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Center on Human Development and Disability


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Parents And Toddlers at Home (PATH)

Contact: Annette Estes,

Core Function: Research and Evaluation

This project will develop and test a novel approach to parent-implemented intervention for toddlers with ASD ages 12-30 months. The approach involves enhancing a manualized, parent-implemented intervention – the Parent Implemented Early Start Denver Model (P-ESDM). P-ESDM focuses on use of a coaching relationship with parents to increase social-communicative learning opportunities for their children inside highly enjoyable natural play and care-giving activities. The study involves adding several innovations to this core. The first set of innovations all involve use of empirically supported adult learning and behavior change strategies. They are: (a) stages of change and motivational interviewing to individualize parent learning; (b) use of multimodal materials to accommodate different learning styles; (c) self-monitoring using novel internet technology to enhance parent use of practices and data collection; and (d) use of novel measurement methods involving innovative technology to allow parents to record their delivery of child learning opportunities embedded in everyday activities. P-ESDM will be further enhanced by increasing the intensity of the coaching sessions, from 1 hour per week to 3 hours per week, and the duration of coaching from 12 to 24 weeks. The density of longitudinal data will also increase by gathering monthly data on child and parent learning.

University of Washington • Center on Human Development and Disability Box 357920 • Seattle WA 98195-7920 USA • 206-543-7701 •

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