Internet-based intervention approach is one novel strategy to train. However, only a few clinical trials have compared internet-based parent training intervention with an equal face-to-face intervention for children with autism spectrum disorder (ASD)-like symptoms. The primary aim of this study was to compare treatment outcomes of an internet-based intervention with a face-to-face intervention for young children with excessive screen-time and ASD-like symptoms. A total of 40 mother–young children with excessive screen-time and ASD-like symptoms dyads were assigned to the Internet-based (n = 20) and to the face-to-face intervention (n = 20). Parents in both groups received intervention that involves 7 sessions (one session per week). Primary outcome measures were the Gilliam autism rating scale - second edition (GARS-2), repetitive behavior scale- revised (RBS-R) and parenting stress index (PSI). The analysis yielded no significant between-group difference for any of the pre- to post-intervention measurements. At post-intervention both intervention conditions revealed significant symptoms changes compared to before the intervention. Also, the parental stress was significant related to the child’s autism symptoms and repetitive behaviors severity. Internet-based parent training intervention for young children with excessive screen-time and ASD-like symptoms and their parents is equally beneficial to regular face-to-face parent training intervention. These findings support the potential for using telehealth to provide research-based parent training interventions to any family that has access to the Internet.

基于互联网的干预方法是一种新的训练策略。然而，只有少数临床试验将基于互联网的家长培训干预与同等的面对面干预对患有自闭症谱系障碍 (ASD) 样症状的儿童进行了比较。本研究的主要目的是比较基于互联网的干预与面对面干预对屏幕时间过长和 ASD 样症状的幼儿的治疗结果。共有 40 名屏幕时间过长和类似 ASD 症状的母婴被分配到基于互联网的 ( n  = 20) 和面对面干预 ( n = 20)。两组的家长都接受了涉及 7 次（每周一次）的干预。主要结果测量是 Gilliam 自闭症评定量表 - 第二版 (GARS-2)、重复行为量表 - 修订版 (RBS-R) 和养育压力指数 (PSI)。对于干预前和干预后的任何测量，该分析均未产生显着的组间差异。在干预后，与干预前相比，两种干预条件都显示出显着的症状变化。此外，父母的压力与孩子的自闭症症状和重复行为的严重程度显着相关。针对屏幕时间过长和 ASD 样症状的幼儿及其父母的基于互联网的家长培训干预与定期的面对面家长培训干预同样有益。