• Title/Summary/Keyword: Parent-mediated intervention

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Behavioral Interventions for Autism Spectrum Disorder: A Brief Review and Guidelines With a Specific Focus on Applied Behavior Analysis

  • Kyong-Mee Chung;Eunsun Chung;Hoomyung Lee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.35 no.1
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    • pp.29-38
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    • 2024
  • We conducted a comprehensive review of behavioral and educational interventions for individuals with autism spectrum disorder (ASD). The most prominent type of intervention, Comprehensive Early Intervention, often referred to as Early Intensive Behavioral Intervention (EIBI), has been found to be particularly effective in improving intelligence and adaptive behaviors. The naturalistic developmental behavioral intervention, designed to enhance social and communication abilities, showed effectiveness in improving language, cognitive function, and social initiation. However, more studies are needed to examine its effectiveness. Intensive individualized intervention, which provides a tailored intervention for a specific target behavior, was effective in improving social skills and communication, as well as reducing sleep, eating, and toileting problems. Cognitive behavioral therapy (CBT) is the most effective method for dealing with emotional difficulties, but it has not been widely used because of the shortage of trained experts. Parent-mediated intervention (PMI) involves parents acquiring knowledge and specific skills to improve their child's functioning or reduce challenging behaviors. Speech and language therapy, sensory integration, Treatment and Education of Autistic and related Communications Handicapped Children, developmental approaches, and social stories are frequently used interventions. However, evidence of their effectiveness has yet to be well established. Based on these findings, intervention recommendations for autism include EIBI, Early Start Denver Model, intensive individualized intervention, CBT, and PMI. The choice of intervention should be tailored to the individual's needs and delivered by qualified professionals with expertise in the specific intervention.

Effects of Family-Centered Intervention for Children with Autism Spectrum Disorder in South Korea: A Systematic Review - Focusing on Parent Education and Parent Coaching - (국내 자폐스펙트럼장애 아동에 대한 가족 중심 중재 효과: 체계적 고찰 - 부모 교육 및 부모 코칭 중심으로 - )

  • Choi, Yoon-Mi;Yoo, Eun-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.3
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    • pp.65-78
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    • 2023
  • Objective : In this study, we aimed to investigate the effectiveness of family-centered intervention conducted with caregivers of children with autism spectrum disorder (ASD) in South Korea through a systematic literature review. Methods : Previous studies published from 2011 to 2021 were searched through RISS, KISS, and DBpia. The search terms applied included "autism spectrum" OR "general developmental disorder" OR "high-functioning autism" OR "Asperger's" AND "parent education" OR "family-centered intervention" OR "parent coaching" OR "parent training" OR "family participation." A total of 11 experimental studies were chosen based on the selection criteria. Results : According to the findings on the general characteristics of the study participants, intervention strategies, and effects of the intervention, it was observed that the majority of children with ASD who participated in the study were preschool-aged, and the majority of participating caregivers were mothers. The effects of family-centered interventions were evident in both children and parents. In children, the most significant effects were observed in interaction and communication skills. In parents, a reduction in parenting stress and an improvement in parenting efficacy were observed. The intervention strategies employed in the study varied, with sensory integration intervention, responsive communication, and interaction-centered intervention being the most commonly used, followed by developmental-centered intervention, positive behavior support (PBS), and parent-mediated intervention based on pivotal response treatment (PRT). Conclusion : The results of this study are significant in that they confirm that family-centered intervention is effective not only in improving the functioning of children with autism spectrum disorder, but also in reducing parenting stress and enhancing parenting efficacy, and provide evidence for clinical use.

The Influence of Maternal-Acceptance Experiences During Childhood, Social-Supportive Level and Emotion-Coaching Reaction on Child Emotion-Regulation Strategies: Mediated-Moderation Effects (어머니의 아동기 수용 경험, 사회적 지지와 감정코칭 반응이 아동의 정서조절 방식에 미치는 영향: 매개된 조절효과 검증)

  • Oh, Ji-Hyun
    • Korean Journal of Child Studies
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    • v.37 no.4
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    • pp.101-115
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    • 2016
  • Objective: The study examined the mediated-moderation effect of social-support levels from maternal-acceptance experiences by the parents of origin to child emotion regulation strategies through an emotion-coaching reaction. Methods: The participants in this study were children (Grades 4-6) and their mothers. They completed questionnaires on Maternal Parenting Experiences Scale, Children's Emotion Regulation Scale, Emotion-Coaching Scale, and Social Supportive Level Scale. Data were analyzed via SEM. Results: The main findings were as follows. First, a mediating model showed that the relationship between maternal-acceptance experiences by the parents of origin and child emotion-regulation strategies was mediated by emotion-coaching reactions. Second, there was a moderation effect of social-supportive levels on the relationship between maternal-acceptance experiences from parents of origin and emotion-coaching reaction. Finally, social-supportive levels mediated the moderation effect of social-support level from maternal-acceptance experiences to child emotion-regulation strategies through emotion-coaching reaction. Conclusion: These results indicate that importance of maternal social-supportive level from owns spouse or friends. I discussed the implications of the intervention of parent counseling and parent education in this research.

The Influences of Parental Behavior Control and Adolescents' Anxiety on School Related Adjustment (부모의 행동통제와 청소년의 불안이 학교적응에 미치는 영향)

  • Choi, Mi-Kyung;Min, Dae-Gi
    • Human Ecology Research
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    • v.53 no.4
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    • pp.363-373
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    • 2015
  • This study examined the direct and indirect influences of parental behavioral control on adolescents' school related adjustment by exploring pathways between parental behavioral control, adolescents' anxiety, and school related adjustment. Participants were composed of 319 high school 1st graders (153 male and 165 female students) from the Seoul area. They completed questionnaires on parental behavioral control, adolescents' anxiety, and adolescents' school related adjustment. The collected data were analyzed using Pearson's correlation coefficients, Factor Analysis, and Structural Equation Modeling. It was adapted to SPSS version 19.0 and Amos version 21.0 for Windows. The results indicated that adolescents' anxiety partially mediated the association of parental behavioral control and adolescents' school related adjustment. More concretely, direct effect of adolescents' anxiety on adolescents' school related adjustment were slightly greater than the direct/indirect effects of parental behavioral control on adolescents' school related adjustment. The effect of adolescents' anxiety on adolescents' school related adjustment was the greatest among all associations between research variables. The findings of this study have implications for research and practice that highlights the important considerations for proper parental behavioral control and reducing adolescents' anxiety that should be emphasized to improve adolescents' school related adjustment. We believe that improved parental behavioral control needs to be emphasized when designing prevention and parent intervention education programs for adolescents' psychological problem and school related adjustment.

Psychological Well-being in Mid to Late Adulthood of American: Parent-child Relationship across the Lifespan and Generativity Development (중노년기 미국성인들의 심리적 복지감: 전생애 발달과정의 부모자녀관계와 생산감 발달의 영향)

  • An, Jeong-Shin
    • 한국노년학
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    • v.25 no.2
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    • pp.245-266
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    • 2005
  • This study examined the relationship between parent-child relationship experiences in childhood and adulthood, and individual development and psychological well-being in mid to later life using structural equation modeling with data from 1,882 parents who have at least one child over 18 years old. Findings indicated that receiving more affectionate parenting in childhood was associated with greater generativity development, more positive parental experiences with one's own children, and better psychological well-being in mid to later adulthood. In addition, the effects of received parenting in childhood on psychological well-being after midlife were partially mediated by parental experiences with adult children and generativity development. These findings suggest that early experiences with parents in childhood continuously influence psychological well-being in adulthood through their impact on concurrent family experiences. However, early influences can be redirected through adult experiences too. These findings have implications for the development of intervention programs aimed at promoting volunteer work for older adults, as well as for practitioners who work with families and individuals who are having problems.

The Effect of the Aging Attitude on Life Satisfaction of Korean Elderly: Multi-mediation Effects of Solidarity between Parents and Children (노인의 노화태도가 삶의 만족에 미치는 영향: 부모-자녀 간 결속의 다중매개효과 검증)

  • Kim, Junpyo;Kim, Soon Eun
    • 한국노년학
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    • v.38 no.3
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    • pp.521-536
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    • 2018
  • The purpose of this study is examining the effect of aging attitudes of older people on their life satisfaction, and investigating the mediating role of solidarity between parents and children. To achieve this, the survey was conducted with 2,076 Korean elderlies who were sampled with proportional stratified, and performed multi-mediated regression with SPSS macro PROCESS v.2.16. The results are following. First, aging attitude that older people recognized significantly affects to their life satisfaction. Second, aging attitude significantly affects to the five sub-categories of solidarity between parents and children. Especially, as elderly shows more negative attitude on aging, the solidarity also goes higher. Third, among sub-categories of solidarity between parents and children, affectional, identical, and functional solidarities play roles of mediator on the relationship between aging attitude and life satisfaction, and affectional solidarity shows the biggest influence on the relationship. Based on the results, practical and policy intervention were suggested for better life satisfaction of Korean elderly.