Integrating a Parent-Implemented Blend of Developmental and Behavioral Intervention Strategies into Speech-Language Treatment for Toddlers at Risk for Autism Spectrum Disorder

Sarah R. Rieth; Rachel Haine-Schlagel; Marilee Burgeson; Karyn Searcy; Kelsey S. Dickson; Aubyn C. Stahmer

doi:10.1055/s-0038-1627483

Seminars in Speech and Language, Table of Contents

Semin Speech Lang 2018; 39(02): 114-124
DOI: 10.1055/s-0038-1627483

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Integrating a Parent-Implemented Blend of Developmental and Behavioral Intervention Strategies into Speech-Language Treatment for Toddlers at Risk for Autism Spectrum Disorder

Sarah R. Rieth

¹Child and Adolescent Services Research Center, San Diego

²Department of Child and Family Development; San Diego State University

,

Rachel Haine-Schlagel

¹Child and Adolescent Services Research Center, San Diego

²Department of Child and Family Development; San Diego State University

,

Marilee Burgeson

³MB Speech Therapy

⁹Profectum Academy, Mendham, New Jersey

,

Karyn Searcy

⁴TERI Crimson Center for Speech and Language

⁸Speech, Language, and Hearing Sciences, San Diego State University

,

Kelsey S. Dickson

¹Child and Adolescent Services Research Center, San Diego

⁵Department of Psychiatry, University of California, San Diego

,

Aubyn C. Stahmer

¹Child and Adolescent Services Research Center, San Diego

⁶UC Davis MIND Institute

⁷Department of Psychiatry and Behavioral Sciences, University of California, Davis

› Author Affiliations

Abstract

Naturalistic developmental behavioral interventions include an explicit focus on coaching parents to use therapy techniques in daily routines and are considered best practice for young children with autism. Unfortunately, these approaches are not widely used in community settings, possibly due to the clinical expertise and training required. This article presents the work of the Bond, Regulate, Interact, Develop, Guide, Engage (BRIDGE Collaborative), a multidisciplinary group of service providers (including speech-language pathologists), parents, funding agency representatives, and researchers dedicated to improving the lives of young children with autism spectrum disorder and their families. The group selected and adapted a parent coaching naturalistic developmental behavioral intervention specifically for use with toddlers and their families for community implementation. Lessons learned from the implementation process include the importance of therapist background knowledge, the complexity of working with parents of young children, and needed supports for those working closely with parents, including specific engagement strategies and the incorporation of reflective practice.

Keywords

Naturalistic developmental behavioral intervention - parent coaching - early intervention - reflective practice

Full Text

References

References
1 Schreibman L, Dawson G, Stahmer AC. , et al. Naturalistic developmental behavioral interventions: empirically validated treatments for autism spectrum disorder. J Autism Dev Disord 2015; 45 (08) 2411-2428
2 Dawson G. Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Dev Psychopathol 2008; 20 (03) 775-803
3 Yoder PJ, Warren SF. Effects of prelinguistic milieu teaching and parent responsivity education on dyads involving children with intellectual disabilities. J Speech Lang Hear Res 2002; 45 (06) 1158-1174
4 Ingersoll B, Meyer K, Bonter N, Jelinek S. A comparison of developmental social-pragmatic and naturalistic behavioral interventions on language use and social engagement in children with autism. J Speech Lang Hear Res 2012; 55 (05) 1301-1313
5 Dawson G, Rogers S, Munson J. , et al. Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics 2010; 125 (01) e17-e23
6 Dawson G, Jones EJH, Merkle K. , et al. Early behavioral intervention is associated with normalized brain activity in young children with autism. J Am Acad Child Adolesc Psychiatry 2012; 51 (11) 1150-1159
7 Koegel RL, Koegel LK. Pivotal Response Treatments for Autism: Communication, Social, and Academic Development. Baltimore, MD: Brookes Publishing Company; 2006
8 Koegel RL, Schreibman L, Good A, Cerniglia L, Murphy C, Koegel LK. , eds. How to Teach Pivotal Behaviors to Children with Autism: A Training Manual. Santa Barbara, CA: University of California; 1989
9 Ingersoll B, Wainer A. Initial efficacy of project ImPACT: a parent-mediated social communication intervention for young children with ASD. J Autism Dev Disord 2013; 43 (12) 2943-2952
10 Zwaigenbaum L, Bauman ML, Choueiri R. , et al. Early intervention for children with autism spectrum disorder under 3 years of age: recommendations for practice and research. Pediatrics 2015; 136 (Suppl. 01) S60-S81
11 Carter AS, Messinger DS, Stone WL, Celimli S, Nahmias AS, Yoder P. A randomized controlled trial of Hanen's “More Than Words” in toddlers with early autism symptoms. J Child Psychol Psychiatry 2011; 52 (07) 741-752
12 Remington B, Hastings RP, Kovshoff H. , et al. Early intensive behavioral intervention: outcomes for children with autism and their parents after two years. Am J Ment Retard 2007; 112 (06) 418-438
13 Estes A, Vismara L, Mercado C. , et al. The impact of parent-delivered intervention on parents of very young children with autism. J Autism Dev Disord 2014; 44 (02) 353-365
14 Shire SY, Gulsrud A, Kasari C. Increasing responsive parent-child interactions and joint engagement: comparing the influence of parent-mediated intervention and parent psychoeducation. J Autism Dev Disord 2016; 46 (05) 1737-1747
15 Lang R, Machalicek W, Rispoli M, Regester A. Training parents to implement communication interventions for children with autism spectrum disorders: a systematic review. Evid Based Commun Assess Interv 2009; 3 (03) 174-190
16 Maglione MA, Gans D, Das L, Timbie J, Kasari C. ; Technical Expert Panel; HRSA Autism Intervention Research—Behavioral (AIR-B) Network. Nonmedical interventions for children with ASD: recommended guidelines and further research needs. Pediatrics 2012; 130 (Suppl. 02) S169-S178
17 Thomas KC, Ellis AR, McLaurin C, Daniels J, Morrissey JP. Access to care for autism-related services. J Autism Dev Disord 2007; 37 (10) 1902-1912
18 Elder JH, D'Alessandro T. Supporting families of children with autism spectrum disorders: questions parents ask and what nurses need to know. Pediatr Nurs 2009; 35 (04) 240-245 , 253
19 Searcy K, Cary C. Understanding and Connecting with Parents of Children with Developmental Delays. Long Beach, CA: California Speech and Hearing Association; 2007
20 Sanders J, Morgan S. Family stress and adjustment as perceived by parents of children with autism or down syndrome: implications for intervention. Child Fam Behav Ther 1997; 19: 15-32
21 Seligman MEP, Darling RB. Ordinary Families, Special Children: A Systems Approach to Childhood Disability. New York, NY: Guilford; 2009
22 Robbins FR, Dunlap G, Plienis AJ. Family characteristics, family training, and the progress of young children with autism. J Early Interv 1991; 15 (02) 173-184
23 Strauss K, Vicari S, Valeri G, D'Elia L, Arima S, Fava L. Parent inclusion in Early Intensive Behavioral Intervention: the influence of parental stress, parent treatment fidelity and parent-mediated generalization of behavior targets on child outcomes. Res Dev Disabil 2012; 33 (02) 688-703
24 Bowker A, D'Angelo NM, Hicks R, Wells K. Treatments for autism: parental choices and perceptions of change. J Autism Dev Disord 2011; 41 (10) 1373-1382
25 Moore TR, Symons FJ. Adherence to treatment in a behavioral intervention curriculum for parents of children with autism spectrum disorder. Behav Modif 2011; 35 (06) 570-594
26 Hock R, Kinsman A, Ortaglia A. Examining treatment adherence among parents of children with autism spectrum disorder. Disabil Health J 2015; 8 (03) 407-413
27 Campbell PH, Strickland BB, Forme CL. Enhancing parent participation in the individualized family service plan. Top Early Child Spec Educ 1992; 11 (04) 112-124
28 Solish A, Perry A. Parents' involvement in their children's behavioral intervention programs: parent and therapist perspectives. Res Autism Spectr Disord 2008; 2 (04) 728-738
29 Brookman-Frazee LI, Koegel RL. Using parent/clinician partnership in parent education programs for children with autism. J Posit Behav Interv 2004; 6 (04) 195-213
30 Burrell TL, Borrego J. Parents' involvement in ASD treatment: what is their role?. Cognit Behav Pract 2012; 19 (03) 423-432
31 Drahota A, Meza RD, Brikho B. , et al. Community-academic partnerships: a systematic review of the state of the literature and recommendations for future research. Milbank Q 2016; 94 (01) 163-214
32 Brookman-Frazee L, Stahmer AC, Lewis K, Feder JD, Reed S. Building a research-community collaborative to improve community care for infants and toddlers at-risk for autism spectrum disorders. J Community Psychol 2012; 40 (06) 715-734
33 Stahmer AC, Brookman-Frazee L, Lee E, Searcy K, Reed S. Parent and multi-disciplinary provider perspectives on earliest intervention for children at-risk for autism spectrum disorders. Infants Young Child 2011; 24 (04) 344-363
34 Ingersoll B, Dvortscak A. Teaching Social Communication to Children with Autism. New York, NY: Guilford Press; 2010
35 Stadnick NA, Stahmer A, Brookman-Frazee L. Preliminary effectiveness of Project ImPACT: a parent-mediated intervention for children with autism spectrum disorder delivered in a community program. J Autism Dev Disord 2015; 45 (07) 2092-2104
36 Wainer AL, Ingersoll BR. Disseminating ASD interventions: a pilot study of a distance learning program for parents and professionals. J Autism Dev Disord 2013; 43 (01) 11-24
37 Wainer AL, Ingersoll BR. Increasing access to an ASD imitation intervention via a telehealth parent training program. J Autism Dev Disord 2015; 45 (12) 3877-3890
38 Powell BJ, Waltz TJ, Chinman MJ. , et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci 2015; 10: 21
39 Lee E, Stahmer AC, Reed S, Searcy K, Brookman-Frazee LI. Differential learning of a blended intervention approach among therapists of varied backgrounds. Paper presented at: International Meeting for Autism Research; May 12–14, 2011; San Diego, CA
40 Fenichel E. Learning through Supervision and Mentorship to Support the Development of Infants, Toddlers, and Their Families: A Source Book. Arlington, VA: Zero to Three; 1992
41 Siegel D. Parenting from the Inside Out. London, UK: Penguin Publishing; 2003
42 Haine-Schlagel R, Martinez JI, Roesch SC, Bustos CE, Janicki C. Randomized trial of the Parent and Caregiver Active Participation Toolkit for child mental health treatment. J Clin Child Adolesc Psychol 2016; 21: 1-11
43 Haine-Schlagel R, Rieth SR, Dickson KS, Brookman-Frazee LI, Stahmer AC. Mixed method feedback on the integration of parent engagement strategies into an evidence-based parent coaching intervention for young children at risk for ASD. Paper presented at: 2017 International Meeting for Autism Research; May 10–13, 2017, San Francisco, CA