L’effet de la participation au programme Let’s Play sur l’engagement des enfants autistes et le bien-être des aidants : un essai contrôlé randomisé

Titre original en anglais : The Effect of Participation in the Let’s Play Program on Autistic Children’s Engagement and Caregiver Well-Being: A Randomized Controlled Trial

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Hinten, A. E., Schlüter, P. J., Andrew, C., Donovan, C. L., Jameson, I., Jordan, P., Kennedy, A. M., Muralitharan, S., van Deurs, J., van Noorden, L., Payton, J., Rothwell, B., & McLay, L. (2026). The Effect of Participation in the Let’s Play Program on Autistic Children’s Engagement and Caregiver Well-Being: A Randomized Controlled Trial. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-026-07396-z

Date de publication: 06/07/2026 Ajout dans AutiHub: 29/08/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
13
Auteur·ices de la publication identifié·es comme autistes
1 / 13 (7,7 %)
  1. Ashley E. Hinten
  2. Philip J. Schlüter
  3. Cathy Andrew
  4. Caroline L. Donovan
  5. Isabel Jameson
  1. Phoebe Jordan *
  2. Ann-Marie Kennedy
  3. Selina Muralitharan
  4. Jenna van Deurs
  5. Lauren van Noorden
  1. Jake Payton
  2. Bella Rothwell
  3. Laurie McLay

Résumé

Résumé Objectif En Aotearoa Nouvelle-Zélande (NZ), les familles font face à des obstacles persistants pour accéder à un soutien précoce fondé sur des données probantes pour les enfants autistes. Cet essai contrôlé randomisé (ECR) a évalué l’efficacité de Let’s Play ; un programme de soutien précoce sur mesure, médiatisé par les aidants, destiné aux enfants autistes et à leurs aidants. Méthodes Cet ECR en simple aveugle (évaluateur) incluait 91 dyades parent-enfant, réparties aléatoirement dans le programme Let’s Play (soutien actif ; AS [n = 45]) ou dans un groupe témoin sur liste d’attente (WLC ; n = 46). Les participants étaient des aidants d’enfants âgés de 0 à 5 ans ayant un diagnostic formel ou des caractéristiques d’autisme. Let’s Play a été dispensé pendant 9 semaines au moyen d’ateliers de groupe et d’un accompagnement à domicile. Les principaux résultats chez l’enfant et l’aidant, évalués au départ, après le soutien et au suivi à 6 mois, comprenaient respectivement l’engagement parent-enfant et le stress parental. Résultats Les enfants ont montré des indications descriptives d’amélioration de l’engagement aidant-enfant, de la qualité de vie liée à la santé et du comportement entre le départ et l’après-soutien. Une amélioration du stress parental, des symptômes de dépression et d’anxiété, ainsi que de la compétence parentale auto-perçue, était également évidente aux différents temps d’évaluation. Toutefois, aucun effet significatif Groupe x Temps n’a été observé pour l’engagement aidant-enfant, le nombre d’énoncés ou le nombre de mots différents. Un effet Groupe x Temps était apparent pour toutes les autres variables de résultat chez l’enfant et l’aidant, soulignant les bénéfices de Let’s Play. Conclusions Cette recherche fournit des données préliminaires sur l’efficacité d’un programme de soutien précoce de faible intensité, communautaire et médiatisé par les aidants, pour la qualité de vie liée à la santé et le comportement des enfants autistes ainsi que le bien-être des aidants. Toutefois, des approches plus ciblées ou soutenues pour favoriser l’engagement aidant-enfant et la communication vocale pourraient être nécessaires pour qu’une amélioration soit observée. Enregistrement de l’essai clinique Le protocole de recherche a été enregistré de manière prospective dans le Registre australien et néo-zélandais des essais cliniques (ACTRN12622001139763).

Abstract Purpose In Aotearoa New Zealand (NZ), families face persistent barriers to accessing evidence-based early support for Autistic children. This randomized controlled trial (RCT) evaluated the effectiveness of Let’s Play; a bespoke, caregiver-mediated early support program for Autistic children and their caregivers. Methods This single-blind (rater) RCT included 91 parent-child dyads, randomly assigned to the Let’s Play program (active support; AS [n = 45]) or a waitlist control (WLC; n = 46). Participants were caregivers of children aged 0 to 5 years with a formal diagnosis or characteristics of autism. Let’s Play was delivered over 9 weeks via group workshops and in-home coaching. Primary child and caregiver outcomes, assessed at baseline, post-support, and 6-month follow-up, included parent-child engagement and parental stress, respectively. Results Children showed descriptive evidence of improvement in caregiver-child engagement, health-related quality of life and behaviour from baseline to post-support. Improvement in parental stress, depression and anxiety symptoms, and self-perceived parenting competence were also evident, across timepoints. However, there were no significant Group x Ttime effects for caregiver-child engagement, number of utterances or number of different words. A Group x Time effect was evident for all other child and caregiver outcome variables, underscoring the benefits of Let’s Play. Conclusions This research provides preliminary evidence of the effectiveness of a low-intensity, community-based, caregiver-mediated early support program for Autistic children’s health-related quality of life and behavior and caregiver well-being. However, more targeted or sustained approaches to supporting caregiver-child engagement and vocal communication may be needed for improvement to be observed. Clinical Trial Registration The research protocol was prospectively registered on the Australian New Zealand Clinical Trials Registry (ACTRN12622001139763).

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Références citées
74
Avec un DOI
68
Sans DOI, à partir du texte brut de la bibliographie
6
2 / 74 (2,7 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
4 / 74 (5,4 %)
Références avec noms d’auteurices détectés
71 / 74 (95,9 %)
Sans nom d’auteurice détecté
3
Sans titre structuré
4
Sans identifiant stable
6
Références avec noms bruts d’auteurices restant à vérifier
3
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
425
À partir du DOI ou de métadonnées externes
425
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
5
112 / 425 (26,4 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 313 / 425 (73,6 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
2 / 425 (0,5 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 2 / 112 (1,8 %). Personnes distinctes identifiées comme autistes : 2 / 388 (0,5 %).
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