From Clinic Room to Zoom: Delivery of an Evidence-Based, Parent-mediated Intervention in the Community Before and During the Pandemic

J Autism Dev Disord. 2022 Dec;52(12):5222-5231. doi: 10.1007/s10803-022-05592-1. Epub 2022 Jun 28.

Abstract

Disruptive behaviors (DBs) are common in children with autism, affecting child and family quality of life. Parent-mediated interventions (PMIs) are a cost-effective and accessible way to decrease DBs. COVID-19 increased need for telehealth interventions. This study explored a group delivery of an evidence-based PMI (RUBI), delivered face-to-face and virtually in Israel, before and during the pandemic. Fifty-five families of children with autism and DB participated, 24 receiving face-to-face intervention and 31 receiving virtual. Outcome measures included the Aberrant Behavior Checklist and Home Situations Questionnaires. Results indicate reduction of DBs across groups, with > 50% of treatment-responders showing reliable change. This study is the first to assess RUBI outside the US among a sociodemographically diverse population, in both in-person and virtual contexts.

Keywords: Autism; Autism spectrum disorder; Disruptive behavior; Parent training; Parent-mediated intervention; RUBI.

MeSH terms

  • Autism Spectrum Disorder* / therapy
  • COVID-19*
  • Child
  • Humans
  • Pandemics
  • Parents
  • Quality of Life