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The Generalization of Clinic-Based CBT Intervention Improvements to the Home for Children with Autism
- Wolpe, Samara Merav
- Advisor(s): Wood, Jeffrey J
Abstract
Objective: Although effective interventions for children on the autism spectrum are numerous, it is often difficult to ascertain the degree to which they are generalizable to the home. Wood et al. (2021) measured the effect of a modular CBT intervention on parent-identified Youth Top Problems (YTPs) of children on the autism spectrum through examination of parent-recorded home videos. YTP scores were found to decrease significantly in the experimental condition compared with the Enhanced Standard Community Treatment (ESCT) condition. The current study examines these same home videos with three research questions in mind: 1: What is the effect of the SEBASTIEN intervention on a broader range of social communication patterns and related behaviors of children with autism assessed via structured observations of parent-recorded home videos? 2: How does the quality of parent-child interactions as measured by parental behaviors change post-intervention? 3: What is the association between children’s response to the SEBASTIEN intervention and parent-child interaction quality? Method: Children with ASD (N=15, aged 6-13 years) were filmed by their parents pre- and post-treatment. Raters blind to condition scored videos for a broader range of autism-related behavioral challenges as well as parent-child interaction quality. Results: The modular CBT condition outperformed the ESCT condition from pre- to post-treatment. Parent-child interaction quality did not differ significantly between groups, but was significantly related to improvements in autism-related behavioral challenges overall. These findings provide important information about the nature of generalizability to the home for CBT interventions, as well as the relationship between autism- related characteristics and parent-child interaction quality.
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