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Autism Spectrum Disorder

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Pixels Or People: A Comparison Of The Differenital Effects Of Animated And Human Video Models On Exercise Behaviors For Hgh School Students With Intellectual Disability, Jade Alexis Fulkerson Jan 2024

Pixels Or People: A Comparison Of The Differenital Effects Of Animated And Human Video Models On Exercise Behaviors For Hgh School Students With Intellectual Disability, Jade Alexis Fulkerson

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Individuals with intellectual disabilities, with or without autism spectrum disorder, often require structured programming to facilitate acquisition of skills. Video modeling, an evidence-based strategy, offers a promising avenue for skill instruction. While research has demonstrated the effectiveness of human-modeled video interventions, limited research has been conducted into the efficacy of animated models. Addressing this gap, the present study employed an alternating treatments design to compare the effectiveness of human and animated models in teaching exercise behaviors to high school students with intellectual disabilities, with or without autism spectrum disorder. Results revealed variability among participants: one individual exhibited superior performance with …


Early Diagnosis Methods For Autism Spectrum Disorder: A Systematic Review, Megan Denise Mccarthy Dec 2023

Early Diagnosis Methods For Autism Spectrum Disorder: A Systematic Review, Megan Denise Mccarthy

Doctoral Dissertations

Objective: This systematic review aimed to comprehensively synthesize existing literature on early detection methods for Autism Spectrum Disorder (ASD) in children birth to 3 years, that lead to an effective and reliable early diagnosis in children 2 to 3 years of age.

Methods: A systematic search was conducted across multiple electronic databases, including PubMed, Scopus, and PsycINFO following PRISMA guidelines. Studies reporting on early detection methods for ASD in infants and toddlers within ages 0 to 3 years that lead to early diagnosis of children ages 2 to 3 years were eligible for inclusion. Data extraction and quality assessment were …


Further Evaluation Of The Effects Of Music And Rird On Vocal Stereotypy, Keith Happel Jul 2023

Further Evaluation Of The Effects Of Music And Rird On Vocal Stereotypy, Keith Happel

Theses and Dissertations

Vocal stereotypy (VS), or vocalizations that are noncontexual or nonfunctional, is commonly exhibited in individuals on the autism spectrum. The nature of vocal stereotypy may pose an issue for some individuals, ranging from social ostracization to the inability to perform daily tasks. Previous research has shown that access to matched stimulation (e.g., music) and response interruption and redirection (RIRD), a form of punishment, are effective at decreasing vocal stereotypy (Gibbs et al., 2018). However, in the aforementioned study, researchers did not evaluate a less intrusive treatment in isolation prior to implementing punishment. The purpose of the current investigation is to …


Identifying Cognitive Profiles In Children With Neurodevelopmental Disorders Using Online Cognitive Testing, Abagail Hennessy Jun 2023

Identifying Cognitive Profiles In Children With Neurodevelopmental Disorders Using Online Cognitive Testing, Abagail Hennessy

Electronic Thesis and Dissertation Repository

Neurodevelopmental disorders (NDDs), including autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD), are characterized by diverse cognitive deficits. Early identification of cognitive deficits is fundamental to improving academic and emotional/behavioural outcomes in children. Creyos has pioneered online cognitive testing which assesses working memory, attention, reasoning and verbal abilities. We developed audiovisual instructions for the task battery and implemented them in an online sample of children ages 4-16 with ADHD (n = 83), ASD (n = 37), and typically developing children (TD) (n = 86), to determine whether unique cognitive profiles would emerge. Four tasks reflective of working memory, …


Increasing Social Engagement In Children With Autism Spectrum Disorder Through Perspective Taking Skills Training, Robyn Devendorf May 2023

Increasing Social Engagement In Children With Autism Spectrum Disorder Through Perspective Taking Skills Training, Robyn Devendorf

Educational Specialist, 2020-current

The current study sought to teach the perspective-taking skill, a behavior that may require training in children with autism spectrum disorder (ASD), and contribute to an increased ability in children with ASD to engage socially. One-on-one perspective-taking intervention sessions between the examiner and a child identified with ASD took place over ten sessions. Sessions were structured with the guidance of the Social Thinking curriculum entitled, “You Are a Social Detective!”. A single-case design was employed, and results were reviewed through quantitative measures using teacher ratings on the Social Responsiveness Scale (SRS) at pre- and post-intervention. Additionally, use of the Goal …


Assessing Engagement In Bully Participant Behaviors For Children And Adolescents With Autism Spectrum Disorder, Dashae Rodriguez-Harris Jan 2023

Assessing Engagement In Bully Participant Behaviors For Children And Adolescents With Autism Spectrum Disorder, Dashae Rodriguez-Harris

Graduate Research Theses & Dissertations

Children and adolescents with autism spectrum disorder (ASD) are at an increased risk of involvement in bully participant behaviors, particularly as victims. Engagement in bully participant behaviors has been associated with a variety of poor academic, behavioral, and emotional outcomes for individuals with ASD. The current investigated the rates of involvement in bully participant behaviors engagement for youth with ASD. Additionally, the associations between social emotional competence and reported rates of bully participant behaviors were examined to determine if ratings of SEL competence by adults could be utilized to assess who is at risk of involvement in bullying without directly …


Predictors Of Attitudes About Autism Spectrum Disorder (Asd), Claire Sullivan Jan 2023

Predictors Of Attitudes About Autism Spectrum Disorder (Asd), Claire Sullivan

Masters Theses

Students with Autism Spectrum Disorder (ASD) are far less likely to enroll in secondary education than neurotypical students and students with disabilities (White et al., 2016). There is little research on the factors contributing to the reluctance of young adults on the autism spectrum to seek higher education. This study aims to answer two research questions. The first research question aims to determine if there is a predominance of negative attitudes towards ASD amongst present undergraduate college students. The second research question explores whether this could be a determining factor in a college determination for students with ASD. This current …


Eating Disorders And Autism: A Network Approach, Lillian C. King Jan 2023

Eating Disorders And Autism: A Network Approach, Lillian C. King

Undergraduate Theses, Professional Papers, and Capstone Artifacts

This paper explores the overlap of ED and ASD symptoms, and evaluates the results of a study that used network analysis to investigate pathway and core ED and ASD comorbidity symptoms. Eating Disorders (EDs) and autism spectrum disorder (ASD) have several overlapping symptoms that may inform our understanding of both disorders. Increased knowledge of the overlap of EDs and ASD can improve the treatment of EDs in those with ASD.


The Relationship Between Isolation And Social Emotional Experiences In Children With Autism Spectrum Disorder, Jana Arslan Jan 2023

The Relationship Between Isolation And Social Emotional Experiences In Children With Autism Spectrum Disorder, Jana Arslan

Electronic Theses and Dissertations

Children with ASD often face socioemotional challenges compared to their typical developing classmates (Chamberlain et al., 2006; Deckers et al., 2017; Liu et al., 2021; Locke et al, 2010; Zeedyk et al., 2015). The objective of the current study was to assess the relationship between classroom isolation and social emotional experiences (i.e., social isolation, loneliness, self-efficacy with peers, and friendship quality) in children with Autism Spectrum Disorder (ASD) through self-report surveys in order to foster the best possible academic environment for children with ASD to succeed and create outlets for further research to be developed in regards to this subject. …


Associations Between The Content And Level Of Parent Concerns Pre-Diagnosis And Timeliness Of Autism Screening And Diagnostic Evaluation Among A Diverse Sample Of Children In Part C Early Intervention, Kohrissa Joseph Aug 2022

Associations Between The Content And Level Of Parent Concerns Pre-Diagnosis And Timeliness Of Autism Screening And Diagnostic Evaluation Among A Diverse Sample Of Children In Part C Early Intervention, Kohrissa Joseph

Graduate Masters Theses

Though autism can be diagnosed as early as 18 months for many children, the current average age of diagnosis is between 3 and 4 years old. Children of color are diagnosed even later. Several studies have examined this disparity and have found that one significant contributor is pediatric providers’ screening practices. Though the American Academy of Pediatrics (AAP) recommends autism specific screening at 18- and 24-month well-child visits, many pediatricians report only screening if they are concerned or if the parent mentions a concern. In light of recent findings that Black and Latinx parents may have fewer autism-related concerns than …


Early Gaze Behaviours In Infants At High Familial Risk For Autism Spectrum Disorder: Association With Brain Development, Julia Teixeira Pinto Montenegro May 2022

Early Gaze Behaviours In Infants At High Familial Risk For Autism Spectrum Disorder: Association With Brain Development, Julia Teixeira Pinto Montenegro

Electronic Thesis and Dissertation Repository

Children diagnosed with Autism Spectrum Disorder (ASD) show impairments in gaze-following and will seldom engage in joint attention (JA). The ability to initiate JA (IJA) can be more impaired than the ability to respond to JA (RJA). In a longitudinal study, 101 high-risk infants for ASD (62% males) completed MRI scans at 4 or 6 months of age. Subcortical volumes (thalamus, basal ganglia, hippocampus, amygdala) were extracted. Gaze and JA behaviours were assessed with standardized measures. The majority of infants were IJA non-responders (n=93, 92%), and over half were RJA non-responders (n=50, 52%). In the non-responder groups, models testing the …


The Theory Of Mind Hypothesis Of Autism, Kendall Smith Jan 2022

The Theory Of Mind Hypothesis Of Autism, Kendall Smith

Undergraduate Honors Theses

Present theory of mind research suggests that autistic individuals demonstrate deficits in theory of mind capabilities. A literature review was conducted to investigate the claim made by the theory of mind hypothesis of autism that theory of mind deficits are responsible for the social deficits present in autistic individuals. It was concluded that this hypothesis was prematurely accepted as an explanatory model for autism when it is better described as a symptom of autism. Alternative explanations for autistic social deficits such as executive function deficits and the theory of weak central coherence were analyzed. Implications and suggestions for future research …


Behavioral Intervention For Eating And Exercise Challenges In Children With Autism Spectrum Disorder, Kristen G. Gibson Jan 2022

Behavioral Intervention For Eating And Exercise Challenges In Children With Autism Spectrum Disorder, Kristen G. Gibson

Psychology Doctoral Specialization Projects

Autism Spectrum Disorder is a neurodevelopmental disability characterized by deficits in social-emotional reciprocity, deficits in nonverbal communicative behaviors relied on for social interactions, deficits in developing, maintaining, and understanding relationships, as well as restricted and repetitive patterns of interest and behavior, and sensitivity to certain sensory inputs. Individuals with Autism Spectrum Disorder are at an increased risk for multiple medical health concerns when compared to typically developing individuals, including overweight and obesity. Childhood obesity is a significant public health concern in the U.S. While many efforts have been made to prevent childhood obesity, few have been designed to align with …


Applied Behavior Analysis Therapy For Children With Autism Spectrum Disorder And The Impact Of Environment On Treatment Outcomes, James Adkins Jan 2022

Applied Behavior Analysis Therapy For Children With Autism Spectrum Disorder And The Impact Of Environment On Treatment Outcomes, James Adkins

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) effects growing numbers of children and effective treatment is essential for families to overcome the challenges associated with ASD. Applied behavior analysis treatment has been tailored to address the unique learning needs of children with ASD. The purpose of this study was to examine the extent to which treatment environment impacted language milestones and barriers among children with ASD. Behaviorism and applied behavior analysis served as the framework for the study. A nonexperimental quantitative mixed design with two independent variables was used. The between-subjects independent variable was type of treatment environment (home vs. clinic). The within-subjects …


Examining The Effects Of An Online Social Skills Program Targeting Emotional Regulation Skills For A Young Adult With An Autism Spectrum Disorder: A Single Case Study., Danielle Curtis Jan 2022

Examining The Effects Of An Online Social Skills Program Targeting Emotional Regulation Skills For A Young Adult With An Autism Spectrum Disorder: A Single Case Study., Danielle Curtis

All Graduate Theses, Dissertations, and Other Capstone Projects

Social skills deficits have been identified as a core feature deficit in individuals with autism. Several studies have identified the implications that arise when social skills deficits are ignored, such as poor academic performance and challenges with social adjustment. Therefore, it is imperative that professionals find effective interventions to compete with challenges faced in the social environment. The present study uses a behavioral skills training model to teach emotion regulation through video modeling. The results provide potential support for reducing difficulties with emotional regulation. In addition, there were improvements in reducing problematic internalizing behaviors and increases in self-control behaviors.


Sexism And Severity: An Examination Of Teacher's Attitudes About Autism Symptomology In The Classroom, Kaitlyn Niederstadt Dec 2021

Sexism And Severity: An Examination Of Teacher's Attitudes About Autism Symptomology In The Classroom, Kaitlyn Niederstadt

Psychology and Counseling Theses

Girls continue to be underdiagnosed and under-researched in the study of autism spectrum disorder (ASD). This is the result of a systemized preference towards masculine symptomology of ASD examined and created to diagnose ASD. The ideas produced by the research trickle down to teachers who then are in charge of flagging students for signs of ASD, however this step is not only limited by understanding, but their own inherent gender biases on behaviors. Our sample consisted of 139 current or former teachers. Each participant received one of three, (varying from severity levels and gender), rating scale of behavior association, rating …


The Predictive Influence Of Challenging Behavior On Parent Stress In Young Children With Autism Spectrum Disorder, Paige Weir Nov 2021

The Predictive Influence Of Challenging Behavior On Parent Stress In Young Children With Autism Spectrum Disorder, Paige Weir

LSU Master's Theses

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication, restricted interest, and repetitive patterns of behavior. Individuals with ASD also exhibit challenging behaviors that affect parent and caregiver stress directly. However, researchers have not yet examined the predictive influence of specific challenging behaviors on parent stress, particularly in young children (i.e., infants and toddlers) with ASD. Therefore, the current study expands existing literature by a) investigating the influence that challenging behaviors of young children with ASD have on parent stress and b) examining the unique contribution that each behavior (i.e., aggressive/disruptive behavior, stereotypy, and self-injurious …


A Functional Analysis Of Physical Activity In Children With Autism Spectrum Disorder, Nicole Ramirez May 2021

A Functional Analysis Of Physical Activity In Children With Autism Spectrum Disorder, Nicole Ramirez

Thesis Projects

The Centers for Disease Control and Prevention (2017) recognizes the staggering rates of obesity affecting children and adolescents in the United States. Children with autism spectrum disorder (ASD) have a higher risk of obesity than neurotypical children (Kahathuduwa et al., 2019). The CDC (2017) acknowledges the lack of physical activity as a major factor leading to obesity. This investigation aims to determine the effectiveness of a reinforcer in increasing the levels of physical activity in children diagnosed with ASD. A subsequent aim is to address a measurement limitation identified in Knerr (2020) by using both an observation recording system as …


Early Adversity And Positive Parenting: Predicting Executive Functioning In Children With Asd, Elizabeth A. Kuenzel Apr 2021

Early Adversity And Positive Parenting: Predicting Executive Functioning In Children With Asd, Elizabeth A. Kuenzel

Electronic Thesis and Dissertation Repository

Children with Autism Spectrum Disorder (ASD) are statistically more likely to experience early adversity; however, little is known about which types of adversity are most prevalent, the role of parenting as a protective factor, and how this early life stress impacts cognitive outcomes. We assessed adversity and parenting styles in 238 children (ASD=82) aged 6–16 years using parent report. Intellectual abilities were assessed using the WISC-V. Children with ASD had increased incidence of familial stressors compared to Typically Developing (TD) children. Positive parenting was associated with significant decreases in familial adversity for all children. Environmental stressors were associated with cognitive …


Creating Sanctuary Schools For Students Diagnosed With Autism Spectrum Disorder, Kerri Newton Jan 2021

Creating Sanctuary Schools For Students Diagnosed With Autism Spectrum Disorder, Kerri Newton

PCOM Psychology Dissertations

The purpose of this project is to develop a Guidebook for school systems on how to help students diagnosed with Autism Spectrum Disorder (ASD) feel most safe when they are integrated into and participate in classrooms providing general education. The Sanctuary Model provides a framework that can be applied to school communities to address the unique needs of students diagnosed with autism. As a framework, it can provide these communities with a blueprint of how to encourage participation from students with autism so they too can benefit from learning how to identify not only their feelings but the feelings of …


Parenting A Child With Autism: Predictors Of Parental Self-Efficacy, Robert Milton Guy Jan 2021

Parenting A Child With Autism: Predictors Of Parental Self-Efficacy, Robert Milton Guy

Walden Dissertations and Doctoral Studies

As the rate of children being diagnosed with autism spectrum disorder (ASD) increases, so too does the number of parents learning to cope with their child’s disability and its effects on their own health, well-being, and parental self-efficacy. The purpose of this study was to determine the extent to which subjective social status, parental social supports, and fatigue were factors predicting parental self-efficacy in parents of children diagnosed with ASD residing in the state of Oregon. Bandura’s social cognitive theory was used to frame this study. The sample for this study consisted of 120 parents of children diagnosed with ASD …


The Efficacy Of Art And Movement Treatment Modalities On An Individual With Autism Spectrum Disorder, Tristen Valentino Jan 2021

The Efficacy Of Art And Movement Treatment Modalities On An Individual With Autism Spectrum Disorder, Tristen Valentino

Graduate Student Theses, Dissertations, & Professional Papers

Current statistics report 1 in 54 children have been identified with Autism Spectrum Disorder (ASD), many of whom have co-occurring mental health disorders. However, minimal research has been conducted on adults with autism with co-occurring mental health disorders and the efficacy of art and movement therapy techniques. This is the case study by Tristen Valentino, clinical therapist, of a client, David Smith (who was given the pseudonym to maintain confidentiality), a 35-year-old, obese, single, cisgender, heterosexual, Caucasian, male. The implications of this case study are discussed relative to the diagnosis and treatment of adults with ASD who possess comorbid clinical …


Autistic Traits And Cognitive Biases For Emotional Faces In Neurotypicals, Meara Stow Oct 2020

Autistic Traits And Cognitive Biases For Emotional Faces In Neurotypicals, Meara Stow

Electronic Thesis and Dissertation Repository

Cognitive biases can involve the tendency to extract some sensory inputs while ignoring others. Cognitive biases impact perception, and subsequent processing decisions made on the basis of perception. Cognitive biases can disrupt accurate and efficient processing of social information, and may underlie core features of social communication difficulties. How cognitive biases contribute to atypical social processing associated with autism spectrum disorder (ASD) traits is unknown. We examined whether cognitive biases for emotional faces were related to scores from the Autism-Spectrum Quotient (AQ), and whether our measures of cognitive biases from a dot- probe paradigm with concurrent eye tracking were comparable. …


Parent-Teacher Relationship Quality As A Predictor Of Changes In Externalizing Behaviors At School For Children With Asd, Lana Andoni Aug 2020

Parent-Teacher Relationship Quality As A Predictor Of Changes In Externalizing Behaviors At School For Children With Asd, Lana Andoni

Graduate Masters Theses

Children with Autism Spectrum Disorder (ASD) exhibit high rates of externalizing behaviors compared to children with other disabilities and typically developing peers. These behavioral challenges may impede their ability to successfully transition into school settings. Higher quality relationships between parents and clinicians working with children with ASD have been shown to yield positive student outcomes. Additionally, parent involvement is considered to play a critical role in the success of interventions for children with ASD. Teachers may benefit from parents’ extensive knowledge about their child and parents may benefit from greater knowledge of school behavior plans to promote continuity of behavior …


Parenting Children With Autism Spectrum Disorder : Child Symptom Behaviors, Stigma, And Parental Stress Among Minorities And Non-Minorities, Kayla Renee Breeden May 2020

Parenting Children With Autism Spectrum Disorder : Child Symptom Behaviors, Stigma, And Parental Stress Among Minorities And Non-Minorities, Kayla Renee Breeden

Theses, Dissertations and Culminating Projects

The current study examines how children with Autism Spectrum Disorder’s symptom behaviors, enacted stigma, and race influences their parents’ experiences with stress. 50 parents and guardians of children with ASD completed an online survey with 93-items composed of four sections: (1) demographic data, (2) symptom behaviors experienced by their child, (3) enacted stigma, and (4) parental stress. The purpose of the current study was to (a) evaluate the differences of ASD symptom behaviors, enacted stigma, and parental stress between minority and non-minority racial groups, and (b) examine whether the symptom behaviors and enacted stigma of children with Autism Spectrum Disorder …


Using The Question-Answer Relationship Strategy To Improve Listening Comprehension In Young Children With Autism Spectrum Disorder, Lisa A. Phalen Apr 2020

Using The Question-Answer Relationship Strategy To Improve Listening Comprehension In Young Children With Autism Spectrum Disorder, Lisa A. Phalen

Communication Disorders & Special Education Theses & Dissertations

A well-established research base indicates that many children diagnosed with autism spectrum disorder (ASD) experience deficits in reading comprehension skills. There is currently limited research which examines the relation between the communication and language impairments in ASD and emergent literacy skills in early childhood. Listening comprehension has been identified as one emergent literacy skill closely linked to reading comprehension development. The purpose of the study is to examine the effects of the question-answer relationship strategy (QAR) and QAR cue cards as a shared book reading intervention package on the listening comprehension skills of children with ASD. A single-subject concurrent multiple-baseline …


Feelings Of Incompleteness As Linking Obsessive-Compulsive Disorder And Autism Spectrum Disorder: An Examination Using A Computerized Approach-Avoidance Task, Sarah R. Lee Jan 2020

Feelings Of Incompleteness As Linking Obsessive-Compulsive Disorder And Autism Spectrum Disorder: An Examination Using A Computerized Approach-Avoidance Task, Sarah R. Lee

Graduate Research Theses & Dissertations

This dissertation examines the construct of incompleteness as it relates to both Obsessive-

Compulsive Disorder (OCD) and Autism Spectrum Disorder (ASD). Incompleteness is a

construct which was developed to describe symptoms of OCD which are not accounted for using

a traditional, harm-avoidance and fear-based conceptualization. Unlike harm-avoidance based

OCD, in which an individual engages in compulsions to prevent some feared outcome,

individuals with incompleteness-based OCD engage in compulsions to resolve an internal feeling

that their experience is uneven, asymmetrical, incomplete, or not-just-right.

Recently, researchers have begun to examine feelings of incompleteness in the context of

other disorders, such as ASD. …


Sibling Mediated Play Intervention Of Joint Engagement And Symbolic Play In Children With Autism Spectrum Disorder, Catherine Callaci Jan 2020

Sibling Mediated Play Intervention Of Joint Engagement And Symbolic Play In Children With Autism Spectrum Disorder, Catherine Callaci

CMC Senior Theses

The study will utilize a multiple baseline design to assess a sibling mediated play intervention using Behavior Skills Training (BST) to increase joint engagement (JE) and symbolic play (SP) behaviors in children with autism spectrum disorder (ASD). JE will be operationalized as turn-taking, imitation, or following through on verbal commands to play. SP will be operationalized as play actions with objects for imaginative uses, without the actual objects present, or labeling abstract properties of the object. Six siblings of children with ASD will be taught BST during playtime. JE and SP occurrences will be scored via a 15 second partial …


Discovering Motor Phenotypes In Autism Spectrum Disorder: A Cross-Syndrome Approach, Daniel Edwin Lidstone Dec 2019

Discovering Motor Phenotypes In Autism Spectrum Disorder: A Cross-Syndrome Approach, Daniel Edwin Lidstone

UNLV Theses, Dissertations, Professional Papers, and Capstones

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder with a behavioral phenotype characterized by persistent deficits in social communication and social interaction accompanied by restricted, repetitive patterns of behaviors, interests, or activities. Currently in the US, approximately 2.5% of children have a diagnosis of ASD. The etiology of ASD is complex, however the disorder does have a strong genetic basis. Specific genetic mutations can lead to neuroanatomical and neurophysiological changes during development resulting in a behavioral phenotype that falls along the ASD spectrum and may result in a diagnosis of ASD. The severity of ASD-specific behaviors falls on a continuum …


Creative Arts-Based Parents Training Program For Parents Of Children With Autism Spectrum Disorder, Jung Eun Park Dec 2019

Creative Arts-Based Parents Training Program For Parents Of Children With Autism Spectrum Disorder, Jung Eun Park

Expressive Therapies Dissertations

This study evaluated the impact of the Creative Arts-based Parents’ Training (CAPT) program. The 6-week long, creative arts therapy-based program and its impact on parental stress and sense of competence for parents of children with Autism Spectrum Disorder (ASD) was examined. Korean Parenting Stress Index Short-Form (K-PSI-SF) and Korean-Parenting Efficacy Test (K-PET) were used as quantitative measurements. Qualitative data were also collected for the experimental group (n = 17) using questionnaires, art journaling, and a 30 min focus group interview. The control group (n = 15) only participated in quantitative measurements. There was no difference in age between …