Research Article  |   May 2019
Parent-Mediated Interventions for Children With Autism Spectrum Disorder: A Systematic Review
Author Affiliations
  • Colleen E. Althoff, MS, OTR/L, is Occupational Therapist, John H. Stroger Jr. Hospital of Cook County, Chicago; calthoff@wisc.edu. She was Student, Occupational Therapy Program, University of Wisconsin–Madison, at the time of the study.
  • Caitlin P. Dammann, MS, OTR/L, was Student, Occupational Therapy Program, University of Wisconsin–Madison, at the time of the study.
  • Sarah J. Hope, MS, OTR/L, was Student, Occupational Therapy Program, University of Wisconsin–Madison, at the time of the study.
  • Karla K. Ausderau, PhD, OTR/L, is Assistant Professor, Occupational Therapy Program, and Investigator, Waisman Center, University of Wisconsin–Madison.
Article Information
Autism/Autism Spectrum Disorder / Evidence-Based Practice / Pediatric Evaluation and Intervention / Research Articles
Research Article   |   May 2019
Parent-Mediated Interventions for Children With Autism Spectrum Disorder: A Systematic Review
American Journal of Occupational Therapy, 05 2019, Vol. 73, 7303205010p1-7303205010p13. doi:10.5014/ajot.2019.030015
American Journal of Occupational Therapy, 05 2019, Vol. 73, 7303205010p1-7303205010p13. doi:10.5014/ajot.2019.030015
Abstract

OBJECTIVE. The purpose of this systematic review was to evaluate the evidence for the effectiveness of parent-mediated interventions on occupational performance of children with autism spectrum disorder (ASD).

METHOD. We conducted a search of academic databases using terms such as autism spectrum disorder, parent, caregiver, and intervention. Five hundred eighty-two articles were reviewed, and 109 were selected for full-text review. The final analysis included 13 articles.

RESULTS. Strong evidence was found for the efficacy of parent-mediated intervention for increasing child joint attention. Moderate evidence was found for the improvement of language scores, expressive language, nonverbal communication, initiation and response to interaction, behavior, play, adaptive functioning, ASD symptoms, and social communication.

CONCLUSION. This systematic review suggests that parent-mediated interventions for children with ASD can improve various aspects of communication and ASD symptoms, with emerging support for occupational performance. Occupational therapy practitioners are well suited to facilitate these interventions to support families with children with autism.