{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:31:50Z","timestamp":1786692710644,"version":"build-2736575974"},"reference-count":42,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T00:00:00Z","timestamp":1680652800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    Autistic children experience reduced participation in life activities. One factor that may contribute to their reduced levels of participation is anxiety, which is identified at higher rates among young autistic children than among their neurotypical peers. Anxiety is also strongly associated with sensory overresponsivity and has a considerable impact on daily functioning.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To determine the feasibility, acceptability, and usefulness of a small-group, parent-mediated intervention to prevent and reduce anxiety.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design:<\/jats:bold>\n                    Pre\u2013post.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    University research center.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants:<\/jats:bold>\n                    Three parents of autistic children (ages 4\u20137 yr).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Outcomes and Measures:<\/jats:bold>\n                    Parents completed a six-session group training program. Parents completed an anxiety scale for their child before and after parent training. At the end of training, parents participated in a focus group and were interviewed 4 mo after training.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Positively received aspects of the intervention were the benefits of a small group, composed of parents of autistic children, run by a facilitator with expertise in autism and anxiety. Parents gained knowledge, resulting in \u201ctaking a different approach\u201d with their child and \u201cseeing an interplay between anxiety and autism.\u201d After the intervention, parents reported a reduction in children\u2019s reported anxiety levels.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    Knowledge of autism and anxiety acquired during a parent-mediated group increased parents\u2019 understanding of their child\u2019s behaviors and assisted them in supporting their child\u2019s participation. Further research, including larger studies, is required to determine the effectiveness of this intervention.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>What This Article Adds:<\/jats:bold>\n                    The findings from this research provide preliminary support for the adaptation of an existing parent intervention (Cool Little Kids) to reduce anxiety among autistic children. Parents reported an increased awareness and understanding of anxiety and of the interplay between anxiety and autistic traits.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Positionality Statement:<\/jats:bold>\n                    This article uses the identity-first language\n                    <jats:italic toggle=\"yes\">autistic people.<\/jats:italic>\n                    This nonableist language describes their strengths and abilities and is a conscious decision. This language is favored by autistic communities and self-advocates and has been adopted by health care professionals and researchers (\n                    <jats:xref ref-type=\"bibr\">Bottema-Beutel et al., 2021<\/jats:xref>\n                    ;\n                    <jats:xref ref-type=\"bibr\">Kenny et al., 2016<\/jats:xref>\n                    ).\n                  <\/jats:p>","DOI":"10.5014\/ajot.2023.050031","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T11:08:08Z","timestamp":1680692888000},"page":"255-265","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["A Parent-Mediated Anxiety Intervention Specifically Tailored for Autistic Preschoolers: A Pilot Study"],"prefix":"10.1177","volume":"77","author":[{"given":"Kate","family":"Simpson","sequence":"first","affiliation":[{"name":"Kate Simpson, PhD, MSpecEd, BOccThy, is Program Director, Postgraduate in Autism Studies, Autism Centre of Excellence, Griffith Institute for Educational Research, Griffith University, Brisbane, Queensland, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"Adams","sequence":"additional","affiliation":[{"name":"Dawn Adams, PhD, DClinPsy, PGDip, BSc (Hons), is Director, Autism Centre of Excellence, Griffith Institute for Educational Research, Griffith University, Brisbane, Queensland, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Malone","sequence":"additional","affiliation":[{"name":"Stephanie A. Malone, PhD, is Senior Lecturer, Autism Centre of Excellence, Griffith Institute for Educational Research, Griffith University, Brisbane, Queensland, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madonna","family":"Tucker","sequence":"additional","affiliation":[{"name":"Madonna Tucker, PhD, DClinPsy, PGDip, BSc (Hons), is Director, Psychcaresolutions, Brisbane, Queensland, Australia. At the time of the study, Tucker was Research and Assessment Manager, AEIOU Foundation, Brisbane, Queensland, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron M.","family":"Rapee","sequence":"additional","affiliation":[{"name":"Ron M. Rapee, PhD, MSc (Psych), AM, FASSA, is Distinguished Professor, School of Psychological Sciences, Centre for Emotional Health, Macquarie University, New South Wales, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqui","family":"Rodgers","sequence":"additional","affiliation":[{"name":"Jacqui Rodgers, PhD, is Chair in Psychology and Mental Health, Population Health Sciences Institute, Sir James Spence Institute, Newcastle University, Newcastle, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,5]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-019-03932-2"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2020.102192"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-020-04673-3"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0257223"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsp.2018.07.003"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.2246"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40489-020-00226-7"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361318794031"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-021-05162-x"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2014.682006"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40489-014-0040-7"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.1963"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0741932517730645"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/aut.2020.0014"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2020.102191"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/1034912X.2020.1727420"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361318786721"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/01942638.2012.747581"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/13623613211033757"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-011-1361-3"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13237"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.713982"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361317734692"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361315588200"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/cpsp.12009"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2019.02.014"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-019-04049-2"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-018-1293-z"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1037\/cap0000101"},{"key":"e_1_3_2_31_1","volume-title":"Qualitative research and evaluation methods","author":"Patton M. Q.","year":"2015","unstructured":"Patton M. Q. (2015). Qualitative research and evaluation methods (4th ed.). Sage.","edition":"4"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.73.3.488"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2010.09111619"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-016-2924-0"},{"key":"e_1_3_2_35_1","unstructured":"Rodgers J. Wigham S. McConachie H. Freeston M. Honey E. & Parr J. (n.d.). Anxiety Scale for Children\u2013Autism Spectrum Disorder (ASC\u2013ASD)\u00a9: Guidelines for use. https:\/\/research.ncl.ac.uk\/cargo-ne\/Scoring%20Guidelines%20ASC-ASD%20Parent%20%20Child%20versions.pdf"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.1603"},{"key":"e_1_3_2_37_1","volume-title":"Social Communication Questionnaire","author":"Rutter M.","year":"2003","unstructured":"Rutter M., Bailey A., , & Lord C. (2003). Social Communication Questionnaire. Western Psychological Services."},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/13623613221081188"},{"key":"e_1_3_2_39_1","doi-asserted-by":"publisher","DOI":"10.15453\/2168-6408.1648"},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-017-0687-7"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.2395"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2021.101763"},{"key":"e_1_3_2_43_1","volume-title":"International classification of functioning, disability and health: Children and youth version (ICF\u2013CY)","author":"World Health Organization","year":"2007","unstructured":"World Health Organization. (2007). International classification of functioning, disability and health: Children and youth version (ICF\u2013CY). World Health Organization."}],"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2023.050031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5014\/ajot.2023.050031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/research.aota.org\/ajot\/article-pdf\/doi\/10.5014\/ajot.2023.050031\/77320\/7702185100.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2023.050031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:08:25Z","timestamp":1786691305000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5014\/ajot.2023.050031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,5]]},"references-count":42,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.5014\/ajot.2023.050031"],"URL":"https:\/\/doi.org\/10.5014\/ajot.2023.050031","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,5]]}}}