-2d925f287e1697911d4503fef3285c944f7738935244b4ddba62e079535c6c5f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10567-017-0237-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10567-017-0237-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28600643$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Postorino, Valentina</creatorcontrib><creatorcontrib>Sharp, William G.</creatorcontrib><creatorcontrib>McCracken, Courtney E.</creatorcontrib><creatorcontrib>Bearss, Karen</creatorcontrib><creatorcontrib>Burrell, T. Lindsey</creatorcontrib><creatorcontrib>Evans, A. Nichole</creatorcontrib><creatorcontrib>Scahill, Lawrence</creatorcontrib><title>A Systematic Review and Meta-analysis of Parent Training for Disruptive Behavior in Children with Autism Spectrum Disorder</title><title>Clinical child and family psychology review</title><addtitle>Clin Child Fam Psychol Rev</addtitle><addtitle>Clin Child Fam Psychol Rev</addtitle><description>Parent training (PT) has emerged as a promising treatment for disruptive behavior in children with autism spectrum disorder (ASD). This review summarizes the essential elements of PT for disruptive behavior in children with ASD and evaluates the available evidence for PT using both descriptive and meta-analytic procedures. We searched Medline, PsycINFO, and PubMed databases (1980–2016) in peer-reviewed journals for randomized controlled trials (RCTs) of PT for disruptive behavior in children with ASD. The systematic search of 2023 publications yielded eight RCTs involving a total of 653 participants. We calculated effect sizes using either raw post-treatment means and standard deviations for each treatment group (PT and control) or group mean differences with associated 95% confidence intervals (CIs). Differences in post-treatment means were converted to a standardized difference in means (SMD) for each primary outcome. Results support the efficacy of PT for disruptive behavior in children with ASD, with a SMD of −0.59 [95% CI (−0.88, −0.30);
p
< 0.001]. Across these eight studies, there was significant heterogeneity in the effect of PT on disruptive behavior. This variability is likely due to differences in sample size, number of treatment sessions, study duration, and control condition employed. Current findings provide solid support for the efficacy of PT for disruptive behavior in children with ASD. Future studies should focus on effectiveness trials to promote wider implementation of PT in clinical settings.</description><subject>Adult</subject><subject>Autism</subject><subject>Autism Spectrum Disorder - nursing</subject><subject>Autism Spectrum Disorder - physiopathology</subject><subject>Autism Spectrum Disorders</subject><subject>Autistic children</subject><subject>Behavior disorders</subject><subject>Behavior modification</subject><subject>Behavior Problems</subject><subject>Behavioral Science and Psychology</subject><subject>Child</subject><subject>Child and School Psychology</subject><subject>Child Behavior - physiology</subject><subject>Children & youth</subject><subject>Education, Nonprofessional - methods</subject><subject>Effect Size</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Meta Analysis</subject><subject>Parents & parenting</subject><subject>Parents - education</subject><subject>Problem Behavior</subject><subject>Psychology</subject><subject>Randomized Controlled Trials</subject><subject>Social Sciences</subject><subject>Systematic review</subject><issn>1096-4037</issn><issn>1573-2827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtLXDEYhoNY6qX9Ad2UQDfdHJt7TpbjWLVgqahdh8w5X5zIuYxJzsj465thtJSCi5CQPO_7QR6EPlFyQgnR3xIlUumK0LIY1xXbQ4dUal6xmun9ciZGVYJwfYCOUnoghBjN9Ht0wGpFiBL8ED3P8O0mZehdDg2-gXWAJ-yGFv-E7Co3uG6TQsKjx9cuwpDxXXRhCMM99mPEZyHFaZXDGvApLN06lLsw4PkydG2h8VPISzybckg9vl1Bk-PUb0NjbCF-QO-86xJ8fNmP0e_z73fzy-rq18WP-eyqarhmuWKtYdKzWgNVRhtKWyEJ9-A5q2VjhPBa89pwyYRYiLZdOMWAaCO5bFQjPT9GX3e9qzg-TpCy7UNqoOvcAOOULDXEUCWUNgX98h_6ME6xfMKWklLSmhpVKLqjmjimFMHbVQy9ixtLid2KsTsxtoixWzGWlcznl-Zp0UP7N_FqogBsB6TyNNxD_Gf0m61_ABFpl88</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Postorino, Valentina</creator><creator>Sharp, William G.</creator><creator>McCracken, Courtney E.</creator><creator>Bearss, Karen</creator><creator>Burrell, T. 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Lindsey ; Evans, A. Nichole ; Scahill, Lawrence</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-2d925f287e1697911d4503fef3285c944f7738935244b4ddba62e079535c6c5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Autism</topic><topic>Autism Spectrum Disorder - nursing</topic><topic>Autism Spectrum Disorder - physiopathology</topic><topic>Autism Spectrum Disorders</topic><topic>Autistic children</topic><topic>Behavior disorders</topic><topic>Behavior modification</topic><topic>Behavior Problems</topic><topic>Behavioral Science and Psychology</topic><topic>Child</topic><topic>Child and School Psychology</topic><topic>Child Behavior - physiology</topic><topic>Children & youth</topic><topic>Education, Nonprofessional - methods</topic><topic>Effect Size</topic><topic>Humans</topic><topic>Literature reviews</topic><topic>Meta Analysis</topic><topic>Parents & parenting</topic><topic>Parents - education</topic><topic>Problem Behavior</topic><topic>Psychology</topic><topic>Randomized Controlled Trials</topic><topic>Social Sciences</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Postorino, Valentina</creatorcontrib><creatorcontrib>Sharp, William G.</creatorcontrib><creatorcontrib>McCracken, Courtney E.</creatorcontrib><creatorcontrib>Bearss, Karen</creatorcontrib><creatorcontrib>Burrell, T. 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Lindsey</au><au>Evans, A. Nichole</au><au>Scahill, Lawrence</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Systematic Review and Meta-analysis of Parent Training for Disruptive Behavior in Children with Autism Spectrum Disorder</atitle><jtitle>Clinical child and family psychology review</jtitle><stitle>Clin Child Fam Psychol Rev</stitle><addtitle>Clin Child Fam Psychol Rev</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>20</volume><issue>4</issue><spage>391</spage><epage>402</epage><pages>391-402</pages><issn>1096-4037</issn><eissn>1573-2827</eissn><abstract>Parent training (PT) has emerged as a promising treatment for disruptive behavior in children with autism spectrum disorder (ASD). This review summarizes the essential elements of PT for disruptive behavior in children with ASD and evaluates the available evidence for PT using both descriptive and meta-analytic procedures. We searched Medline, PsycINFO, and PubMed databases (1980–2016) in peer-reviewed journals for randomized controlled trials (RCTs) of PT for disruptive behavior in children with ASD. The systematic search of 2023 publications yielded eight RCTs involving a total of 653 participants. We calculated effect sizes using either raw post-treatment means and standard deviations for each treatment group (PT and control) or group mean differences with associated 95% confidence intervals (CIs). Differences in post-treatment means were converted to a standardized difference in means (SMD) for each primary outcome. Results support the efficacy of PT for disruptive behavior in children with ASD, with a SMD of −0.59 [95% CI (−0.88, −0.30);
p
< 0.001]. Across these eight studies, there was significant heterogeneity in the effect of PT on disruptive behavior. This variability is likely due to differences in sample size, number of treatment sessions, study duration, and control condition employed. Current findings provide solid support for the efficacy of PT for disruptive behavior in children with ASD. Future studies should focus on effectiveness trials to promote wider implementation of PT in clinical settings.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28600643</pmid><doi>10.1007/s10567-017-0237-2</doi><tpages>12</tpages></addata></record> |
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| subjects | Adult Autism Autism Spectrum Disorder - nursing Autism Spectrum Disorder - physiopathology Autism Spectrum Disorders Autistic children Behavior disorders Behavior modification Behavior Problems Behavioral Science and Psychology Child Child and School Psychology Child Behavior - physiology Children & youth Education, Nonprofessional - methods Effect Size Humans Literature reviews Meta Analysis Parents & parenting Parents - education Problem Behavior Psychology Randomized Controlled Trials Social Sciences Systematic review |
| title | A Systematic Review and Meta-analysis of Parent Training for Disruptive Behavior in Children with Autism Spectrum Disorder |
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