Abstract
The OT-ParentShip program offers a research-backed protocol for OTs to support parents of autistic adolescents. A pragmatic randomized controlled trial found that OT-ParentShip significantly improved parental resilience, self-determination, and functioning of parents and adolescents.
Primary Author and Speaker: Batel Wachspress
Contributing Authors: Shlomit Tsafrir, Adina Maeir, Tal Mazor-Karsenty
Parents of autistic adolescents are at risk for low parental competence and decreased sense of autonomy, facing challenges in parent-child relationships. OT-ParentShip an intervention program for these parents, employs a comprehensive multidimensional approach to address various factors affecting the functioning of both the parent and their adolescent. This study aimed to assess the effectiveness of OT-ParentShip in promoting parental resilience and self-determination, as well as parent and adolescent functioning. Two group, pragmatic randomized controlled trial. Thirty-nine participants were recruited, 21 were randomly assigned to OT-ParentShip intervention (research group) and 18 to an online psycho-educational intervention (control group). Results were analyzed before intervention (T0), immediately after (T1) and three months post intervention (T2), measuring perception of performance, parental resilience and self-determination aspects. Significant improvement was found in performance and satisfaction at daily functioning from T0 to T1 for parents and adolescents in both groups, and a significant time X group interaction effect was found indicating a greater improvement in the research group. A significant time X group interaction effect was detected in parental resilience, the research group exhibited a significant improvement in this area, in contrast to the control group. The research group exhibited significant improvement in self-determination aspects from T0 to T1 compared to the control group, along with a time X group interaction effect in the competence index. Results were maintained three months post intervention (T2) in the research group. OT-ParentShip program offers a research-backed, structured protocol for OTs to support parents of autistic adolescents. Results validate OT-ParentShip’s effectiveness, demonstrating enhancement in parent and adolescent attainment of functional goals and improved parental resilience and parental self-determination.
Dieleman, L. M., De Pauw, S. S., Soenens, B., Mabbe, E., Campbell, R., & Prinzie, P. (2018). Relations between problem behaviors, perceived symptom severity and parenting in adolescents and emerging adults with ASD: The mediating role of parental psychological need frustration. Research in Developmental Disabilities, 73, 21–30.
Kahlon, E., Wachspress, B., Berger, I., Maeir, A., & Mazor-Karsenty, T. (2023). A qualitative study on parents of autistic adolescents’ experience of OT-ParentShip: A family-centred intervention. Australian Occupational Therapy Journal, 70(5), 627–640.
Wachspress, B., Maeir, A., & Mazor-Karsenty, T. (2019). Content Validity of the Parentship Protocol: A Multidimensional Intervention for Parents of Adolescents with High-Functioning Autism Spectrum Disorder. Physical & Occupational Therapy in Pediatrics, 39(4), 373–387.
Wachspress, B., Berger, I., Maeir, A., & Mazor-Karsenty, T. (2024). Feasibility of OT-Parentship: An intervention for parents of adolescents with autism. British Journal of Occupational Therapy, 3080226241229298.
