Evidence map›Paper›PMID 30203308›Full record

Trial reportJournal of autism and developmental disorders2019

Enhancing Low-Intensity Coaching in Parent Implemented Early Start Denver Model Intervention for Early Autism: A Randomized Comparison Treatment Trial.

S J Rogers, A Estes, L Vismara, J Munson, C Zierhut, J Greenson, G Dawson, M Rocha, C Sugar, D Senturk and 2 more

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of autism and developmental disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Co-Designing a Digital Coach-Supported Parenting Program for Internalising Problems in Autistic Children.European journal of investigation in health, psychology and education · 2026
    Article
  14. Article
  15. Parental Insightfulness and Its Association With Social Competence in Autistic and Non-Autistic Children.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  16. Detecting change in a caregiver-mediated autism intervention using the Joint Engagement Rating Inventory.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

S J RogersUniversity of California Davis MIND Institute, Sacramento, CA, USA. sjrogers@ucdavis.edu.ORCID http://orcid.org/0000-0003-0755-2900
A EstesUniversity of Washington, Seattle, WA, USA.
L VismaraUniversity of California Davis MIND Institute, Sacramento, CA, USA.
J MunsonUniversity of Washington, Seattle, WA, USA.
C ZierhutUniversity of California Davis MIND Institute, Sacramento, CA, USA.
J GreensonUniversity of Washington, Seattle, WA, USA.
G DawsonDuke University, Durham, NC, USA.
M RochaUniversity of California Davis MIND Institute, Sacramento, CA, USA.
C SugarUniversity of California, Los Angeles, Los Angeles, CA, USA.
D SenturkUniversity of California, Los Angeles, Los Angeles, CA, USA.
F WhelanUniversity of California, Los Angeles, Los Angeles, CA, USA.
M TalbottUniversity of California Davis MIND Institute, Sacramento, CA, USA.

Funding

Autism Speaks 8089Autism Speaks 8376
6 · The paper itself

Abstract

Short-term low intensity parent implemented intervention studies for toddlers with autism spectrum disorder (ASD) have found it difficult to demonstrate significantly improved developmental scores or autism severity compared to community treatment. We conducted a randomized comparative intent-to-treat study of a parent implemented intervention to (1) test the effects of an enhanced version on parent and child learning, and (2) evaluate the sensitivity to change of proximal versus distal measures of child behavior. We randomized 45 children with ASD, 12-30 months of age, into one of two versions of parent-implemented Early Start Denver Model (P-ESDM), the basic model, in which we delivered 1.5 h of clinic-based parent coaching weekly, and an enhanced version that contained three additions: motivational interviewing, multimodal learning tools, and a weekly 1.5-h home visit. We delivered the intervention for 12 weeks and measured child and parent change frequently in multiple settings. We found a time-by-group interaction: parents in the enhanced group demonstrated significantly greater gains in interaction skills than did parents in the non-enhanced group. Both interventions were associated with significant developmental acceleration; however, child outcomes did not differ by group. We found a significant relationship between degree of change in parental interaction skill and rate of children's improvement on our proximal measure. Parents in both groups reported satisfaction with the intervention. These findings suggest that parent skills improved more in the enhanced group than the comparison group. Children in the two groups showed similar improvements. Rate of individual parent learning was associated with greater individual child progress on a measure quite proximal to the treatment, though not on standardized assessments.

Indexed as

Child DevelopmentParentsAutistic DisorderChild, PreschoolEarly Intervention, EducationalEarly Medical InterventionFemaleHumansInfantMaleMentoringAutismEarly interventionESDMParent-implemented interventionToddlers

Identifiers

PMID30203308

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.