School of Education, Department of Special Education, Anadolu University, Eskisehir, Türkiye.
School of Education, Department of Special Education, Eskisehir Osmangazi University, Eskisehir, Türkiye.
J Autism Dev Disord. 2024 Nov;54(11):3992-4005. doi: 10.1007/s10803-023-06113-4. Epub 2023 Aug 29.
Pivotal response treatment (PRT) is a well-established intervention addressing core symptoms of autism spectrum disorder (ASD), with parent involvement as a key component. The current study aimed to examine the effects of PRT parent training on parent fidelity and provide descriptive analyses of parent-child interactions before and after parent training. It also probed parental acceptance and satisfaction with the program.
A concurrent multiple baseline design across participants was used to evaluate the effectiveness of the parent training program. Four parents (range 32-47 years old) and their children with ASD participated in the study. The intervention comprised 12 one-on-one parent training sessions over six consecutive weeks. The visual analysis and effect size calculation (Tau-U) were used to evaluate functional relationship between independent and dependent variables. The descriptive analysis was used to analyze parent-child interaction data.
The findings reveal that all parents learned and maintained PRT with a high level of fidelity, they also enhanced awareness to create more opportunities for interactions during free play, and the parents were very satisfied with the program. The results also indicate that the six-week parent training program is effective in teaching parents to implement PRT with their children.
These results suggest that the parent training program may be a promising treatment model that is effective, efficient, and cost-effective. Implications for future research and practice are then discussed.
关键反应治疗（PRT）是一种成熟的干预方法，针对自闭症谱系障碍（ASD）的核心症状，家长的参与是一个关键组成部分。本研究旨在考察 PRT 家长培训对家长忠实度的影响，并对家长培训前后的亲子互动进行描述性分析。此外，还探讨了家长对该项目的接受程度和满意度。
采用参与者间的同期多项基线设计来评估家长培训计划的有效性。四名家长（年龄 32-47 岁）及其患有 ASD 的孩子参与了这项研究。干预措施包括 12 个为期六周的一对一家长培训课程。使用视觉分析和效果大小计算（Tau-U）来评估独立和依赖变量之间的功能关系。描述性分析用于分析亲子互动数据。
研究结果表明，所有家长都学习并保持了高度的 PRT 忠实度，他们还提高了意识，在自由游戏期间创造了更多的互动机会，并且家长对该计划非常满意。结果还表明，六周的家长培训计划在教授家长如何与孩子一起实施 PRT 方面是有效的。
这些结果表明，家长培训计划可能是一种有前途的治疗模式，具有有效性、高效性和成本效益。然后讨论了对未来研究和实践的影响。
