Child characteristics associated with outcome for children with autism in a school-based behavioral intervention / Melanie PELLECCHIA in Autism, 20-3 (April 2016)  

Public ISBD [article]  inAutism > 20-3 (April 2016) . - p.321-329 Titre : Child characteristics associated with outcome for children with autism in a school-based behavioral intervention Type de document : Texte imprimé et/ou numérique Auteurs : Melanie PELLECCHIA, Auteur ; James E CONNELL, Auteur ; Connor M. KERNS, Auteur ; Ming XIE, Auteur ; Steven C MARCUS, Auteur ; David S MANDELL, Auteur Article en page(s) : p.321-329 Langues : Anglais (eng) Mots-clés : autism  predictors of outcome  social anxiety  social phobia Index. décimale : PER Périodiques Résumé : This study examined the extent to which clinical and demographic characteristics predicted outcome for children with autism spectrum disorder. Participants included 152 students with autism spectrum disorder in 53 kindergarten-through-second-grade autism support classrooms in a large urban public school district. Associations between child characteristics (including age, language ability, autism severity, social skills, adaptive behavior, co-occurring psychological symptoms, and restrictive and repetitive behavior) and outcome, as measured by changes in cognitive ability following one academic year of an intervention standardized across the sample were evaluated using linear regression with random effects for classroom. While several scales and subscales had statistically significant bivariate associations with outcome, in adjusted analysis, only age and the presence of symptoms associated with social anxiety, such as social avoidance and social fearfulness, as measured through the Child Symptom Inventory-4, were associated with differences in outcome. The findings regarding the role of social anxiety are new and have important implications for treatment. Disentangling the construct of social anxiety to differentiate between social fearfulness and social motivation has important implications for shifting the focus of early treatment for children with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361315577518 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=285 [article] Child characteristics associated with outcome for children with autism in a school-based behavioral intervention [Texte imprimé et/ou numérique] / Melanie PELLECCHIA, Auteur ; James E CONNELL, Auteur ; Connor M. KERNS, Auteur ; Ming XIE, Auteur ; Steven C MARCUS, Auteur ; David S MANDELL, Auteur . - p.321-329. Langues : Anglais (eng) in Autism > 20-3 (April 2016) . - p.321-329 Mots-clés : autism  predictors of outcome  social anxiety  social phobia Index. décimale : PER Périodiques Résumé : This study examined the extent to which clinical and demographic characteristics predicted outcome for children with autism spectrum disorder. Participants included 152 students with autism spectrum disorder in 53 kindergarten-through-second-grade autism support classrooms in a large urban public school district. Associations between child characteristics (including age, language ability, autism severity, social skills, adaptive behavior, co-occurring psychological symptoms, and restrictive and repetitive behavior) and outcome, as measured by changes in cognitive ability following one academic year of an intervention standardized across the sample were evaluated using linear regression with random effects for classroom. While several scales and subscales had statistically significant bivariate associations with outcome, in adjusted analysis, only age and the presence of symptoms associated with social anxiety, such as social avoidance and social fearfulness, as measured through the Child Symptom Inventory-4, were associated with differences in outcome. The findings regarding the role of social anxiety are new and have important implications for treatment. Disentangling the construct of social anxiety to differentiate between social fearfulness and social motivation has important implications for shifting the focus of early treatment for children with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361315577518 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=285

Correlation of cognitive and social outcomes among children with autism spectrum disorder in a randomized trial of behavioral intervention / Jill LOCKE in Autism, 18-4 (May 2014)  

Public ISBD [article]  inAutism > 18-4 (May 2014) . - p.370-375 Titre : Correlation of cognitive and social outcomes among children with autism spectrum disorder in a randomized trial of behavioral intervention Type de document : Texte imprimé et/ou numérique Auteurs : Jill LOCKE, Auteur ; Erin ROTHERAM-FULLER, Auteur ; Ming XIE, Auteur ; Colleen HARKER, Auteur ; David MANDELL, Auteur Article en page(s) : p.370-375 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  intervention  social deficits Index. décimale : PER Périodiques Résumé : Although social impairments are considered the hallmark deficit of autism, many behavioral intervention studies rely on cognitive functioning as a primary outcome. Fewer studies have examined whether changes in cognition are associated with changes in social functioning. This study examined whether cognitive gains among 192 students from 47 kindergarten-through-second-grade autism support classrooms participating in a year-long behavioral intervention study were associated with gains in social functioning. Children’s gains in cognitive ability were modestly associated with independent assessors’ and teachers’ evaluations of social functioning but were not associated with changes in parent ratings. Observed social gains were not commensurate with gains in cognition, suggesting the need both for interventions that directly target social functioning and relevant field measures of social functioning. En ligne : http://dx.doi.org/10.1177/1362361313479181 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=232 [article] Correlation of cognitive and social outcomes among children with autism spectrum disorder in a randomized trial of behavioral intervention [Texte imprimé et/ou numérique] / Jill LOCKE, Auteur ; Erin ROTHERAM-FULLER, Auteur ; Ming XIE, Auteur ; Colleen HARKER, Auteur ; David MANDELL, Auteur . - p.370-375. Langues : Anglais (eng) in Autism > 18-4 (May 2014) . - p.370-375 Mots-clés : autism spectrum disorder  intervention  social deficits Index. décimale : PER Périodiques Résumé : Although social impairments are considered the hallmark deficit of autism, many behavioral intervention studies rely on cognitive functioning as a primary outcome. Fewer studies have examined whether changes in cognition are associated with changes in social functioning. This study examined whether cognitive gains among 192 students from 47 kindergarten-through-second-grade autism support classrooms participating in a year-long behavioral intervention study were associated with gains in social functioning. Children’s gains in cognitive ability were modestly associated with independent assessors’ and teachers’ evaluations of social functioning but were not associated with changes in parent ratings. Observed social gains were not commensurate with gains in cognition, suggesting the need both for interventions that directly target social functioning and relevant field measures of social functioning. En ligne : http://dx.doi.org/10.1177/1362361313479181 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=232

County-Level Variation in the Prevalence of Medicaid-Enrolled Children with Autism Spectrum Disorders / David S. MANDELL in Journal of Autism and Developmental Disorders, 40-10 (October 2010)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 40-10 (October 2010) . - p.1241-1246 Titre : County-Level Variation in the Prevalence of Medicaid-Enrolled Children with Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : David S. MANDELL, Auteur ; Aubyn C. STAHMER, Auteur ; Knashawn H. MORALES, Auteur ; Ming XIE, Auteur ; Daniel POLSKY, Auteur ; Steven C. MARCUS, Auteur Année de publication : 2010 Article en page(s) : p.1241-1246 Langues : Anglais (eng) Mots-clés : Autism-spectrum-disorders Medicaid Geographic-variation Prevalence Index. décimale : PER Périodiques Résumé : This study examined how county-level resources are associated with the identification of children with autism spectrum disorders (ASD) in Medicaid. Medicaid claims from 2004 were combined with county-level data. There were 61,891 children diagnosed with ASD in the Medicaid system in 2004. Counties with lower per-student education expenditures, more students, a greater proportion of students in special education, higher per capita number of pediatricians and pediatric specialists, and a greater proportion of Medicaid enrollees and white residents had higher Medicaid prevalence. Within states, counties differ in how they implement Medicaid policies. The results suggest the substitution of education and Medicaid-reimbursed services. Our findings highlight the need for geographically targeted outreach to minority groups and clinicians to improve recognition of ASD. En ligne : http://dx.doi.org/10.1007/s10803-010-0982-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=110 [article] County-Level Variation in the Prevalence of Medicaid-Enrolled Children with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / David S. MANDELL, Auteur ; Aubyn C. STAHMER, Auteur ; Knashawn H. MORALES, Auteur ; Ming XIE, Auteur ; Daniel POLSKY, Auteur ; Steven C. MARCUS, Auteur . - 2010 . - p.1241-1246. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 40-10 (October 2010) . - p.1241-1246 Mots-clés : Autism-spectrum-disorders Medicaid Geographic-variation Prevalence Index. décimale : PER Périodiques Résumé : This study examined how county-level resources are associated with the identification of children with autism spectrum disorders (ASD) in Medicaid. Medicaid claims from 2004 were combined with county-level data. There were 61,891 children diagnosed with ASD in the Medicaid system in 2004. Counties with lower per-student education expenditures, more students, a greater proportion of students in special education, higher per capita number of pediatricians and pediatric specialists, and a greater proportion of Medicaid enrollees and white residents had higher Medicaid prevalence. Within states, counties differ in how they implement Medicaid policies. The results suggest the substitution of education and Medicaid-reimbursed services. Our findings highlight the need for geographically targeted outreach to minority groups and clinicians to improve recognition of ASD. En ligne : http://dx.doi.org/10.1007/s10803-010-0982-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=110

Dismantling the Active Ingredients of an Intervention for Children with Autism / Melanie PELLECCHIA in Journal of Autism and Developmental Disorders, 45-9 (September 2015)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 45-9 (September 2015) . - p.2917-2927 Titre : Dismantling the Active Ingredients of an Intervention for Children with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Melanie PELLECCHIA, Auteur ; James E. CONNELL, Auteur ; Rinad S. BEIDAS, Auteur ; Ming XIE, Auteur ; Steven C. MARCUS, Auteur ; David S. MANDELL, Auteur Article en page(s) : p.2917-2927 Langues : Anglais (eng) Mots-clés : Treatment packages  Autism  Treatment fidelity  Implementation science Index. décimale : PER Périodiques Résumé : This study evaluated the association of fidelity to each of the components of the Strategies for Teaching based on Autism Research (STAR) program, a comprehensive treatment package for children with autism that includes discrete trial training, pivotal response training, and teaching in functional routines, on outcomes for 191 students ages 5–8 years in a large public school district. Fidelity to all components was relatively low, despite considerable training and support, suggesting the need to develop new implementation strategies. Fidelity to pivotal response training, but not discrete trial training or functional routines, was positively associated with gains in cognitive ability despite low levels of fidelity, and may be an effective intervention choice in under-resourced settings. En ligne : http://dx.doi.org/10.1007/s10803-015-2455-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=267 [article] Dismantling the Active Ingredients of an Intervention for Children with Autism [Texte imprimé et/ou numérique] / Melanie PELLECCHIA, Auteur ; James E. CONNELL, Auteur ; Rinad S. BEIDAS, Auteur ; Ming XIE, Auteur ; Steven C. MARCUS, Auteur ; David S. MANDELL, Auteur . - p.2917-2927. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 45-9 (September 2015) . - p.2917-2927 Mots-clés : Treatment packages  Autism  Treatment fidelity  Implementation science Index. décimale : PER Périodiques Résumé : This study evaluated the association of fidelity to each of the components of the Strategies for Teaching based on Autism Research (STAR) program, a comprehensive treatment package for children with autism that includes discrete trial training, pivotal response training, and teaching in functional routines, on outcomes for 191 students ages 5–8 years in a large public school district. Fidelity to all components was relatively low, despite considerable training and support, suggesting the need to develop new implementation strategies. Fidelity to pivotal response training, but not discrete trial training or functional routines, was positively associated with gains in cognitive ability despite low levels of fidelity, and may be an effective intervention choice in under-resourced settings. En ligne : http://dx.doi.org/10.1007/s10803-015-2455-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=267

Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters / Yvette M JANVIER in Autism, 20-3 (April 2016)  

Public ISBD [article]  inAutism > 20-3 (April 2016) . - p.364-373 Titre : Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters Type de document : Texte imprimé et/ou numérique Auteurs : Yvette M JANVIER, Auteur ; Jill F HARRIS, Auteur ; Caroline N COFFIELD, Auteur ; Barbara LOUIS, Auteur ; Ming XIE, Auteur ; Zuleyha CIDAV, Auteur ; David S MANDELL, Auteur Article en page(s) : p.364-373 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  early childcare providers  preschool children  screening  underserved Index. décimale : PER Périodiques Résumé : Early diagnosis of autism typically is associated with earlier access to intervention and improved outcomes. Daycares and preschools largely have been ignored as possible venues for early identification. This may be especially important for minority children in the United States who are typically diagnosed with autism later than White children, limiting their access to early specialized interventions and possibly resulting in poorer outcomes. Early childcare providers within underserved communities completed autism screening tools for a sample of low-risk young children (n?=?967) in their programs. Early childcare providers returned screening tools for 90% of the children for whom parental consent had been received. A total of 14% of children screened positive for autism spectrum disorder and 3% of the sample met criteria for autism spectrum disorder. Among those who screened positive, 34% were lost to follow-up. Findings suggest that early childcare providers can effectively screen young children for autism spectrum disorder in preschool/daycare settings, thus improving access to early diagnosis and reducing potential healthcare disparities among underserved populations. En ligne : http://dx.doi.org/10.1177/1362361315585055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=285 [article] Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters [Texte imprimé et/ou numérique] / Yvette M JANVIER, Auteur ; Jill F HARRIS, Auteur ; Caroline N COFFIELD, Auteur ; Barbara LOUIS, Auteur ; Ming XIE, Auteur ; Zuleyha CIDAV, Auteur ; David S MANDELL, Auteur . - p.364-373. Langues : Anglais (eng) in Autism > 20-3 (April 2016) . - p.364-373 Mots-clés : autism spectrum disorders  early childcare providers  preschool children  screening  underserved Index. décimale : PER Périodiques Résumé : Early diagnosis of autism typically is associated with earlier access to intervention and improved outcomes. Daycares and preschools largely have been ignored as possible venues for early identification. This may be especially important for minority children in the United States who are typically diagnosed with autism later than White children, limiting their access to early specialized interventions and possibly resulting in poorer outcomes. Early childcare providers within underserved communities completed autism screening tools for a sample of low-risk young children (n?=?967) in their programs. Early childcare providers returned screening tools for 90% of the children for whom parental consent had been received. A total of 14% of children screened positive for autism spectrum disorder and 3% of the sample met criteria for autism spectrum disorder. Among those who screened positive, 34% were lost to follow-up. Findings suggest that early childcare providers can effectively screen young children for autism spectrum disorder in preschool/daycare settings, thus improving access to early diagnosis and reducing potential healthcare disparities among underserved populations. En ligne : http://dx.doi.org/10.1177/1362361315585055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=285

The role of treatment fidelity on outcomes during a randomized field trial of an autism intervention / David S. MANDELL in Autism, 17-3 (May 2013)  

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