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Adherence and Opportunity Frequency as Predictors of Communication Outcomes from Pivotal Response Parent Training.

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Title: Adherence and Opportunity Frequency as Predictors of Communication Outcomes from Pivotal Response Parent Training.
Authors: Minjarez, Mendy Boettcher (AUTHOR), Gengoux, Grace W. (AUTHOR), Paszek, Katherine (AUTHOR), Liang, Jennifer A. (AUTHOR), Ardel, Christina Mich (AUTHOR), Hardan, Antonio Y. (AUTHOR), Frazier, Thomas (AUTHOR)
Source: Journal of Autism & Developmental Disorders. Oct2025, Vol. 55 Issue 10, p3446-3459. 14p.
Subjects: Cross-sectional method, Children with disabilities, Secondary analysis, Research funding, Autism, Questionnaires, Multiple regression analysis, Educational outcomes, Parent-child relationships, Learning, Parent attitudes, Descriptive statistics, Psychoeducation, Longitudinal method, Communication, Asperger's syndrome, Comparative studies, Data analysis software, Behavior therapy, Language acquisition
Abstract: Purpose: Access to intervention is a barrier for children with autism. As parent-mediated interventions have emerged to address this need, understanding implementation components contributing to child gains is critically important. Existing literature documents relationships between parent treatment adherence and child progress; however, less is understood about components, such as frequency of learning opportunities, which could also affect child outcomes. Methods: This study is a secondary analysis of data from a randomized controlled trial evaluating Pivotal Response Treatment group parent training (PRTG) compared to psychoeducation. Linear regression and mediational models were employed to identify potential predictors and mediators of outcome. Results: PRTG produced large increases in adherence and learning opportunities. In general, greater frequency of learning opportunities and adherence predicted better child outcomes. The best-fitting cross-sectional mediational models indicated at least partial mediational effects, whereby increased learning opportunities mediated the relationship between greater adherence and improved child outcomes. Conclusions: This study provides preliminary evidence of how early gains in adherence may support parents to provide more frequent learning opportunities, which, in turn, yield positive effects on child social communication. Future large-scale research, with greater granularity of measurement, is needed to further understand the temporal relationships between these variables. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Adherence and Opportunity Frequency as Predictors of Communication Outcomes from Pivotal Response Parent Training.
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  Data: <searchLink fieldCode="AR" term="%22Minjarez%2C+Mendy+Boettcher%22">Minjarez, Mendy Boettcher</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gengoux%2C+Grace+W%2E%22">Gengoux, Grace W.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Paszek%2C+Katherine%22">Paszek, Katherine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Liang%2C+Jennifer+A%2E%22">Liang, Jennifer A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ardel%2C+Christina+Mich%22">Ardel, Christina Mich</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hardan%2C+Antonio+Y%2E%22">Hardan, Antonio Y.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Frazier%2C+Thomas%22">Frazier, Thomas</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Oct2025, Vol. 55 Issue 10, p3446-3459. 14p.
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  Data: Purpose: Access to intervention is a barrier for children with autism. As parent-mediated interventions have emerged to address this need, understanding implementation components contributing to child gains is critically important. Existing literature documents relationships between parent treatment adherence and child progress; however, less is understood about components, such as frequency of learning opportunities, which could also affect child outcomes. Methods: This study is a secondary analysis of data from a randomized controlled trial evaluating Pivotal Response Treatment group parent training (PRTG) compared to psychoeducation. Linear regression and mediational models were employed to identify potential predictors and mediators of outcome. Results: PRTG produced large increases in adherence and learning opportunities. In general, greater frequency of learning opportunities and adherence predicted better child outcomes. The best-fitting cross-sectional mediational models indicated at least partial mediational effects, whereby increased learning opportunities mediated the relationship between greater adherence and improved child outcomes. Conclusions: This study provides preliminary evidence of how early gains in adherence may support parents to provide more frequent learning opportunities, which, in turn, yield positive effects on child social communication. Future large-scale research, with greater granularity of measurement, is needed to further understand the temporal relationships between these variables. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10803-024-06447-7
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      – Code: eng
        Text: English
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        PageCount: 14
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      – SubjectFull: Secondary analysis
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      – SubjectFull: Research funding
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      – SubjectFull: Autism
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      – SubjectFull: Questionnaires
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      – SubjectFull: Multiple regression analysis
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              Text: Oct2025
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