Parent-Mediated Intervention for Autistic Children Offered Through In-Person and Telepractice Modalities

The COVID-19 pandemic thrust telepractice into the mainstream as a primary service delivery model. While some populations and providers were adversely impacted by this shift, there were some intervention approaches that became even more popular. Parent-mediated intervention (PMI) has been shown to be effective through both in-person and telepractice service delivery models. With PMI, caregivers learn language facilitation strategies and implement them with their child. Project SKILLS (Skills and Knowledge for Language Learning Success) is a PMI program for autistic children funded by a state-level autism grant program. The primary goal of SKILLS is training caregivers in language facilitation techniques to promote communication and language skills. It uses the Project ImPACT (Improving Parents as Communication Teachers) curriculum that is commercially available and supported by previous research. SKILLS also includes variations for neurodiversity-affirming practice and culturally and linguistically diverse families. Project SKILLS has offered both in-person and telepractice delivery since its inception in 2016, making it possible to compare results across the two modalities. Project SKILLS has successfully implemented PMI for autistic children through both in-person and telepractice sessions. Clinically, children have made similar gains in social communication and language regardless of the modality. Caregivers also demonstrated similar progress with intervention fidelity, with some added advantages for families participating via telepractice. Telepractice may become a preferred service delivery model of PMI, especially for families living in geographically inaccessible locations with limited access to qualified providers.