Evidence map›Paper›PMID 40059993›Full record

ArticleJCPP advances2025

Caregiver strategies before intervention moderate caregiver fidelity and maintenance in RCT of JASPER intervention with autistic toddlers.

Wendy Shih, Amanda Gulsrud, Connie Kasari

Registry-linked trialAbstract read
In one paragraph

Article in JCPP advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03883139 (Personalized, Responsive Intervention Sequences for Minimally Verbal Children With Autism), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT03883139 naactive not recruitingnot on this map

Personalized, Responsive Intervention Sequences for Minimally Verbal Children With Autism

TypeinterventionalSponsorUniversity of California, Los AngelesRan2021 to 2027Enrolled140ConditionsAutism Spectrum DisorderArmsJASPER, DTT (Discrete Trial Training)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

3 authors.

Wendy ShihUniversity of California-Los Angeles Los Angeles California USA.ORCID https://orcid.org/0000-0003-2930-4043
Amanda GulsrudUniversity of California-Los Angeles Los Angeles California USA.
Connie KasariUniversity of California-Los Angeles Los Angeles California USA.

Funding

Understanding Repetitive Behavior in AutismP50HD055784 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BOOKHEIMER, SUSAN Y · 2007 to 2021
$32.0M
Personalized, Responsive Intervention Sequences for Minimally Verbal Children with Autism (PRISM)R01HD095973 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KASARI, CONNIE L. · 2019 to 2024
$3.2M
Community-based Adaptive autism Intervention for ToddlersR01HD098248 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KASARI, CONNIE L. · 2019 to 2024
$2.9M
NICHD NIH HHS P50 HD055784NICHD NIH HHS R01 HD095973NICHD NIH HHS R01 HD098248
6 · The paper itself

Abstract

Background: Interventions facilitated by caregivers have gained popularity among those caring for young children with autism. Instructing caregivers on specific techniques to foster social communication skills in their at-risk or diagnosed autistic children has the potential to alleviate concerns about their children's development. Moreover, it can offer a more intensive early intervention compared to what community providers alone can deliver. This study seeks to explore the correlation between caregiver strategies employed prior to participating in a caregiver-mediated intervention and the caregiver's fidelity to the intervention, as well as its sustainability during the follow-up period and child outcomes. This study constitutes a secondary analysis of a randomized controlled trial that compared the joint attention, symbolic play, engagement, and regulation (JASPER) and Psychoeducational Education Intervention (PEI), revealing significant advancements in children's social communication skills with the JASPER intervention. Methods: Eighty-six children (average age 31.5 months) with ASD and their primary caregivers enrolled in the two armed randomized trial evaluating the effect of JASPER versus PEI. Generalized linear mixed models were used to model the longitudinal trajectories of the outcomes. Results: Results indicated that caregivers in the JASPER intervention made more gains in overall JASPER strategies and individual domain strategies (environment, prompt, communication, mirrored pacing) compared to the caregivers in PEI ( Conclusion: In summary, understanding caregiver style of interaction before intervention on caregiver fidelity and maintenance from exit to follow up and child progress is important to improving intervention uptake and child outcomes.

Indexed as

autismcaregiverearly intervention

Identifiers

PMID40059993
PMCPMC11889649

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LicenceCC BY
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Registered trials

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.