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The Impact of Parent-Delivered Intervention on Parents of Very Young Children with Autism
Authors:Annette Estes  Laurie Vismara  Carla Mercado  Annette Fitzpatrick  Lauren Elder  Jessica Greenson  Catherine Lord  Jeffrey Munson  Jamie Winter  Gregory Young  Geraldine Dawson  Sally Rogers
Affiliation:1. Department of Speech and Hearing Sciences, UW Autism Center, University of Washington, Box 357920, Seattle, WA, 98195, USA
2. Department of Psychology, University of Washington, Seattle, WA, USA
3. Department of Psychiatry, University of California, Davis, Sacramento, CA, USA
4. Department of Biostatistics, University of Washington, Seattle, WA, USA
8. Autism Speaks, New York, NY, USA
10. Columbia University Medical Center, New York, NY, USA
5. Department of Psychology, University of Michigan, Ann Arbor, MI, USA
9. New York-Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA
6. Department of Psychiatry, University of Washington, Seattle, WA, USA
7. Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA
Abstract:This study investigated the impact of a parent-coaching intervention based on the Early Start Denver Model (P-ESDM) on parenting-related stress and sense of competence. This was part of a multisite, randomized trial comparing P-ESDM (n = 49) with community intervention (n = 49) for children aged 12 and 24 months. The P-ESDM group reported no increase in parenting stress, whereas the Community group experienced an increase over the same 3-month period. Parental sense of competence did not differ. Number of negative life events was a significant predictor of parenting stress and sense of competence across both groups. This suggests that a parent-coaching intervention may help maintain parental adjustment directly after a child is diagnosed with ASD.
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