Objective:Early intervention can significantly improve long-term outcomes for children with autism. Unfortunately, many children do not receive early intervention services due to a critical shortage of trained professionals in this area. To bridge this gap, we evaluated a Web-based parent training tutorial (Enhancing Interactions), based on evidence-based practices and utilizing the Web-based platform to maximize learning.Methods:Twenty-three parents with a child between 18 months and 6 years with an autism spectrum disorder participated. Pre- and posttest scores of parents' knowledge were used to evaluate tutorial effectiveness. The system usability scale (SUS) evaluated technical user-friendliness and the user satisfaction questionnaire (USQ), gauged satisfaction with content.Results:The mean number of correct items on the posttest significantly increased, from 12.6 to 20.4, p<0.001. The mean SUS score was 85 (standard deviation=17), corresponding to a score of “excellent.” All participants found the tutorial user friendly, well integrated, and 96% (all but one participant) thought it was easy to use, felt confident using the technical features, and would use a tutorial like this again. On the USQ, all participants found that the tutorial was well organized, clearly presented, and easy to understand; that it increased their knowledge about communicating with their child; and that they felt capable of applying these techniques with their child.Conclusions:The tutorial appears effective in increasing parents' knowledge with high user satisfaction.
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References
1.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th. Text Revision. Washington, DC: American Psychiatric Association, 2000.
2.
RutterM. Biological basis of autism: Implications for intervention. MenolascinoF, StarkJ. Preventitive and Curative Intervention in Mental Retardation. London: Borrks, 1988; 265–294.
3.
Centers for Disease Control and Prevention [CDC]. Prevalence of autism spectrum disorders: Autism and Developmental Disabilities Monitoring Network, fourteen sites, United States, 2002. Morbidity and Mortality Weekly Report (MMWR), 2007; 56,SS01:12–68.
4.
CohenH, Amerine-DickensM, SmithT. Early intensive behavioral treatment: Replication of the UCLA model in a community setting. J Dev Behav Pediatr, 2006; 27,Suppl 2:S145–S155.
5.
DawsonG. Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Dev Psychopathol, 2008; 20:775–803.
6.
RogersSJ, VismaraLA. Evidence-based comprehensive treatments for early autism. J Clin Child Adolesc Psychol, 2008; 37:8–38.
7.
MundyP, CrowsonM. Joint attention and early social communication: Implications for research on intervention with autism. J Autism Dev Disord, 1997; 27:653–676.
8.
BondyAS, FrostLA. Educational approaches in preschool: Behavior techniques in a public school setting. SchoplerE, MeisbovGB. Learning and Cognition in Autism. New York: Plenum, 1995; 311–333.
9.
HarrisSLet al.Changes in cognitive and language functioning of preschool children with autism. J Autism Dev Disord, 1991; 21:281–290.
10.
RogersSJ, LewisH. An effective day treatment model for young children with pervasive developmental disorders. J Am Acad Child Adolesc Psychiatry, 1989; 28:207–214.
11.
HuttenlocherPR. Synaptogenesis in human cerebral cortex. DawsonG, FischerKW. Human Behavior and the Developing Brain. New York: Guilford, 1994; 137–152.
12.
BaileyK. Supporting families. ChawarskaK, KlinA, VolkmarFR. Autism Spectrum Disorders in Infants and Toddlers: Diagnosis, Assessment, and Treatment. New York: Guilford, 2008; 300–326.
13.
RosenbergSA, ZhangD, RobinsonCC. Prevalence of developmental delays and participation in early intervention services for young children. Pediatrics, 2008; 121:e1503–e1509.
14.
StahmerAC, CollingsNM, PalinkasLA. Early intervention practices for children with autism: Descriptions from community providers. Focus Autism Other Dev Disabl, 2005; 20:66–79.
15.
StahmerAC, MandellD. State infant/toddler program policies for eligibility and services provision for young children with autism. Adm Policy Ment Health, 2007; 34:29–37.
16.
GardnerH. Multiple Intelligences: The Theory in Practice. New York: Basic Books, 1993.
17.
VincentA, RossD. Learning style awareness: A basis for developing teaching and learning strategies. J Res Technol Educ, 2001; 33:1–10.
18.
TerryM. Telemedicine and autism: Researchers and clinicians are just starting to consider telemedicine applications for the diagnosis and treatment of autism. Telemed J E Health, 2009; 15:416–419.
19.
BaharavE, ReiserC. Using telepractice in parent training in early autism. Telemed J E Health, 2010; 16:727–731.
20.
BangorA, KortumP, MillerJ. Determining what individual SUS scores mean: Adding an adjective rating scale. J Usability Stud, 2009; 4:114–123.
21.
BrookeJ. SUS: A “quick and dirty” usability scale. JordanPWet al.Usability Evaluation in Industry. London: Taylor and Francis, 1996; 189–194.
22.
KobakKA, ReynoldsWM, GriestJH. Computerized and clinician assessment of depression and anxiety: Respondent evaluation and satisfaction. J Pers Assess, 1994; 63:173–180.
23.
KobakKAet al.Web-based training in early autism screening: Results from a pilot study. Telemed J E Health, 2011; 17:640–644.
24.
KobakKA, OplerMG, EngelhardtN. PANSS rater training using Internet and videoconference: Results from a pilot study. Schizophr Res, 2007; 92:63–67.
25.
KobakKA, WilliamsJB, EngelhardtN. A comparison of face-to-face and remote assessment of inter-rater reliability on the Hamilton Depression Rating Scale via videoconferencing. Psychiatry Res, 2008; 158:99–103.
26.
KobakKAet al.Face-to-face vs. remote administration of the Montgomery-Asberg depression rating scale (MADRS) using videoconference and telephone. National Institute of Mental Health, New Clinical Drug Evaluation Unit, 47th Annual Meeting, Boca Raton, FL, 2007June.
27.
KobakKA, EngelhardtN, LipsitzJD. Enriched rater training using Internet based technologies: A comparison to traditional rater training in a multi-site depression trial. J Psychiatr Res, 2006; 40:192–199.
28.
KobakKA. A comparison of face-to-face and videoconference administration of the Hamilton Depression Rating Scale. J Telemed Telecare, 2004; 10:231–235.
29.
Harvard School of Public Health. Autism has high costs to U.S. society. www.hsph.harvard.edu/news/press-releases/2006-releases/press04252006.html. 2010 November 14.
30.
BabyCenterLLC. The 20th century mom. www.babycenter.com/100_babycenters-21st-century-mom-8482-report-reveals-insights-in_10315945.bc. 2010 December 23.
31.
BelliniS, EhlersEJ. Video modeling interventions for youth with autism spectrum disorders: Practical suggestions for clinicians and educators. J Assist Technol Outcomes Benefits, 2009; 6:56–69.
