Parental Characteristics Research Articles

Transition of clinical biomarker status from childhood into adolescence-A prospective study in children from eight European countries.

Understanding factors influencing clinical biomarkers is important for the prevention of chronic disease. This study aimed to estimate transitions of biomarker status from childhood to adolescence and to identify determinants of biomarker status in early life in a prospective children cohort. Our sample comprised 1295 children participating in the baseline (2007/08) and second follow-up examination (2013/14) of the multi-center IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS)/I.Family study. Clinical blood biomarkers including glycated hemoglobin A1c (HbA1c), high-density lipoprotein cholesterol (HDL-cholesterol), triglycerides, C-reactive protein (CRP), interleukin 6, ferritin, leptin and insulin-like growth factor 1 (IGF-1) were repeatedly measured in 2007/2008 (age range: 3.0 to <10.0 years) and in 2013/2014. Latent transition analysis was used to estimate biomarker statuses and transition probabilities; determinants of biomarker status were estimated using mixed-effects models. Four distinct biomarker statuses were identified: (1) "normal" (all biomarkers low/medium; except HDL-cholesterol; reference), (2) "low leptin/IGF-1/HbA1c", (3) "dyslipidemia/high leptin" and (4) "inflammation". Children classified as "low leptin/IGF-1/HbA1c" at baseline were most likely to stay in this status (89.8%) or to change to the "normal" status (10%) during follow-up. Compared to "normal" children, children classified as "low leptin/IGF-1/HbA1c" were less likely to have a family history of diabetes (0.26 [0.08;0.86]; odds ratio (OR) and 95% confidence interval) or hypertension (0.53 [0.29;0.99]) and the children (0.32 [0.27;0.38]) as well as their mothers (0.93 [0.88;0.98]) had a lower BMI. Children from families with low/medium education had a 55% [9%-119%] higher risk of being in the "dyslipidemia/high leptin" and 49% [1%-121%] higher risk of being in the "inflammation" status as compared to children in the "normal" status. Membership in a sports club reduced the latter risks by 28% [2%-47%] and 40% [17%-56%], respectively. European children showed distinct phenotypes for the investigated biomarkers. Especially parental characteristics like a family history of diabetes or hypertension, a high maternal BMI, or low/medium education were associated with unfavorable biomarker status in children.

Direct and indirect relationships between Food Parental Practices, diet quality, and food satisfaction in adolescents

IntroductionThe relationship between four parental feeding practices from the Comprehensive Feeding Practices Questionnaire for adolescents (CFPQ-Teen) and Satisfaction With Food-related Life (SWFoL) in adolescents was evaluated using diet quality measured using the Adapted Healthy Eating Index (AHEI) as a mediating variable.MethodsParticipants were 860 adolescents aged 10–16 years of both sexes who responded to four factors on the CFPQ-Teen, food satisfaction scale, and diet quality index. Structural equation analysis was used in a structural mediation model on a polychoric correlation matrix using the weighted least squares mean-variance adjusted (WLSMV) method.ResultsDiet quality was a mediating factor in the interaction between two parental practices related to parental modeling and adolescent control over SWFoL. There was evidence of a direct relationship between monitoring and restrictive factors for weight control and SWFoL.ConclusionsThe findings indicated that the association between parental feeding practices and food satisfaction may be direct or mediated by diet quality in adolescents.

An Evaluation of Self-Assessed Caregiver Readiness to Foster and Adopt After Participating in the National Training and Development Curriculum

ABSTRACT Purpose The self-assessment is a component of the National Training and Development Curriculum (NTDC) used by resource (i.e. foster, adoptive, and kinship) parents to understand strengths and areas of potential growth associated with successful parenting. This outcome evaluation assesses changes in caregiver self-assessment results after receiving the NTDC classroom-based training. Materials and methods Resource parents from six U.S. states completed the self-assessment at baseline before the NTDC classroom-based training and 90 days after completing the training. Regression analyses were conducted for 20 training competencies and 14 parenting characteristics, controlling for demographic and caregiver characteristics and using propensity-score weights to account for potential bias from attrition between completion of the self-assessment at baseline and follow-up. The number of participant responses in the analytic sample varied across the training competencies and parenting characteristics, with an average of n = 321 responses per construct. Results All training competencies and parenting characteristics observed statistically significant improvements in participant scores from baseline to follow-up, with average training competency scores improving by 11% and parenting characteristic scores by 5%. Discussion These results suggest that the NTDC classroom-based curriculum may help caregivers to develop knowledge and skills in content areas related to effective parenting. Conclusion The NTDC self-assessment seems to function as intended for participants to understand areas of strength and potential growth in a variety of training competencies and parenting characteristics associated with effective parenting.

Size-Dependent Separation of Extracellular Vesicle Subtypes with Exodisc Enabling Proteomic Analysis in Prostate Cancer.

Extracellular vesicles (EVs) are emerging as crucial biomarkers in cancer diagnostics and therapeutics with their heterogeneity presenting both challenges and opportunities in prostate cancer research. However, existing methods for isolating and characterizing EV subtypes have been limited by inefficient separation and inadequate proteomic analysis. Here we show an optimized centrifugal microfluidic device, Exodisc, that efficiently isolates large quantities of EV subtypes from particle-enriched medium, enabling comprehensive proteomic analysis of small (EV-S, 20-200 nm) and large (EV-L, >200 nm) EVs. Using this device, we successfully separated EV-S and EV-L from prostate cancer cell lines LNCaP and PC3. Mass spectrometry-based proteomics revealed that EV proteins reflect parental cell characteristics more than EV size, with EV-L demonstrating increased expression of PSMA-correlated proteins. Our optimized protocol addresses challenges in EV isolation and characterization, providing a more effective method for studying cellular and molecular mechanisms of specific EV subtypes. This study extends the potential use of EVs as a liquid biopsy for cancer theranostics, paving the way for more precise isolation of EV subtypes and potentially leading to improved biomarker discovery and the development of personalized treatments.

Relationship between children’s autism spectrum disorder and parental anxiety and burnout

Objective: To determine the association between children’s autism spectrum disorder with parental anxiety and burnout in Karachi, Pakistan. Methods: A cross-sectional study was conducted at Baqai Institute of Health Sciences, Baqai Medical University from December 2022, to November, 2023. Data collection was performed at three rehabilitation centers for autistic children in Karachi. The study population consisted of parents of autistic children. GAD-7 and Parental Burnout Assessment scales were used to assess the anxiety and burnout level among parents. Data were analyzed using SPSS version 21. Results: The study results showed that 49 (24.5%) parents had moderate anxiety while 38 (19.0%) had severe anxiety. Besides, 36 (18.0%) of them were at risk of burnout while 8 (4.0%) were diagnosed with burnout. Furthermore, gender of child (p=0.01), father’s age (p=0.015) and type of family (p=0.001) were significantly associated with the anxiety level whereas father’s age (p=0.036), father’s education (p=0.006) and type of family (p=0.046) were significantly associated with the burnout level of the parents. Conclusion: This study results showed significant association of certain child and parental characteristics such as child’s gender, father’s age and type of family with parental anxiety level and of father’s age, father’s education and type of family with parental burnout. doi: https://doi.org/10.12669/pjms.41.2.9979 How to cite this: Akram M, Naqvi SMZH, Jameel N. Relationship between children’s autism spectrum disorder and parental anxiety and burnout. Pak J Med Sci. 2025;41(2):366-371. doi: https://doi.org/10.12669/pjms.41.2.9979 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The Role of Parental Education, Intelligence, and Personality on the Cognitive Abilities of Gifted Children

Several studies have indicated that parental education predicts children’s intelligence. In contrast, fewer studies have simultaneously analyzed the role of parental intelligence, education, and personality in shaping their children’s giftedness. This study investigated the effects of parental education, cognitive abilities (based on CHC theory), and personality traits (based on the Five-Factor Model) on the expression of gifted children’s cognitive abilities. Sixty-five gifted children (IQ ≥ 120) aged 6 to 14 years (M = 9.91 years; SD = 2.24 years) were assessed using the WISC-IV, while parents (65 mothers, M = 44.00 years; SD = 4.20 years, and 61 fathers, M = 45.70 years; SD = 5.40 years) completed the WAIS-IV and the Big-Five Inventory. The results indicated that maternal education was a key predictor of children’s Verbal Comprehension Index (VCI) in bivariate analyses, though its effect was not robust in multivariate models. Children’s Perceptual Reasoning Index (PRI) was associated with maternal conscientiousness, and fathers’ short-term memory (Gsm) emerged as the primary predictor of children’s Working Memory Index (WMI). Maternal processing speed (Gs) was the strongest predictor of children’s Processing Speed Index (PSI) across both bivariate and multivariate analyses. While personality traits, such as maternal conscientiousness, played a role in facilitating visual-spatial reasoning, their effects were weaker compared to cognitive and educational factors. The findings obtained, which are only partly consistent with data in the literature, highlight the domain-specific influence of parental characteristics on children’s giftedness and underscore the need for further research into the interplay of genetic, cognitive, and environmental factors.

Portrait of Verbal Violence against Children During the Pandemic: Descriptive Study Based on Child and Parent Characteristics

Verbal violence is still a major problem in the world which is exacerbated by the COVID-19 pandemic. However, verbal violence can cause psychological instability for the recipient, such as low self-esteem, heartbreak, frustration, stress, depression, and even mental disorders. This study aims to identify various forms of verbal violence against children during the pandemic, using a descriptive research design and Cross Tabulation between Parental Characteristics, and Child Characteristics with Types of Verbal Violence. This study was conducted on April 20-27, 2021, involving 65 respondents from grades 4, 5, and 6 selected through simple random sampling and the Issac formula. Data collection was carried out using a modified ICAST-C questionnaire. The results showed that male gender, children with the first birth order, children aged over 11 years, grades 5-6 of elementary school, having more than one sibling, and the number of family members in one house is more than 4, dominate the occurrence of verbal violence. Children with parents as farmers and low incomes experienced more verbal violence which was exacerbated by sudden financial changes. The study concluded that child and parent characteristics, high expectations supported by financial instability, and sudden environmental changes contribute greatly to verbal abuse.

A Cross-sectional Study Assessing Gastrointestinal Symptoms, Eating Behavior and Parental Quality of Life in Chinese Infants Consuming Goat Milk-Based Formula or Cow’s Milk-Based Formula

Objectives: Gastrointestinal (GI) symptoms affect approximately half of infants and can adversely impact infants’ and parents’ quality of life. In this cross-sectional study, infants fed goat milk-based infant formula (GMF) and infants fed cow’s milk-based infant formula (CMF) were compared regarding milk-related symptoms, eating behavior and their parents’ quality of life (QOL). Methods: Healthy Chinese infants aged &lt;6 months, who were either exclusively GMF- (n=303) or CMF-fed (n=464), were included. Parents completed four questionnaires: Cow’s Milk-related Symptom Score (CoMiSS®), Infant Gastrointestinal Symptom Questionnaire (IGSQ), World Health Organization Quality of Life (WHOQOL-BREF) questionnaire, and Baby Eating Behavior Questionnaire (BEBQ). Composite scores were compared between infants consuming GMF and CMF using Poisson regression or ANCOVA models. Results: Infants, mean age 87.8 days, scored low on overall CoMiSS® (median 2, IQR 0-4) and IGSQ (median 16, IQR 14-20), indicating low occurrence of symptoms. The overall CoMiSS® was lower in GMF-fed infants compared to CMF-fed infants (p&lt;0.001), specifically driven by crying (p=0.006), skin eczema (p=0.014) and urticaria (p=0.039). Parents of GMF-fed infants experienced better QOL regarding social relationships compared to parents of CMF-fed infants (p=0.038). Differences in eating behavior were seen in food responsiveness (p=0.003) and slowness in eating (p=0.005). No differences were seen on total IGSQ and total WHO-QOL. Conclusions: Both infants consuming GMF and CMF showed normal scores on GI symptoms, eating behavior and their parents’ quality of life. Infants consuming GMF experience less milk-related symptoms than infants consuming CMF, based on lower CoMiSS® scores.

Parental Factors Associated With Measles-Mumps-Rubella Vaccination in US Children Younger Than 5 Years.

Objectives. To determine the association between parental characteristics and MMR (measles-mumps- rubella) vaccination status of children in the United States. Methods. We conducted a cross-sectional study from July 2023 to April 2024 using a digital health survey via OutbreaksNearMe, weighted to target national population characteristics. We analyzed the responses of 19 892 parents of children younger than 5 years to examine the association between self-reported parental characteristics (i.e., sociodemographics, politics, COVID-19 vaccination status) and children's MMR vaccination rates using logistic regression. Results. Children of parents who received at least 1 dose of the COVID-19 vaccine had higher MMR vaccination rates (80.8%) than did children of unvaccinated parents (60.9%; odds ratio [OR] = 1.84; 95% confidence interval [CI] = 1.68, 2.00). We observed lower MMR vaccination rates among children of parents who identified as Republican versus Democratic (OR = 0.73; 95% CI = 0.64, 0.82), parents on Medicaid or Medicare versus private insurance (OR = 0.85; 95% CI = 0.76, 0.95), and minority (OR = 0.44) versus White (OR = 0.71) parents. We found higher MMR vaccination rates in the Northeast and Midwest United States. Conclusions. Early data indicate that parental sociodemographic characteristics and COVID-19 vaccine status are associated with children's MMR vaccine uptake, emphasizing the need for further investigations into multipronged public health interventions. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e5. https://doi.org/10.2105/AJPH.2024.307912).

Link between children's oppositional behaviors and parental quality of life post‐ASD diagnosis: Mediating role of parental stress and coping strategies

Link between children's oppositional behaviors and parental quality of life post‐ASD diagnosis: Mediating role of parental stress and coping strategies

Parental depression and emotional feeding practices are associated with a tendency towards overeating in preadolescents.

Children's eating behaviors, including a tendency towards overeating, are strongly influenced by the family. Children prone to overeating are at a high risk of excessive weight gain, which can lead to further adverse health outcomes. Therefore, identifying factors that contribute to overeating is crucial for promoting healthy weight development. Given the inconsistencies in previous research, mostly involving young children, we investigated the child and parental characteristics associated with overeating in preadolescence. The cross-sectional study included 5,973 preadolescents aged 9-12 years from the Finnish Health in Teens (Fin-HIT) cohort. A tendency towards overeating was based on a parent-reported question. We utilized extensive parent questionnaire and Medical Birth Register data, and used ordinal and stepwise logistic regression to identify the independent determinants of overeating. The proportion of preadolescents with a parent-reported tendency towards overeating was 10% (n = 606). In the multivariable model, boys had higher odds of overeating (OR 1.30, 95% CI 1.06-1.58) compared with girls. Preadolescents with overweight and obesity had 9- and 30-fold odds (95% CI 7.31-11.29 and 20.07-44.54, respectively) of overeating compared with healthy-weight preadolescents. Furthermore, parental depression and emotional feeding increased the odds of overeating in the preadolescent (OR 1.48, 95% CI 1.08-2.02 and OR 1.27, 95% CI 1.03-1.57). Along with child weight status and sex, parental depression and emotional feeding were independently associated with overeating in preadolescence. Therefore, it is important to support parents' mental health and their healthy feeding practices. Our findings can be targeted to manage overeating and prevent overweight in children and adolescents.

The relationship of economic pressure and financial management on parenting quality in stunted children

Background: Stunting is a multifaceted issue that extends beyond nutrition and health, incorporating parenting quality and family resource management. Objective: This study aims to analyze the correlation of child characteristics, family characteristics, economic pressure, and financial management on parenting quality. Methods: A quantitative, cross-sectional study was conducted involving 68 mothers from intact families with stunted children aged 24-59 months, residing in Tanjungsari District, Sumedang Regency, West Java, Indonesia. Respondents were selected using non- probability sampling with a purposive technique. Results: Findings indicated that economic pressure (60.3%) and financial management (55.9%) were rated as moderate, while parenting quality (58.8%) was classified as low. Child age (r=0.353; p&lt;0.01), length of parental education (fathers: r=0.274; p&lt;0.05; mothers: r=0.263; p&lt;0.05), and financial management (r=0.326; p&lt;0.05) showed a significant positive correlation with parenting quality, whereas economic pressure (r=-0.278; p&lt;0.05) was significantly negatively related. Conclusions: As children age, their developmental needs intensify, necessitating heightened parental awareness and quality parenting. Families are encouraged to improve responsive feeding skills, effectively manage finances, and explore alternative income sources to support their children’s growth and development.

Parental Sociodemographic Characteristics and Bruxism's Risk Factors Among Children: Saudi Arabian Evaluation.

This study aimed to assess the association between sleep bruxism (SB) among children and parental sociodemographic characteristics and SB risk factors (eg, nose obstruction). A cross-sectional survey was conducted with 250 parents of children under the age of 13 who visited pediatric dental clinics. Data were collected through a questionnaire completed by parents. Sociodemographic characteristics, the child's medical history, sleep patterns and parents' awareness of bruxism and its symptoms were investigated. Descriptive, bivariate and binary logistic regression analyses were performed. The response rate was 85.2% (55% females, 45% males) and 25.8% of the parents self-reported that their children had bruxism. The regression analysis revealed that parents reporting SB among their children were significantly more likely to have SB themselves (8.62 [3.68-20.16], p = 0.001). While children whose mothers had lower education level and were unaware of bruxism-related symptoms (such as teeth, jaw, or face pain) were less likely to be reported as having SB (0.35 [0.16-0.75], p = 0.007; 0.36 [0.14-0.97], p = 0.043, respectively). Parents who identified nose obstruction as a cause of bruxism also had children with a higher likelihood of having SB (5.49 [1.04-29.08], p = 0.045). The findings highlighted that parental sociodemographic characteristic and SB risk factors associated signficantly with the prevalence of childhood SB.

Prevalence and Factors Associated With Obesity Among Children and Adolescents Living With Disability in Yaoundé, Cameroon

Obesity is a global health concern, with children and adolescents living with disabilities being particularly vulnerable. This study investigated the prevalence of obesity and identified associated factors among children and adolescents with disabilities in Yaoundé, Cameroon. A cross-sectional study was conducted, involving 135 children and adolescents with disabilities. Data on parent characteristics (e.g., age and household income) and child characteristics (e.g., sex and age) were collected through self-report questionnaires filled by parents. The children’s and adolescent’s weight (in Kg) and height (in m) were measured, and Body Mass Index (BMI) status calculated. Univariate and multivariate analyses were performed to examine the associations between these independent variables and obesity. A p-value of less than .05 was considered significant. The prevalence of obesity among children and adolescents with disabilities was 14% (95% CI: 8.1–19.9%). Increased meal frequency (OR = 4.2, 95% CI: 1.6–12.6, p = .005) and experiencing emotional abuse (OR = 6.4, 95% CI: 1.2–41.8, p = .03) were significantly associated with obesity on multivariable analysis. This study reveals a high prevalence of obesity among children and adolescents with disabilities in the Yaoundé, Cameroon. Higher daily meal frequency and a history of emotional abuse were associated with obesity. Our findings suggest that comprehensive interventions addressing dietary habits, psychosocial well-being, and inclusive environments are essential to prevent and manage obesity among children and adolescents with disabilities.

Cohort profile: Swedish families of the 1990s (SWIFT90)

PurposeThe Swedish Families of the 1990s (SWIFT90) is a population-based national register cohort that follows everyone born between 1990 and 1999, their parents and siblings. The cohort was set up...

Quality of Life of Families of Children with Speech Disorders.

Under the influence of numerous life factors, speech constantly undergoes changes. Parents of children with speech and language disorders have a lower quality of life compared to the parents of children without. The study examined different domains of the quality of life of families with and without speech disorders. A cross-sectional study was conducted in Serbia, in 2024, on a sample of 206 preschool children aged 5-7 years and their parents/guardians. As a research instrument, in addition to the General Questionnaire on sociodemographic characteristics of children and parents' respondents/guardians, the Family Quality of Life Survey (FQOL) was used to assess the family's quality of life. Articulation disorder was detected in 78.2% of children. Difference between the two groups of parents was found in terms of place of residence, work status, education levels, and children's age. From the five domains of family quality of life, significance was found in the domain of family interaction regarding the support, support related to disability, and family safety. Regarding the physical/material well-being domain, the significance was found for dental care and parenting domains. No differences were found in the domain of emotional well-being. The importance of the study reflects in the possibility of applying the obtained research results for the creation of educational programs that will encourage positive attitudes of parents and children about speech therapy interventions, which can influence successful rehabilitation of speech disorders and improve family quality of life.

Service Quality and Stakeholder Satisfaction in HEMAM Inclusive Education Centers: An Abu Dhabi Case Study

In an increasingly competitive educational landscape, understanding and enhancing service quality is paramount for institutions seeking to meet and exceed stakeholder expectations. This study investigates how service quality and stakeholder satisfaction works within the context of HEMAM centers in Abu Dhabi. With a quantitative study and SPSS for data analysis, the research examines the service quality and satisfaction of teachers and parents regarding the given services. The analysis brings to light that high-quality services correlate with a high level of satisfaction for both stakeholders. Communication, empathy, and responsiveness were deemed as key factors that could improve service quality. This study contributes to the understanding of different stakeholders’ views on providing inclusive education services at HEMAM centers and provides practical recommendations for their improvement.

Parental Acceptance of Moderate Sedation and Associated Techniques for Behavior Management in Saudi Arabia: A Cross-Sectional Study.

This study aimed to evaluate the acceptance of moderate sedation (MS) as a behavior guidance technique (BGT) method among Saudi parents, and also assess their acceptance of other BGTs, including parental separation, papoose board (PB), and nitrous oxide (N2O), used in conjunction with MS. This cross-sectional study was conducted at the Dental University Hospital, King Saud University, Riyadh, Saudi Arabia. It involved Saudi parents of children aged 3-5 years undergoing dental treatment with MS, alongside additional BGTs such as parental separation, PB, and N2O. Parents completed a questionnaire with demographic details and a post-treatment acceptance survey evaluating their satisfaction with the MS. Descriptive statistics were used for demographic information and parental acceptance. Chi-square and Fisher's exact tests analyzed the association between parental acceptance and background characteristics. A total of 85 parents were included in the study. Among these parents, 77 (90.59%) accepted MS, reporting minimal distress during dental treatment, and 78 (91.76%) would choose MS again. The PB received strong support from 79 (92.94%) of parents, with 83 (97.65%) finding it useful for child protection. However, 43 (50.59%) of parents felt uncomfortable with parental separation during therapy. Over 90% of Saudi parents showed high acceptance of MS and PB as BGTs. The study also revealed that 50.59% of parents were uncomfortable with being separated from their children during treatment. These findings highlight the need for strategies that can accommodate family involvement in pediatric dentistry, ultimately improving parental satisfaction.

Is COVID-19 infection during pregnancy a risk for congenital hearing loss?

Infections during pregnancy can increase the risk of congenital hearing loss. This population-based study investigated the effect of birthing parent COVID-19 infection during pregnancy on risk of congenital hearing loss in infants. Records of infants born in 2022 were reviewed via a retrospective clinical audit of a universal state-wide newborn hearing screening program in Victoria, Australia. The number and timing of COVID-19 infections during pregnancy were collected via self-report at the time of the hearing screen. Infant records (n=75,330) were divided into birthing parent infection group (n=25,547, 33.9%), and non-infection group (n=49,783, 66.1%). Group differences in screen and diagnostic audiology results were estimated by general linear regression models with a binomial distribution. Birthing parent and infant characteristics were similar across groups. Comparable proportions of infants obtained a refer result on their newborn hearing screen, requiring referral to diagnostic audiology (infection group: 1.4%, 95%CI 1.2-1.5 versus non-infection group: 1.3%, 95%CI 1.2-1.4). The proportion of infants diagnosed with any type and degree of hearing loss was also similar (infection group: 0.6%, 95%CI 0.5-0.7 versus non-infection group: 0.6%, 95%CI 0.6-0.7). This epidemiological study is the largest to date and demonstrates that infants whose birthing parent reported COVID-19 infection during pregnancy were not at increased risk of obtaining a refer result on their newborn hearing screen, nor at increased risk of congenital hearing loss. Specific protocols or guidelines to manage the newborn hearing screening pathway of infants born to a parent with COVID-19 during pregnancy are not supported by this study's findings.

An evaluation of the collateral child and parent outcomes of telehealth-delivered behavioral sleep intervention for Autistic children

PurposeThis research follows two studies that examined the efficacy and acceptability of a stepped-care model of behavioral sleep intervention (BSI) delivered to parents of Autistic children via telehealth (Clarke et al., 2024a, 2024b). The current study investigated the collateral benefits of these interventions on Autistic children’s internalizing and externalizing behaviors, health-related quality of life, and parent ratings of relationship quality, depression, anxiety, stress, and personal sleep quality. Methods and ResultsData were available for 17 Autistic children (aged 3–17 years) and 22 parent participants (16 mothers, six fathers) who had received a telehealth-delivered behavioral sleep intervention (TDBSI). Parents completed a range of psychometric assessments at baseline and within six weeks of completing the program. Alongside reduced sleep problem severity (SPS), significant improvements, as indexed by non-negligible Cohen’s d values whose 95 % confidence intervals did not cross zero, were observed in children’s emotional and behavioral difficulties and health-related quality of life. Parents also reported that improvement in their child’s sleep positively influenced their own sleep quality and emotional well-being. There were no significant changes in parental relationship quality post-intervention, probably a ceiling effect. ConclusionTDBSIs have the potential to generate collateral benefits for Autistic children and their families. This finding is consistent with the limited existent research, suggesting that improved sleep may enhance child and parent well-being. Future research should focus on understanding the mechanisms underlying collateral change, including variations in effects among children and parents, and the durability across different telehealth modalities (i.e., self-directed versus therapist-guided) and follow-up intervals.