BLOG POST

The Power of Parent-Implemented ABA

Published on 1 September 2023 | ABA Simplified

As behavior analysts, we understand the vital role parental involvement plays in the success of ABA programs. Yet, sometimes, we fall short of taking advantage of its full potential. I used to dedicate just an hour a week to parent training, often with families who were keen in being more involved. Then, COVID-19 happened, dramatically shifting ABA service delivery across the world. I couldn’t work directly with the children anymore; everything had to be telehealth-based. Amid this learning curve, as parents took over facilitating sessions, I witnessed a remarkable change in progress across the board. This experience led me to adopt parent-implemented ABA as my go-to approach for service delivery.

What is Parent-Implemented ABA and is it an Evidence-Based Practice?

As the name suggests, simply put, it is the parent implementing ABA programs instead of the RBT (or equivalent), under the supervision of the BCBA. The National Professional Development Center (NPDC) recognizes Parent-Implemented Intervention as an Evidence-Based Practice (EBP). Research demonstrates that Parent-Implemented interventions can effectively be used to teach a wide range of skills, including social, communication, joint attention, behavior, school readiness, play, cognitive, adaptive, and academic skills. A recent study (Sneed & Samelson, 2022) found that the group that used parent implemented ABA exhibited a significant increase in parental self-efficacy while the practitioner-led group did not, supporting the use of parent-implemented ABA Therapy. Another recent meta-analysis (Cheng et al., 2022), involving 2,895 children, concluded that parent-implemented interventions had moderately strong benefits compared with usual treatment and waitlist conditions.

Who is Parent-Implemented ABA Suitable For?

Parent-implemented ABA is a valuable option for various reasons, not just when stuck at home during lockdown. Consider this approach if:

  1. The family resides in a rural area without nearby ABA clinics.
  2. Insurance won’t cover services.
  3. Traditional ABA services are unaffordable.
  4. There’s a shortage of available RBTs.
  5. Extensive waitlists for services are a barrier.
  6. Parents desire a more active role in their child’s therapy.

How Does Parent-Implemented ABA Work?

The aim of parent-implemented ABA is to empower parents with basic ABA skills, enabling them to support and teach their children effectively. Although some parents can take time out of their schedules to work one-on-one with their child, this is usually not practical. Instead, we can use Naturalistic Environment Teaching (NET), using naturally occurring learning opportunities to target relevant skills! Since parents will facilite learning opportunities throughout the day, we can provide services at a significantly lower intensity than traditional ABA.

So, how do we make low-intensity parent-implemented ABA work? Let’s say that the child has a goal of motor imitation. We can ask the parents to include their child when they are meal-prepping as an example. If they are mixing ingredients in a bowl using a whisk, encourage them to give their child an opportunity to imitate them. The same goes for if they are washing the dishes or loading the dishwasher. Encourage them to include their child in as much of their daily routines as possible! Similarly, if the child is working on identifying community helpers, parents can create opportunities while out and about. If they are at a restaurant, they can work on finding the waiter. If they are at the bank, parents can ask “Where’s the teller?” If they are headed to the supermarket, they can identify the cashier!

In my experience, as parents became more spontaneous with identifying and creating learning opportunities, I’d also see them getting creative with their SDs and targets. I saw stimulus and response generalization occurring much quicker than in traditional settings.

    

Have you given parent-implemented ABA a shot? Share your experiences with me at srishti@abasimplified.com – I’d love to hear from you!

References
  1. Amsbary, J., & AFIRM Team. (2017). Parent implemented intervention. Chapel Hill, NC: National Professional Development Center on Autism Spectrum Disorders, FPG Child Development Center, University of North Carolina. Retrieved from http://afirm.fpg.unc.edu/parent-implemented-intervention
  2. Cheng, W. M., Smith, T. B., Butler, M., Taylor, T. M., & Clayton, D. (2022). Effects of parent-implemented interventions on outcomes of children with autism: A meta-analysis. Journal of Autism and Developmental Disorders, 1-17.
  3. Sneed, L., & Samelson, D. (2022). Effectiveness of parent-led applied behavior analysis at improving outcomes for parents of autistic children. Journal of Social, Behavioral, and Health Sciences, 16(1), 160–177. https://doi.org/10.5590/JSBHS.2022.16.1.12

Recent Posts

Archives

Comments

No comments to show.

Follow ABA Simplified