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Interaction of Treatment Intensity and Autism Severity on Frequency and Maturity of Spontaneous Communication in Toddlers with Autism Spectrum Disorder / Paul J. YODER in Autism Research, 13-11 (November 2020)
[article]
Titre : Interaction of Treatment Intensity and Autism Severity on Frequency and Maturity of Spontaneous Communication in Toddlers with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Paul J. YODER, Auteur ; Sally ROGERS, Auteur ; Annette ESTES, Auteur ; Zachary WARREN, Auteur ; Jeff MUNSON, Auteur ; Gerhard HELLEMANN, Auteur ; John MCEACHIN, Auteur Article en page(s) : p.1902-1912 Langues : Anglais (eng) Mots-clés : autism spectrum disorders developmental delay severity of autism treatment intensity treatment style Index. décimale : PER Périodiques Résumé : This study tested whether the effect of treatment intensity or treatment style on children's frequency and maturity of spontaneous communication varied by initial severity of disability. Eighty-seven toddlers with autism spectrum disorders were randomly assigned to either (a) 15?hrs per week of discrete trial teaching (DTT), (b) 25?hrs per week of DTT, (c) 15?hrs per week of a naturalistic developmental behavioral intervention (NDBI), or (d) 25?hrs per week of NDBI. Trained research staff implemented the 1:1 treatments in homes or educational centers over 12?months. We quantified the frequency and maturity of spontaneous communication during monthly 6-min communication samples. We quantified disability severity at Time 1 using the developmental quotient from the Mullen Scales of Early Learning and the total calibrated severity score from the Autism Diagnostic Observation Schedule-second edition. Higher levels of treatment intensity (i.e., more hours per week) benefited frequency and maturity of spontaneous communication growth rate only in children with relatively mild autism symptoms. Other results were nonsignificant. Autism Res 2020, 13: 1902-1912. © 2020 International Society for Autism Research and Wiley Periodicals LLC LAY SUMMARY: Eighty-seven toddlers with autism spectrum disorders were randomly assigned to 15?hrs per week of discrete trial teaching (DTT), 25?hrs per week of DTT, 15?hrs per week of a naturalistic developmental behavioral intervention (NDBI), or 25?hrs per week of NDBI. Trained research staff implemented the treatments in homes or educational centers over 12?months. More hours of treatment per week benefited frequency and maturity of spontaneous communication growth rate only in children with relatively mild autism symptoms. Other results were nonsignificant. En ligne : http://dx.doi.org/10.1002/aur.2416 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433
in Autism Research > 13-11 (November 2020) . - p.1902-1912[article] Interaction of Treatment Intensity and Autism Severity on Frequency and Maturity of Spontaneous Communication in Toddlers with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Paul J. YODER, Auteur ; Sally ROGERS, Auteur ; Annette ESTES, Auteur ; Zachary WARREN, Auteur ; Jeff MUNSON, Auteur ; Gerhard HELLEMANN, Auteur ; John MCEACHIN, Auteur . - p.1902-1912.
Langues : Anglais (eng)
in Autism Research > 13-11 (November 2020) . - p.1902-1912
Mots-clés : autism spectrum disorders developmental delay severity of autism treatment intensity treatment style Index. décimale : PER Périodiques Résumé : This study tested whether the effect of treatment intensity or treatment style on children's frequency and maturity of spontaneous communication varied by initial severity of disability. Eighty-seven toddlers with autism spectrum disorders were randomly assigned to either (a) 15?hrs per week of discrete trial teaching (DTT), (b) 25?hrs per week of DTT, (c) 15?hrs per week of a naturalistic developmental behavioral intervention (NDBI), or (d) 25?hrs per week of NDBI. Trained research staff implemented the 1:1 treatments in homes or educational centers over 12?months. We quantified the frequency and maturity of spontaneous communication during monthly 6-min communication samples. We quantified disability severity at Time 1 using the developmental quotient from the Mullen Scales of Early Learning and the total calibrated severity score from the Autism Diagnostic Observation Schedule-second edition. Higher levels of treatment intensity (i.e., more hours per week) benefited frequency and maturity of spontaneous communication growth rate only in children with relatively mild autism symptoms. Other results were nonsignificant. Autism Res 2020, 13: 1902-1912. © 2020 International Society for Autism Research and Wiley Periodicals LLC LAY SUMMARY: Eighty-seven toddlers with autism spectrum disorders were randomly assigned to 15?hrs per week of discrete trial teaching (DTT), 25?hrs per week of DTT, 15?hrs per week of a naturalistic developmental behavioral intervention (NDBI), or 25?hrs per week of NDBI. Trained research staff implemented the treatments in homes or educational centers over 12?months. More hours of treatment per week benefited frequency and maturity of spontaneous communication growth rate only in children with relatively mild autism symptoms. Other results were nonsignificant. En ligne : http://dx.doi.org/10.1002/aur.2416 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433 RCT examining the effect of treatment intensity for a psychosocial treatment for high-functioning children with ASD / Christopher LOPATA in Research in Autism Spectrum Disorders, 17 (September 2015)
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Titre : RCT examining the effect of treatment intensity for a psychosocial treatment for high-functioning children with ASD Type de document : Texte imprimé et/ou numérique Auteurs : Christopher LOPATA, Auteur ; Marcus L. THOMEER, Auteur ; Alanna M. LIPINSKI, Auteur ; James P. DONNELLY, Auteur ; Andrew T. NELSON, Auteur ; Rachael A. SMITH, Auteur ; Adam J. BOOTH, Auteur ; Jonathan D. RODGERS, Auteur ; Martin A. VOLKER, Auteur Année de publication : 2015 Article en page(s) : p.52-63 Langues : Anglais (eng) Mots-clés : High-functioning ASD Treatment intensity Dosage Index. décimale : PER Périodiques Résumé : Abstract This randomized controlled trial evaluated the effect of treatment intensity (high intensity vs. lower intensity) on the feasibility and efficacy of a comprehensive psychosocial treatment for 47 high-functioning children, ages 7–12 years with ASD (HFASD). All participants received the comprehensive 5-week summer treatment (summerMAX), with half receiving the previously validated high-intensity (HI) program (2:1 child-to-staff ratio) and half receiving a lower intensity (LI) version of the same program (4:1 child-to-staff ratio). Results of the primary analyses indicated significant improvements on non-literal language and emotion recognition (decoding) child testing and parent ratings of targeted and broad social skills, ASD-related symptoms, withdrawal, and behavioral symptoms for the overall group (HI and LI combined) and no significant difference between the conditions (HI vs. LI). Secondary staff clinician ratings corroborated parent ratings. No significant cross-condition differences were observed in fidelity of implementation or in parent, child, or staff clinician satisfaction ratings indicating no reduction in feasibility for the LI group. Overall, results suggested that similar positive outcomes can be achieved when the summerMAX program is administered at a lower intensity level. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.06.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=263
in Research in Autism Spectrum Disorders > 17 (September 2015) . - p.52-63[article] RCT examining the effect of treatment intensity for a psychosocial treatment for high-functioning children with ASD [Texte imprimé et/ou numérique] / Christopher LOPATA, Auteur ; Marcus L. THOMEER, Auteur ; Alanna M. LIPINSKI, Auteur ; James P. DONNELLY, Auteur ; Andrew T. NELSON, Auteur ; Rachael A. SMITH, Auteur ; Adam J. BOOTH, Auteur ; Jonathan D. RODGERS, Auteur ; Martin A. VOLKER, Auteur . - 2015 . - p.52-63.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 17 (September 2015) . - p.52-63
Mots-clés : High-functioning ASD Treatment intensity Dosage Index. décimale : PER Périodiques Résumé : Abstract This randomized controlled trial evaluated the effect of treatment intensity (high intensity vs. lower intensity) on the feasibility and efficacy of a comprehensive psychosocial treatment for 47 high-functioning children, ages 7–12 years with ASD (HFASD). All participants received the comprehensive 5-week summer treatment (summerMAX), with half receiving the previously validated high-intensity (HI) program (2:1 child-to-staff ratio) and half receiving a lower intensity (LI) version of the same program (4:1 child-to-staff ratio). Results of the primary analyses indicated significant improvements on non-literal language and emotion recognition (decoding) child testing and parent ratings of targeted and broad social skills, ASD-related symptoms, withdrawal, and behavioral symptoms for the overall group (HI and LI combined) and no significant difference between the conditions (HI vs. LI). Secondary staff clinician ratings corroborated parent ratings. No significant cross-condition differences were observed in fidelity of implementation or in parent, child, or staff clinician satisfaction ratings indicating no reduction in feasibility for the LI group. Overall, results suggested that similar positive outcomes can be achieved when the summerMAX program is administered at a lower intensity level. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.06.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=263 A Longitudinal Study of the Teacch Program in Different Settings: The Potential Benefits of Low Intensity Intervention in Preschool Children with Autism Spectrum Disorder / Lidia D’ELIA in Journal of Autism and Developmental Disorders, 44-3 (March 2014)
[article]
Titre : A Longitudinal Study of the Teacch Program in Different Settings: The Potential Benefits of Low Intensity Intervention in Preschool Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Lidia D’ELIA, Auteur ; Giovanni VALERI, Auteur ; Fabiana SONNINO, Auteur ; Ilaria FONTANA, Auteur ; Alessia MAMMONE, Auteur ; Stefano VICARI, Auteur Article en page(s) : p.615-626 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders TEACCH Preschool children Treatment intensity Index. décimale : PER Périodiques Résumé : We conducted a longitudinal study of 30 preschool children with autism spectrum disorders (ASDs) to evaluate the potential benefits of the Treatment and Education of Autistic and related Communication Handicapped Children (TEACCH). Fifteen children following a low intensity TEACCH program were assessed four times for autism severity, adaptive functioning, language skills, maladaptive behaviors and parental stress and compared with a control group of 15 children following a non-specific approach. Findings suggest that a low intensity home and school TEACCH program may provide benefits for children with ASD by reducing autistic symptoms and maladaptive behaviors. Furthermore, a decrease in parental stress indicates that parents’ involvement in the rehabilitation program is a crucial factor and contributes greatly to treatment efficacy. En ligne : http://dx.doi.org/10.1007/s10803-013-1911-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=225
in Journal of Autism and Developmental Disorders > 44-3 (March 2014) . - p.615-626[article] A Longitudinal Study of the Teacch Program in Different Settings: The Potential Benefits of Low Intensity Intervention in Preschool Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Lidia D’ELIA, Auteur ; Giovanni VALERI, Auteur ; Fabiana SONNINO, Auteur ; Ilaria FONTANA, Auteur ; Alessia MAMMONE, Auteur ; Stefano VICARI, Auteur . - p.615-626.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 44-3 (March 2014) . - p.615-626
Mots-clés : Autism spectrum disorders TEACCH Preschool children Treatment intensity Index. décimale : PER Périodiques Résumé : We conducted a longitudinal study of 30 preschool children with autism spectrum disorders (ASDs) to evaluate the potential benefits of the Treatment and Education of Autistic and related Communication Handicapped Children (TEACCH). Fifteen children following a low intensity TEACCH program were assessed four times for autism severity, adaptive functioning, language skills, maladaptive behaviors and parental stress and compared with a control group of 15 children following a non-specific approach. Findings suggest that a low intensity home and school TEACCH program may provide benefits for children with ASD by reducing autistic symptoms and maladaptive behaviors. Furthermore, a decrease in parental stress indicates that parents’ involvement in the rehabilitation program is a crucial factor and contributes greatly to treatment efficacy. En ligne : http://dx.doi.org/10.1007/s10803-013-1911-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=225