Caregiver implemented technology-based interventions for children with autism and developmental disabilities: a research synthesis

Families of children with developmental disabilities in rural and underserved areas may lack access to direct service providers. Global pandemics such as COVID-19 have further affected access to service providers for most children, often shifting services online and increasing the role of technology and involvement of parents and caregivers in intervention. Thus, there is a need to examine the characteristics and effects of caregiver implemented technology-based interventions for children with developmental disabilities. The present synthesis evaluates the research on caregiver implemented technology-based interventions for children with autism spectrum disorder and other developmental disabilities aged 21 or younger. A systematic search of four electronic databases resulted in 14 single-case design studies which encompassed 58 participants with a developmental disability, along with 62 caregivers. Studies used a variety of technologies and involved strategies such as computer assisted instruction, self-management, and variations of video modeling. Interventions targeted a variety of outcomes and most incorporated behavioral strategies such as prompting or positive reinforcement. Results indicate positive outcomes without overly time intensive parent training; however, it is important to consider these findings within context of methodological strength, as only four included studies utilized strong experimental methods according to the evaluative framework provided by Reichow et al. (2008). Implications for practice and recommendations for future research are provided.