Child and parent outcomes following parent interventions for child emotional and behavioral problems in autism spectrum disorders: A systematic review and meta-analysis

Joanne Tarver, Melanie Palmer, Sophie Webb, Stephen Scott, Vicky Slonims, Emily Simonoff, Tony Charman

Research output: Contribution to journalReview article

Abstract

There is growing interest in the development of behavioral parent interventions targeting emotional and behavioral problems in children with autism spectrum disorders. Such interventions have potential to improve a number of child and parental well-being outcomes beyond disruptive child behavior. This systematic review and meta-analysis assesses evidence for the efficacy of behavioral parent interventions for disruptive and hyperactive child behavior in autism spectrum disorders, as well as parenting efficacy and stress. A total of 11 articles from nine randomized controlled trials were included. Sufficient data were available to calculate standardized mean difference and show favorable effects of behavioral parent interventions on parent-reported measures of child disruptive behavior (standardized mean difference = 0.67), hyperactivity (standardized mean difference = 0.31) and parent stress (standardized mean difference = 0.37); effects on parent efficacy are less clear (standardized mean difference = 0.39, p = 0.17). There were insufficient data to explore intervention effects on internalizing behavior in autism spectrum disorders, parenting behaviors, or observational and teacher-reported outcomes, providing important avenues for future research. This review adds to growing evidence of the efficacy of behavioral parent interventions for child behavior and parental well-being in autism spectrum disorders (Prospero: CRD42016033979).
Original languageEnglish
Pages (from-to)1630-1644
Number of pages15
JournalAutism
Volume23
Issue number7
Early online date28 Feb 2019
DOIs
Publication statusPublished - 1 Oct 2019

Bibliographical note

© Sage 2019. The final publication is available via Sage at http://dx.doi.org/10.1177/1362361319830042

Keywords

  • IAMHealth
  • autism spectrum disorder
  • emotional and behavioral problems
  • parent efficacy
  • parent stress
  • parent training

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