The impact of caregiver-mediated JASPER on child restricted and repetitive behaviors and caregiver responses.
Clare Harrop, Amanda Gulsrud, Wendy Shih and 2 others
PMID 27910235WHAT IT FOUND
Child restricted and repetitive behaviors did not change overall after caregiver-mediated JASPER added to a 30-hour early intervention program.
Caregivers in JASPER responded more often and more successfully than caregivers in the education group immediately after treatment.
Key findings
01Total child RRBs remained stable from entry to exit, with no significant interaction between intervention group and time.
02Caregivers in JASPER added to the 30-hour early intervention program increased their responses to child RRBs more than caregivers in PEI from entry to exit.
03Caregiver responses were rated as more successful after intervention in both groups, with a modest greater increase in JASPER compared with PEI, both added to the 30-hour early intervention program.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study did not ask caregivers whether training changed how they responded to RRBs. Both interventions were low intensity: one hour a week for 10 weeks, added to a 30-hour-a-week early intervention program. Only a single 10-minute play interaction was coded at each time point, which may miss some RRBs, especially higher-order behaviors. Groups were not equivalent at entry: JASPER children were younger and had higher object RRB rates. Only three dyads did not complete the 10 weeks of intervention, and 10 dyads did not complete follow-up assessments.
The easy way to misread this
Do not read JASPER as an RRB treatment. It was added to a 30-hour early intervention program, total child RRBs did not change from entry to exit, and both groups showed increased RRBs at 6 months follow-up.