Implementing RUBI Group Parent Training for Children With Developmental Disabilities: Real-World Feasibility and Clinical Outcomes.

This study evaluates the feasibility, acceptability, and preliminary outcomes of the Research Units in Behavioral Intervention (RUBI) Parent Training program in an adapted group format within a community-based clinical setting. Caregivers of children aged 3 to 12 years with autism spectrum disorder or other developmental disabilities (DD) participated in 10- or 12-week RUBI groups. Data from 141 participants were retrospectively analyzed using electronic health records and standardized caregiver-reported measures. Results indicated moderate attendance (71.8% session attendance), with disparities observed by insurance type and race. Significant improvements were found in child emotional dysregulation and caregiver stress, while noncompliant behaviors showed no significant change. Outcomes were consistent for youth with autism and youth with other DD. Caregiver satisfaction was high, with 94% reporting perceived behavioral improvement and 100% recommending the program. This is the first known study to evaluate RUBI in a heterogeneous developmental population beyond autism. Findings support the feasibility and effectiveness of RUBI in a group format for diverse developmental populations, although attendance differences and cultural responsiveness warrant further investigation.