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Community early interventionists delivered the program (n=10) or usual care (n=9) based on Part C assigned providers to 25 families, with children averaging 22.76 months. Measures were collected at intake, after 3 months, and after a 3-month follow-up, showing greater gains in positive parent-child interactions and large, non-significant effects for children’s social and communication skills.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/project-impact-for-toddlers-pilot-outcomes-of-a-community-adaptation-of-an-intervention-for-autism-risk/594934/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/project-impact-for-toddlers-pilot-outcomes-of-a-community-adaptation-of-an-intervention-for-autism-risk/594934.png","ImageObject",300,407,{"name":92,"@type":93},"Mary Man","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-10-15",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is Project ImPACT for Toddlers?","Question",{"text":112,"@type":113},"It is a parent-mediated, naturalistic developmental behavioral intervention designed for children with or at risk for autism spectrum disorder, developed through a research–community partnership.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the pilot trial conducted in the community?",{"text":117,"@type":113},"Community early interventionists delivered Project ImPACT for Toddlers to families (n=10) or usual care (n=9) based on Part C assigned providers. 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Community early interventionists delivered either Project ImPACT for Toddlers (n = 10) or Usual Care (n = 9) to families based on Part C assigned provider. Twenty-five families participated, with children averaging 22.76 months old (SD = 5.06). Family and child measures were collected at intake, after 3 months of service, and after a 3-month follow-up. Results indicate significantly greater improvements in positive parent–child interactions for Project ImPACT for Toddlers than usual care families, as well as large, but non-significant, effect sizes for Project ImPACT for Toddlers families in children’s social and communication skills.  \nLay abstract  \nThis study reports how well children and families did after participating in a community program as part of an early study of an intervention called Project ImPACT for Toddlers that is a parent-led intervention with research support that can be done during regular activities. A group of community providers, parents, and researchers worked together to help the intervention fit a community program for children with or at-risk for autism spectrum disorder. Community early interventionists delivered either Project ImPACT for Toddlers (n = 10) or did what they usually do (usual care; n = 9) with families based on their training. Twenty-five families participated, with children averaging 22.76 months old. Parents and children completed some tests and play activities when they started the program, after 3months of service and after a 3-month follow-up. Results show greater improvements in positive parent–child interactions for Project ImPACT for Toddlers than usual care families, and somewhat more change for Project ImPACT for Toddlers families in children’s social and communication skills.  \nKeywords  \nautism spectrum disorders, family functioning and support, interventions—psychosocial/behavioral  \nChildhood developmental, social, and communicative challenges often indicate possibility of future identification of neurodevelopmental challenges such as autism spectrum disorder (ASD 1 ; Landa, Holman, & GarrettMayer, 2007; Zwaigenbaum et al., 2005) . These issues represent a significant public health challenge, with one in four children estimated to be at risk for developmental, social, or behavioral delays (Altevogt, Hanson, & Leshner, 2008), which are associated with ongoing linguistic, educational, and social difficulties (BriggsGowan & Carter, 2008; Stothard, Snowling, Bishop, Chipchase, & Kaplan, 1998) . These toddlers are increasingly likely to receive an ASD diagnosis, which is rising  \n1 University of California, Davis, USA  \n2Child and Adolescent Services Research Center (CASRC), USA  \n3San Diego State University, USA  \n4Fielding Graduate University, USA  \n5MB Speech Therapy, USA  \n6Profectum Academy, USA  \n7TERI Crimson Center for Speech & Language, USA  \n8University of California, San Diego, USA  \n9Rady Children’s Hospital–San Diego, USA  \nCorresponding author:  \nAubyn C Stahmer, Department of Psychiatry and Behavioral Science, MIND Institute,","cbCaidkU61UX0xnx","https://ap.wps.com/l/cbCaidkU61UX0xnx","pdf",673185,16,"English","# Abstract\n# Lay abstract\n# Keywords\n# Background and rationale\n## Developmental and public health challenge\n## Gaps in community toddler interventions\n## Need for early capacity building\n## Potential impact of early intervention","[{\"question\":\"What is Project ImPACT for Toddlers?\",\"answer\":\"It is a parent-mediated, naturalistic developmental behavioral intervention designed for children with or at risk for autism spectrum disorder, developed through a research–community partnership.\"},{\"question\":\"How was the pilot trial conducted in the community?\",\"answer\":\"Community early interventionists delivered Project ImPACT for Toddlers to families (n=10) or usual care (n=9) based on Part C assigned providers. Twenty-five families participated, and outcomes were measured at intake, after 3 months, and after a 3-month follow-up.\"},{\"question\":\"What outcomes improved most in the intervention group?\",\"answer\":\"Project ImPACT for Toddlers showed significantly greater improvements in positive parent–child interactions compared with usual care, with large but non-significant effect sizes for children’s social and communication skills.\"}]","Project ImPACT for Toddlers: Pilot outcomes of a community adaptation of an intervention for autism risk | PDF",1792080123]