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. 2022 Mar 24:13:806149.
doi: 10.3389/fpsyt.2022.806149. eCollection 2022.

Effectiveness of Online-Delivered Project ImPACT for Children With ASD and Their Parents: A Pilot Study During the COVID-19 Pandemic

Fēi Li  1   2 , Danping Wu  2 , Fang Ren  2 , Lixiao Shen  2 , Minbo Xue  2 , Juehua Yu  2 , Lingli Zhang  2 , Yun Tang  2   3 , Xin Liu  2 , Minyi Tao  2 , Li Zhou  2   4 , Liping Jiang  5 , Mingyu Xu  2 , Fei Li  2
Affiliations

Effectiveness of Online-Delivered Project ImPACT for Children With ASD and Their Parents: A Pilot Study During the COVID-19 Pandemic

Fēi Li et al. Front Psychiatry. .

Abstract

Objective: During the COVID-19 pandemic, face-to-face intervention services for families of children with autism spectrum disorder (ASD) were limited. This study aimed to evaluate the effectiveness of an 8-week, online-delivered Project ImPACT program for children with ASD and their parents in China during the COVID-19 pandemic.

Methods: A pilot non-randomized study with a waitlist control group was conducted in 68 children with ASD and their parents in the Department of Developmental and Behavioral Pediatrics between April 15, 2020 and March 19, 2021. Participants were allocated to either the intervention (IG) or the waitlist group (WLG) according to their order of recruitment. Parents in the IG immediately received 8 weeks of the online-delivered Project ImPACT program, and the WLG received the same program with a delay when the IG had completed all sessions. Participants in both groups received treatment as usual during the research period.

Results: The online-delivered Project ImPACT program significantly improved the parent-reported social communication skills of children with ASD. Furthermore, parent's involvement in the training program produced a collateral reduction in parenting stress and an increase in perceived competence in the parental role. Parents rated the program acceptable in terms of curriculum schedule, session content, homework assignments, and therapist feedback.

Conclusions: The 8-week, online-delivered Project ImPACT program is a feasible and effective social skill training program for families of children with ASD in China during the COVID-19 pandemic. Due to the methodological limitations, randomized controlled studies with larger sample sizes are suggested to provide more solid evidence.

Keywords: autism spectrum disorder; e-health; parent-mediated intervention; parenting stress; social communication.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
CONSORT diagram of the study flow. CONSORT, Consolidated Standards of Reporting Trials; ASD, autism spectrum disorder; IG, intervention group; WLG, waitlist group.
See this image and copyright information in PMC

References

    1. Francesmonneris A, Pincus H, First M. Diagnostic and Statistical Manual of Mental Disorders: DSM-V. Arlington: American Psychiatric Association; (2013).
    1. Maenner MJ, Shaw KA, Baio J, Washington A, Patrick M, DiRienzo M, et al. Prevalence of autism spectrum disorder among children aged 8 years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. MMWR Surveill Summ. (2020) 69:1–12. 10.15585/mmwr.ss6904a1 - DOI - PMC - PubMed
    1. Cheung PPP, Brown T, Yu ML, Siu AMH. The effectiveness of a school-based social cognitive intervention on the social participation of Chinese children with autism. J Autism Dev Disord. (2021) 51:1894–908. 10.1007/s10803-020-04683-1 - DOI - PubMed
    1. Duvall S, Armstrong K, Shahabuddin A, Grantz C, Fein D, Lord C. A road map for identifying autism spectrum disorder: recognizing and evaluating characteristics that should raise red or “pink” flags to guide accurate differential diagnosis. Clin Neuropsychol. (2021) 16:1–36. 10.1080/13854046.2021.1921276 - DOI - PubMed
    1. Hoefman R, Payakachat N, Exel J, Kuhlthau K, Kovacs E, Pyne J, et al. Caring for a child with autism spectrum disorder and parents' quality of life: application of the carerQol. J Autism Dev Disord. (2014) 44:1933–45. 10.1007/s10803-014-2066-1 - DOI - PMC - PubMed