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

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. Th...

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Published in:	Autism : the international journal of research and practice Vol. 23; no. 7; pp. 1630 - 1644
Main Authors:	Tarver, Joanne, Palmer, Melanie, Webb, Sophie, Scott, Stephen, Slonims, Vicky, Simonoff, Emily, Charman, Tony
Format:	Journal Article
Language:	English
Published:	London, England SAGE Publications 01.10.2019 SAGE PUBLICATIONS, INC
Subjects:	Autism Autism Spectrum Disorder - psychology Autism Spectrum Disorder - therapy Autism Spectrum Disorders Autistic children Behavior Behavior disorders Behavior Modification Behavior Problems Behavior Therapy - methods Behaviour disordered children Child Child & adolescent psychiatry Child Behavior Child Behavior Disorders - psychology Child Behavior Disorders - therapy Child development Child Rearing Children Clinical outcomes Clinical trials Disorders Disruptive behaviour Efficacy Emotional disorders Emotional Problems Emotions Evidence-based medicine Humans Hyperactivity Internalization Intervention Medical research Meta Analysis Parent-child relations Parental stress Parenting - psychology Parenting Skills Parents Parents & parenting Parents - psychology Pervasive Developmental Disorders Problem Behavior - psychology Program Effectiveness Social development Stress Stress Variables Stress, Psychological - etiology Stress, Psychological - psychology Systematic review Teachers Treatment Outcome Well being parent training IAMHealth parent efficacy parent stress autism spectrum disorder emotional and behavioral problems
ISSN:	1362-3613, 1461-7005, 1461-7005
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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).
AbstractList	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, = 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). 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). 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).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).
Author	Simonoff, Emily Scott, Stephen Webb, Sophie Charman, Tony Tarver, Joanne Slonims, Vicky Palmer, Melanie
Author_xml	– sequence: 1 givenname: Joanne orcidid: 0000-0003-0555-6043 surname: Tarver fullname: Tarver, Joanne email: j.tarver@aston.ac.uk – sequence: 2 givenname: Melanie orcidid: 0000-0001-5579-2170 surname: Palmer fullname: Palmer, Melanie – sequence: 3 givenname: Sophie surname: Webb fullname: Webb, Sophie – sequence: 4 givenname: Stephen surname: Scott fullname: Scott, Stephen – sequence: 5 givenname: Vicky surname: Slonims fullname: Slonims, Vicky – sequence: 6 givenname: Emily surname: Simonoff fullname: Simonoff, Emily – sequence: 7 givenname: Tony orcidid: 0000-0003-1993-6549 surname: Charman fullname: Charman, Tony
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Snippet	There is growing interest in the development of behavioral parent interventions targeting emotional and behavioral problems in children with autism spectrum...
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SubjectTerms	Autism Autism Spectrum Disorder - psychology Autism Spectrum Disorder - therapy Autism Spectrum Disorders Autistic children Behavior Behavior disorders Behavior Modification Behavior Problems Behavior Therapy - methods Behaviour disordered children Child Child & adolescent psychiatry Child Behavior Child Behavior Disorders - psychology Child Behavior Disorders - therapy Child development Child Rearing Children Clinical outcomes Clinical trials Disorders Disruptive behaviour Efficacy Emotional disorders Emotional Problems Emotions Evidence-based medicine Humans Hyperactivity Internalization Intervention Medical research Meta Analysis Parent-child relations Parental stress Parenting - psychology Parenting Skills Parents Parents & parenting Parents - psychology Pervasive Developmental Disorders Problem Behavior - psychology Program Effectiveness Social development Stress Stress Variables Stress, Psychological - etiology Stress, Psychological - psychology Systematic review Teachers Treatment Outcome Well being
Title	Child and parent outcomes following parent interventions for child emotional and behavioral problems in autism spectrum disorders: A systematic review and meta-analysis
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