Cooperative parent mediated therapy for Italian children with autism spectrum disorder: a clinical experimental study in a community healthcare service in Italy.

Frontiers in child and adolescent psychiatry Pub Date : 2025-07-01 eCollection Date: 2025-01-01 DOI:10.3389/frcha.2025.1544344
Alessandra Carta, Laura Casula, Salvatorica Manca, Mariangela Valentina Puci, Giuseppina Puseddu, Elisa Fucà, Giovanni Sotgiu, Stefano Vicari, Stefano Sotgiu, Giovanni Valeri
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Abstract

Introduction: This Clinical Experimental Study aimed to evaluate the effectiveness of Cooperative Parent Mediated therapy (CPMT), a targeted parent-coaching program for Autism Spectrum Disorder (ASD), in Community Healthcare Service in Italy.

Methods: Forty children with ASD and their parents were randomly assigned to treatment conditions: the Control group received Individual Treatment As Usual (TAU Control group); while CPMT group received weekly parent-child sessions in addition to Individual TAU. Primary blinded outcomes were 6-months post-intervention change in parent-child interaction scores. Secondary outcomes included ASD symptom severity, adaptive functioning and parental stress levels. Baseline and post-treatment evaluations, at 6 months of follow up, were performed by an independent team.

Results: CPMT group showed significant add-on benefits on parent-child interactions, severity of autism symptoms, adaptive skills and parental stress level.

Discussion: This study provides preliminary evidence for the effectiveness of the CPMT model also in community services, representing a further step forward in research on the implementation of therapy for ASD in community healthcare service.

意大利儿童自闭症谱系障碍的合作父母调解治疗:意大利社区卫生服务的临床实验研究
前言:本临床实验研究旨在评估合作父母介导疗法(CPMT)在意大利社区卫生服务中针对自闭症谱系障碍(ASD)的针对性父母辅导项目的有效性。方法:将40例ASD患儿及其父母随机分为两组:对照组接受常规个体治疗(TAU对照组);而CPMT组除了单独的TAU外,每周还接受亲子会议。主要盲法结果是干预后6个月亲子互动评分的变化。次要结局包括ASD症状严重程度、适应功能和父母压力水平。基线和治疗后的评估,在6个月的随访,由一个独立的团队进行。结果:CPMT组在亲子互动、自闭症症状严重程度、适应技能和父母压力水平上有显著的附加效果。讨论:本研究为CPMT模式在社区服务中的有效性提供了初步证据,代表了在社区卫生服务中实施ASD治疗的研究又向前迈进了一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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