Parental perspectives on the utility of a parent-administered program to treat anxiety in children with Autism Spectrum Disorder (ASD)

Abstract

Anxiety symptoms are common in children with Autism Spectrum Disorder (ASD; White, Oswald, Ollendick, & Scahill, 2009). Evidence suggests that modified Cognitive Behaviour Therapy (CBT) programs can reduce anxiety symptoms in children with ASD, but these programs are not widely accessible (Chalfant, Rappee, & Carroll, 2007). The aim of the present study was to explore parents’ perspectives of the feasibility of a parent-guided, Internet-delivered CBT (ICBT) program for the treatment of anxiety in children with ASD. Two primary research questions were explored: 1) what are potential obstacles or barriers to parents’ being able to participate in this type of program and 2) what aspects should be in place in order to help parents successfully deliver this program? Four parents of children with ASD and anxiety participated in individual interviews. Data was coded using thematic analyses. Analyses identified 4 potential barriers to success: time commitment, challenges in teaching and engaging their child, consistent delivery of the program across parents and environment, and having a good fit of program for individual and children. Parents identified 5 program features that should be provided for successful delivery: therapist support, clear explanation of terms and strategies, background and rationale for the program, inclusion of the child in the treatment, and the ability to deliver the program through multiple devices. Our findings suggest that ICBT is a feasible treatment option for parents to administer to their child with ASD and anxiety. Results will inform program development to increase the success of parents in delivering the intervention.