Predictors of Change in Play-Based Communication and Behavior Intervention for High-Risk ASD: The Role of Mother-Child Dyadic Synchrony

Background: Interindividual variability is important in the evolution of adaptative profiles of children with ASD having benefited from an early intervention make up for deficits in communication, language and social interactions. Therefore, this paper aimed to determine the nature of factors influe...

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Main Authors: Linyan Fu, Jiao Weng, Min Feng, Xiang Xiao, Ting Xiao, Junli Fu, Nana Qiu, Chunyan Li, Yun Da, Xiaoyan Ke
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2020.581893/full
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author Linyan Fu
Jiao Weng
Jiao Weng
Min Feng
Xiang Xiao
Ting Xiao
Junli Fu
Nana Qiu
Chunyan Li
Yun Da
Xiaoyan Ke
author_facet Linyan Fu
Jiao Weng
Jiao Weng
Min Feng
Xiang Xiao
Ting Xiao
Junli Fu
Nana Qiu
Chunyan Li
Yun Da
Xiaoyan Ke
author_sort Linyan Fu
collection DOAJ
description Background: Interindividual variability is important in the evolution of adaptative profiles of children with ASD having benefited from an early intervention make up for deficits in communication, language and social interactions. Therefore, this paper aimed to determine the nature of factors influencing the efficacy variability of a particular intervention technique i.e., “Play-based communication and behavior intervention” (PCBI).Methods: The participants comprised 70 13–30-month-old toddlers with ASD enrolled in PCBI for 12 weeks. The Autism Treatment Evaluation Checklist (ATEC) was used to evaluate the efficacy of PCBI. Video recordings of 5 min of free-play before and after PCBI were used to examine behaviors of mothers and children and parent-child dyadic synchrony. Hierarchical multiple regression analyses and machine learning algorithms were performed to explore the effect of these potential predictors (mothers' factors, children's factors and videotaped mother-child interaction) of intervention efficacy.Results: The hierarchical regression analysis and the machine learning algorithms indicated that parenting stress, level of completion of training at home and mother-child dyadic synchrony were crucial factors in predicting and monitoring the efficacy of PCBI.Conclusions: In summary, the findings suggest that PCBI could be particularly beneficial to children with ASD who show a good performance in the mother-child dyadic synchrony evaluation. A better dyadic mother-child synchrony could enhance the PCBI efficacy through adapted emotional and behavioral responses of the mother and the child and has a beneficial influence on the child's psychological development.
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spelling doaj.art-8347af151f9847289a277799f11ff11e2022-12-21T18:14:30ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-12-01810.3389/fped.2020.581893581893Predictors of Change in Play-Based Communication and Behavior Intervention for High-Risk ASD: The Role of Mother-Child Dyadic SynchronyLinyan Fu0Jiao Weng1Jiao Weng2Min Feng3Xiang Xiao4Ting Xiao5Junli Fu6Nana Qiu7Chunyan Li8Yun Da9Xiaoyan Ke10Child Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaThree Hospital of Longyan, Longyan, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaChild Mental Health Research Center, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, ChinaBackground: Interindividual variability is important in the evolution of adaptative profiles of children with ASD having benefited from an early intervention make up for deficits in communication, language and social interactions. Therefore, this paper aimed to determine the nature of factors influencing the efficacy variability of a particular intervention technique i.e., “Play-based communication and behavior intervention” (PCBI).Methods: The participants comprised 70 13–30-month-old toddlers with ASD enrolled in PCBI for 12 weeks. The Autism Treatment Evaluation Checklist (ATEC) was used to evaluate the efficacy of PCBI. Video recordings of 5 min of free-play before and after PCBI were used to examine behaviors of mothers and children and parent-child dyadic synchrony. Hierarchical multiple regression analyses and machine learning algorithms were performed to explore the effect of these potential predictors (mothers' factors, children's factors and videotaped mother-child interaction) of intervention efficacy.Results: The hierarchical regression analysis and the machine learning algorithms indicated that parenting stress, level of completion of training at home and mother-child dyadic synchrony were crucial factors in predicting and monitoring the efficacy of PCBI.Conclusions: In summary, the findings suggest that PCBI could be particularly beneficial to children with ASD who show a good performance in the mother-child dyadic synchrony evaluation. A better dyadic mother-child synchrony could enhance the PCBI efficacy through adapted emotional and behavioral responses of the mother and the child and has a beneficial influence on the child's psychological development.https://www.frontiersin.org/articles/10.3389/fped.2020.581893/fullautismintervention efficacypredictorsmother-child dyadic synchronyparenting stressplay-based communication and behavior intervention
spellingShingle Linyan Fu
Jiao Weng
Jiao Weng
Min Feng
Xiang Xiao
Ting Xiao
Junli Fu
Nana Qiu
Chunyan Li
Yun Da
Xiaoyan Ke
Predictors of Change in Play-Based Communication and Behavior Intervention for High-Risk ASD: The Role of Mother-Child Dyadic Synchrony
Frontiers in Pediatrics
autism
intervention efficacy
predictors
mother-child dyadic synchrony
parenting stress
play-based communication and behavior intervention
title Predictors of Change in Play-Based Communication and Behavior Intervention for High-Risk ASD: The Role of Mother-Child Dyadic Synchrony
title_full Predictors of Change in Play-Based Communication and Behavior Intervention for High-Risk ASD: The Role of Mother-Child Dyadic Synchrony
title_fullStr Predictors of Change in Play-Based Communication and Behavior Intervention for High-Risk ASD: The Role of Mother-Child Dyadic Synchrony
title_full_unstemmed Predictors of Change in Play-Based Communication and Behavior Intervention for High-Risk ASD: The Role of Mother-Child Dyadic Synchrony
title_short Predictors of Change in Play-Based Communication and Behavior Intervention for High-Risk ASD: The Role of Mother-Child Dyadic Synchrony
title_sort predictors of change in play based communication and behavior intervention for high risk asd the role of mother child dyadic synchrony
topic autism
intervention efficacy
predictors
mother-child dyadic synchrony
parenting stress
play-based communication and behavior intervention
url https://www.frontiersin.org/articles/10.3389/fped.2020.581893/full
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