Enhancing Early Intervention For Caregivers of Autistic Children with Online Reciprocal Imitation Training Learning Modules

In this study, we taught caregivers of four young autistic children to implement Reciprocal Imitation Training (RIT), a focused naturalistic developmental behavioral intervention (NDBI), using a hybrid approach in which we combined online modules with in vivo coaching. Early Intervention (Part C) services are often the first to support autistic children; therefore, providers must focus on training caregivers to deliver NDBIs such as RIT, within daily activities that are meaningful to the family in the home. We used a multiple-probe design to examine the effect of home visits enhanced by online modules completed before the coaches’ arrival. Results indicated caregivers acquired intervention procedures effectively after approximately six coaching sessions. While most caregivers maintained acceptable fidelity levels, outcomes for children varied, with mixed results in spontaneous imitation. We discuss considerations for providers delivering NDBIs, including factors that impacted outcomes, barriers to intervention, and recommendations for Part C services.