TY  - JOUR
AB  - Background: Children with an autism spectrum disorder (ASD) diagnosis have high rates of behaviors such as aggression, oppositional behaviors, and tantrums. Despite effectiveness of interventions for these behavior challenges in a considerable number of autistic children, there is little information on stakeholder perspectives about available interventions. The present study preliminarily characterized caregiver perspectives on intervention for behavior challenges in school-age autistic children. Method: 321 caregivers of autistic children completed a survey about interventions used to address behavior challenges. Kruskal-Wallis rank-sum tests and subsequent pairwise comparisons using a Wilcoxon rank-sum test with False-Discovery Rate-adjusted p-values (q<0.05) were conducted for caregiver ratings of interventions. Thematic analysis was conducted for caregivers? open-ended suggestions for improving interventions. Results: Caregivers indicated limited approval of attempted interventions. For children with an IQ ? 70, the omnibus test was significant for caregiver ratings of intervention helpfulness (?2(8) = 38.707, q<0.001, ?2 = 0.017) with medications and Collaborative & Proactive Solutions (CPS; Greene, 2010) therapy rated highest, and was significant for caregiver ratings of amount of improvement maintained over time (?2(8) = 46.013, q<0.001, ?2 = 0.020) with medications, CPS, applied behavioral analysis (ABA), and ?other interventions? rated highest. For children with an IQ < 70, pairwise tests revealed no significant differences. Caregivers suggested improvements at the systems, provider, caregiver/family, and child/intervention levels. Conclusions: Caregivers? limited approval of interventions used to address behavior challenges suggests the need for improved intervention options. While medications and ABA are standard-of-care interventions, CPS may be a caregiver-preferred and efficacious option that is underutilized among autistic children with an IQ ? 70.
AU  - Tschida, JE
AU  - Maddox, BB
AU  - Bertollo, JR
AU  - Kuschner, ES
AU  - Miller, JS
AU  - Ollendick, TH
AU  - Greene, RW
AU  - Yerys, BE
DA  - 2021/03/01
DO  - 10.1016/j.rasd.2020.101714
JO  - Research in Autism Spectrum Disorders
PB  - Elsevier BV
PY  - 2021/03/01
SP  - 101714
TI  - Caregiver perspectives on interventions for behavior challenges in autistic children
VL  - 81
Y1  - 2021/03/01
Y2  - 2026/05/22
ER  -