Evaluation of a Pyramidal Parent Training Model in Albania

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parent training, autism, Albania


Introduction: Parenting a child with a disability presents a challenge for parents worldwide. In countries that have limited resources, the challenges of raising a child with autism can be overwhelming. Parent training is one method of providing services to parents and models that account for the realities in developing countries are needed.

Method: 20 parents were trained on three intervention strategies. The study used a quasi-experimental design with three pretest conditions and three posttest conditions. The parents were randomly assigned to a training tier where they were trained by either a professional or another parent.

Results: Significant changes on the pre-post measures were found. Parents indicated that this training strategy was aligned with their cultural values and that they believed the goals and outcomes of the training were effective.   

Conclusion: Pyramidal training represents a training method to help disseminate behavioral interventions to parents in countries with limited resources.  


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Boyd, B. A., McDonough, S. G., & Bodfish, J. W. (2012). Evidence-based behavioral interven-tions for repetitive behaviors in autism. Journal of Autism and Developmental Disor-ders, 42, 1236-1248. doi:10.1007/s10803-011-1284-z DOI: https://doi.org/10.1007/s10803-011-1284-z

Cook, J. L., Rapp, J. T., Mann, K. R., McHugh, C., Burji, C., & Nuta, R. (2017). A practitioner model for increasing eye contact in children with autism. Behavior Modification, 41(3), 382-404. DOI: https://doi.org/10.1177/0145445516689323

Cuko, O., Kulla, F., & Kasapi, E. (2012). Inclusive education in Albania–Analytical study. Tira-na, Albania: Save the Children.

Dibra, G., Osmanaga, F., & Bushati, J. (2013). Students’ attitudes toward disability. Europe-an Scientific Journal, 9, 214-224.

Duka, A., & Tati, E. (2012). Differentiated or “in-dividual” teaching for children with special needs, now a necessary reality even in Alba-nian education. Mediterranean Journal of Social Sciences, 3(9), 271-274.

Emerson, E. (2007). Poverty and people with in-tellectual disabilities. Mental Retardation and Developmental Disabilities Research Reviews, 13, 107-113. doi:10.1002/mrdd.20144 DOI: https://doi.org/10.1002/mrdd.20144

Fujiura, G. T., Park, H. J., & Rutkowski-Kmitta, V. (2005). Disability statistics in the developing world: A reflection on the meanings in our numbers. Journal of Applied Research in In-tellectual Disabilities, 18, 295-304. doi:10.1111/j.1468-3148.2005.00268.x DOI: https://doi.org/10.1111/j.1468-3148.2005.00268.x

Goforth, A. N., Farmer, R. L., Kim, S. Y., Naser, S. C., Lockwood, A. B., & Affrunti, N. W. (2021). Status of school psychology in 2020: Part 1, demographics of the NASP member-ship survey. NASP Research Reports, 5(2), 1-17.

Gould, K. M., Harper, J. M., Gillich, E., & Luiselli, J. K. (2019). Intervention, stimulus control, and generalization effects of response inter-ruption and redirection on motor stereotypy. Behavioral Interventions, 34(1), 118-126. DOI: https://doi.org/10.1002/bin.1652

Hansen, B. D., Orton, E. L., Adams, C., Knecht, L., Rindlisbaker, S., Jurtoski, F., & Trajkovski, V. (2017). A pilot study of a behavioral parent training in the Republic of Macedonia. Jour-nal of Autism and Developmental Disorders, 47, 1878-1889. DOI: https://doi.org/10.1007/s10803-017-3112-6

Hustyi, K. M., Ryan, A. H., & Hall, S. S. (2023). A scoping review of behavioral interventions for promoting social gaze in individuals with autism spectrum disorder and other devel-opmental disabilities. Research in Autism Spectrum Disorders, 100, 1-18. doi:10.1016/j.rasd.2022.102074 DOI: https://doi.org/10.1016/j.rasd.2022.102074

Jacobson, J. W., Mulick, J. A., & Green, G. (1998). Cost-benefit estimates for early intensive behavioral intervention for young children with autism: General model and single state case. Behavioral Interventions, 13, 201-226. doi:10.1002/(SICI)1099-078X(199811)13:4<201::AID-BIN17>3.0.CO;2-R DOI: https://doi.org/10.1002/(SICI)1099-078X(199811)13:4<201::AID-BIN17>3.0.CO;2-R

Jimerson, S. R., Steward, K., Skokut, M., Car-denas, S., & Malone, H. (2009). How many school psychologists are there in each coun-try of the world? International estimates of school psychologists and school-psychologist-to-student ratios. School Psy-chology International, 30(6), 555-567. doi:10.1177/0143034309107077 DOI: https://doi.org/10.1177/0143034309107077

Kuhn, S. A. C., Lerman, D. C., & Vorndran, C. M. (2003). Pyramidal training for families of children with problem behavior. Journal of Applied Behavior Analysis, 36(1), 77-78. doi:10.1901/jaba.2003.36-77 DOI: https://doi.org/10.1901/jaba.2003.36-77

Leaf, J. B., Cihon, J. H., Javed, A., Klick, S., Fergu-son, J. L., Milne, C., ... & McEachin, J. (2022). A call for discussion on stereotypic behavior. European Journal of Behavior Analysis, 23(2), 156-180. DOI: https://doi.org/10.1080/15021149.2022.2112810

Lee, J. D., Meadan, H., & Oyunbaatar, E. (2022). Parent peer coaching program: A cascading intervention for parents of children with au-tism in Mongolia. Autism, 26(8), 1999-2014. DOI: https://doi.org/10.1177/13623613211070636

Merkaj, V., Kika, M., & Simaku, A. (2013). Symp-toms of stress, depression and anxiety be-tween parents of autistic children and par-ents of typically developing children. Aca-demic Journal of Interdisciplinary Studies, 2(2), 345-352. doi:10.5901/ajis.2013.v2n2p345 DOI: https://doi.org/10.5901/ajis.2013.v2n2p345

Murillo, L. (2014). Perspectives on disability and community engagement in Albania: Devel-oping mutual understanding through the sharing of individual narratives. (Un-published doctoral dissertation). University of San Francisco, San Francisco, CA.

Wallace, S., Fein, D., Rosanoff, M., Dawson, G., Hossain, S., Brennan, L., & Shih, A. (2012). A global public health strategy for autism spectrum disorders. Autism Research, 5, 211-217. doi:10.1002/aur.1236 DOI: https://doi.org/10.1002/aur.1236

Neef, N. A. (1995). Pyramidal parent training by peers. Journal of Applied Behavior Analysis, 28(3), 333-337. doi:10.1901/jaba.1995.28-333 DOI: https://doi.org/10.1901/jaba.1995.28-333

Palombi, L., Marazzi, M. C., Mancinelli, S., Sal-labanda, A., & Buonomo, E. (1996). Disabil-ity and the need for rehabilitative facilities in the young Albanian population of the Lezha district. Functional Neurology, 11(6), 301-306.

Polick, A. S., Carr, J. E., & Hanney, N. M. (2012). A comparison of general and descriptive praise in teaching intraverbal behavior to children with autism. Journal of Applied Behavior Analysis, 45(3), 593-599. DOI: https://doi.org/10.1901/jaba.2012.45-593

Radoman, V., Nano, V., & Closs, A. (2006). Pro-spects for inclusive education in European countries emerging from economic and other trauma: Serbia and Albania. European Jour-nal of Special Needs Education, 21(2), 151-166. doi:10.1080/08856250600600794 DOI: https://doi.org/10.1080/08856250600600794

Sadiku, M. (2014). A tradition of honor, hospitali-ty and blood feuds: Exploring the Kanun customary law in contemporary Albania. Balkan Social Science Review, 3, 93-115.

Tarifa, F. (2008). Of time, honor, and memory: Oral law in Albania. Oral Tradition, 23(1), 3-14. doi:10.1353/ort.0.0017 DOI: https://doi.org/10.1353/ort.0.0017

Tomori, S., Gjikopulli, A., Como, A., & Sotiri, E. (2013). Child and adolescent mental health from a global perspective: The case of Alba-nia. Romanian Journal of Psychopharmacol-ogy, 13, 217-224.



How to Cite

Hansen, B. (2023). Evaluation of a Pyramidal Parent Training Model in Albania. Journal of Health and Rehabilitation Sciences, 2(2), 1–9. https://doi.org/10.33700/jhrs.2.2.79



Autism Research