Background:
Parent-mediated telehealth interventions can provide caregivers of children with autism spectrum disorder (ASD) with support and the training required to care for autistic children. Although many studies demonstrated the effects of telehealth on autistic children, metaanalyses of the benefits to parents are lacking. Aim: To examine the effects of telehealth on parents of autistic children in terms of fidelity in parents and problem behaviors in autistic children.
Methods:
We conducted a systematic search in PubMed, EMBASE, and Cochrane library in July 2022. Data were analyzed using RevMan 5.4, and changes in implementation fidelity, selfefficacy, and stress in parents and behavioral problems in autistic children were compared and quality assessment was conducted.
Results:
17 controlled trials were included in this meta-analysis. The parent implementation fidelity (p = .003, CI = 0.58-2.74) and self-efficacy (p = .005, CI = 0.11-0.63) significantly increased and parent stress (p = .02, CI = -1.23 to -0.10) and children's problem behaviors significantly decreased (p = .002, CI = -2.70 to -0.60) in the telehealth group compared with the control group. Eight articles indicated the feasibility of using telehealth interventions. No significant differences were noted between the telehealth and face-to-face groups.
Conclusion:
Telehealth interventions improved the implementation fidelity and self-efficacy and reduced the stress of parents of autistic children. However, the differences in their effects between the telehealth and face-to-face groups must be analyzed in future studies.
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