Evidence map›Paper›PMID 41849025›Full record

ArticleJournal of autism and developmental disorders2026

FIRST STEPS: A Pilot Randomized Study Analyzing the Preliminary Efficacy of the Incredible Years for Autism Spectrum and Language Delays (IY-ASLD

Fátima Valencia-Agudo, Laia Villalta-Macià, Elena Urbiola-Merina, Alexandra Garriz-Luis, Laura López-Moreno, Mar Rivas-Rodríguez, Mara Parellada, Marina Romero-González

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In one paragraph

Article in Journal of autism and developmental disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04358484 (Protocol for a Randomized Pilot Study), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT04358484 naunknown statusnot on this map

Protocol for a Randomized Pilot Study (FIRST STEPS): Implementation of the Incredible Years-ASLD® Program in Spanish Preschoolers With Autism and Premature Children With Communication or Socialization Difficulties

TypeinterventionalSponsorFundació Sant Joan de DéuRan2020 to 2021Enrolled72ConditionsAutism Spectrum Disorder, Language Delay, PrematurityArmsIncredible Years - ASD and Language Delay®
3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Fátima Valencia-AgudoDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Laia Villalta-MaciàDepartment of Child and Adolescent Mental Health, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain. Laia.villalta@sjd.es.
Elena Urbiola-MerinaDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Alexandra Garriz-LuisDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Laura López-MorenoDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Mar Rivas-RodríguezDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Mara ParelladaDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Marina Romero-GonzálezChild and Adolescent Mental Health Unit, Hospital Regional Universitario de Málaga, Málaga, Spain.

Funding

Fundación Alicia Koplowitz Ayudas a la investigación 2019
6 · The paper itself

Abstract

purposeHaving access to parenting interventions in the early years is key to improve developmental outcomes of children with neurodevelopmental problems. The Incredible Years

methodsThe FIRST STEPS study is a multicenter, pilot randomized controlled trial. Sixty-two families of children with autism spectrum disorder and preterm children with communication and/or socialization difficulties (aged 2-5 years) were recruited. Due to the COVID-19 pandemic, the intervention was performed online. A generalized estimating equations model was conducted.

resultsNo significant differences in parental stress ([Formula: see text] = 2.01, [Formula: see text]0.640), depressive symptoms ([Formula: see text] = - 1.42, [Formula: see text]0.437), child psychopathology ([Formula: see text] = 0.74, [Formula: see text]0.886) ), positive parenting [Formula: see text] = 2.25, [Formula: see text]0.076) or total expressed emotion ([Formula: see text] = - 0.10, [Formula: see text]0.605) were found between groups at T2. In terms of expressed emotion at T2, a significant interaction was observed between positive comments at T1 (a subscale of the expressed emotion tool) and study group ([Formula: see text] = 0.75, [Formula: see text]0.007).

conclusionFuture studies should analyze the efficacy of the program using a larger sample. Families showing higher levels of expressed emotion might need more support during the therapy groups to improve this variable.

trial registrationThe protocol for the study was registered in ClinicalTrials.gov (ID number: NCT04358484. Unique Protocol ID: PIC-220-19).

Indexed as

AutismEarly intervention.Parent-based interventionsPreterm birthRandomized controlled trial

Identifiers

PMID41849025

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