Effects of a parent-implemented Developmental Reciprocity Treatment Program for children with autism spectrum disorder / G. W. GENGOUX in Autism, 23-3 (April 2019)  

Public ISBD [article]  inAutism > 23-3 (April 2019) . - p.713-725 Titre : Effects of a parent-implemented Developmental Reciprocity Treatment Program for children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : G. W. GENGOUX, Auteur ; S. SCHAPP, Auteur ; S. BURTON, Auteur ; Christina M. ARDEL, Auteur ; R. A. LIBOVE, Auteur ; G. BALDI, Auteur ; Kari L. BERQUIST, Auteur ; J. M. PHILLIPS, Auteur ; A. Y. HARDAN, Auteur Article en page(s) : p.713-725 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  development  interventions-psychosocial/behavioral  preschool children Index. décimale : PER Périodiques Résumé : Developmental approaches to autism treatment aim to establish strong interpersonal relationships through joint play. These approaches have emerging empirical support; however, there is a need for further research documenting the procedures and demonstrating their effectiveness. This pilot study evaluated changes in parent behavior and child autism symptoms following a 12-week Developmental Reciprocity Treatment parent-training program. A total of 22 children with autism spectrum disorder between 2 and 6 years (mean age = 44.6 months, standard deviation = 12.7) and a primary caregiver participated in 12 weekly sessions of Developmental Reciprocity Treatment parent training, covering topics including introduction to developmental approaches, supporting attention and motivation, sensory regulation and sensory-social routines, imitation/building nonverbal communication, functional language development, and turn taking. Results indicated improvement in aspects of parent empowerment and social quality of life. Improvement in core autism symptoms was observed on the Social Responsiveness Scale total score (F(1,19): 5.550, p = 0.029), MacArthur-Bates Communicative Development Inventories number of words produced out of 680 (F(1,18): 18.104, p = 0.000), and two subscales of the Repetitive Behavior Scale, Revised (compulsive, p = 0.046 and restricted, p = 0.025). No differences in sensory sensitivity were observed on the Short Sensory Profile. Findings from this pilot study indicate that Developmental Reciprocity Treatment shows promise and suggest the need for future controlled trials of this developmentally based intervention. En ligne : http://dx.doi.org/10.1177/1362361318775538 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=392 [article] Effects of a parent-implemented Developmental Reciprocity Treatment Program for children with autism spectrum disorder [Texte imprimé et/ou numérique] / G. W. GENGOUX, Auteur ; S. SCHAPP, Auteur ; S. BURTON, Auteur ; Christina M. ARDEL, Auteur ; R. A. LIBOVE, Auteur ; G. BALDI, Auteur ; Kari L. BERQUIST, Auteur ; J. M. PHILLIPS, Auteur ; A. Y. HARDAN, Auteur . - p.713-725. Langues : Anglais (eng) in Autism > 23-3 (April 2019) . - p.713-725 Mots-clés : autism spectrum disorders  development  interventions-psychosocial/behavioral  preschool children Index. décimale : PER Périodiques Résumé : Developmental approaches to autism treatment aim to establish strong interpersonal relationships through joint play. These approaches have emerging empirical support; however, there is a need for further research documenting the procedures and demonstrating their effectiveness. This pilot study evaluated changes in parent behavior and child autism symptoms following a 12-week Developmental Reciprocity Treatment parent-training program. A total of 22 children with autism spectrum disorder between 2 and 6 years (mean age = 44.6 months, standard deviation = 12.7) and a primary caregiver participated in 12 weekly sessions of Developmental Reciprocity Treatment parent training, covering topics including introduction to developmental approaches, supporting attention and motivation, sensory regulation and sensory-social routines, imitation/building nonverbal communication, functional language development, and turn taking. Results indicated improvement in aspects of parent empowerment and social quality of life. Improvement in core autism symptoms was observed on the Social Responsiveness Scale total score (F(1,19): 5.550, p = 0.029), MacArthur-Bates Communicative Development Inventories number of words produced out of 680 (F(1,18): 18.104, p = 0.000), and two subscales of the Repetitive Behavior Scale, Revised (compulsive, p = 0.046 and restricted, p = 0.025). No differences in sensory sensitivity were observed on the Short Sensory Profile. Findings from this pilot study indicate that Developmental Reciprocity Treatment shows promise and suggest the need for future controlled trials of this developmentally based intervention. En ligne : http://dx.doi.org/10.1177/1362361318775538 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=392

Effects of pivotal response treatment on reciprocal vocal contingency in a randomized controlled trial of children with autism spectrum disorder / Jena MCDANIEL in Autism, 24-6 (August 2020)  

Public ISBD [article]  inAutism > 24-6 (August 2020) . - p.1566-1571 Titre : Effects of pivotal response treatment on reciprocal vocal contingency in a randomized controlled trial of children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Jena MCDANIEL, Auteur ; Paul J. YODER, Auteur ; Madison CRANDALL, Auteur ; Maria Estefania MILLAN, Auteur ; Christina M. ARDEL, Auteur ; Grace W. GENGOUX, Auteur ; Antonio Y. HARDAN, Auteur Article en page(s) : p.1566-1571 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  communication and language  interventions–psychosocial/behavioral  pre-school children  design, analyzed the data, and drafted the manuscript  PY conceived the study,  participated in the study design, helped interpret the data, and helped draft the  manuscript  MC participated in the study design and analyzed the data  MEM collected  the data and helped interpret the data  CMA collected the data and helped interpret  the data  GWG and AYH conceived the study, participated in the study design,  supervised data collection, and helped interpret the data. All authors read and  approved the final manuscript. Index. décimale : PER Périodiques Résumé : A recent randomized controlled trial found that children with autism spectrum disorder who received a pivotal response treatment package showed improved language and social communication skills following the intervention. The pivotal response treatment package includes clinician-delivered and parent-implemented strategies. Reciprocal vocal contingency is an automated measure of vocal reciprocity derived from daylong audio samples from the child's natural environment. It may provide stronger and complementary evidence of the effects of the pivotal response treatment package because it is at lower risk for detection bias than parent report and brief parent-child interaction measures. The current study compared reciprocal vocal contingency for 24 children with autism spectrum disorder in the pivotal response treatment package group and 24 children with autism spectrum disorder in the control group. The pivotal response treatment package group received 24?weeks of the pivotal response treatment package intervention. The control group received their usual intervention services during that time. The groups did not differ in reciprocal vocal contingency when the intervention started or after 12?weeks of intervention. However, after 24?weeks the pivotal response treatment package group had higher ranked reciprocal vocal contingency scores than the control group. These findings are consistent with results from parent report and parent-child interaction measures obtained during the trial. The participants in the pivotal response treatment package exhibited greater vocal responsiveness to adult vocal responses to their vocalizations than the control group. Findings support the effectiveness of the pivotal response treatment package on vocal reciprocity of children with autism spectrum disorder, which may be a pivotal skill for language development. En ligne : http://dx.doi.org/10.1177/1362361320903138 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428 [article] Effects of pivotal response treatment on reciprocal vocal contingency in a randomized controlled trial of children with autism spectrum disorder [Texte imprimé et/ou numérique] / Jena MCDANIEL, Auteur ; Paul J. YODER, Auteur ; Madison CRANDALL, Auteur ; Maria Estefania MILLAN, Auteur ; Christina M. ARDEL, Auteur ; Grace W. GENGOUX, Auteur ; Antonio Y. HARDAN, Auteur . - p.1566-1571. Langues : Anglais (eng) in Autism > 24-6 (August 2020) . - p.1566-1571 Mots-clés : autism spectrum disorder  communication and language  interventions–psychosocial/behavioral  pre-school children  design, analyzed the data, and drafted the manuscript  PY conceived the study,  participated in the study design, helped interpret the data, and helped draft the  manuscript  MC participated in the study design and analyzed the data  MEM collected  the data and helped interpret the data  CMA collected the data and helped interpret  the data  GWG and AYH conceived the study, participated in the study design,  supervised data collection, and helped interpret the data. All authors read and  approved the final manuscript. Index. décimale : PER Périodiques Résumé : A recent randomized controlled trial found that children with autism spectrum disorder who received a pivotal response treatment package showed improved language and social communication skills following the intervention. The pivotal response treatment package includes clinician-delivered and parent-implemented strategies. Reciprocal vocal contingency is an automated measure of vocal reciprocity derived from daylong audio samples from the child's natural environment. It may provide stronger and complementary evidence of the effects of the pivotal response treatment package because it is at lower risk for detection bias than parent report and brief parent-child interaction measures. The current study compared reciprocal vocal contingency for 24 children with autism spectrum disorder in the pivotal response treatment package group and 24 children with autism spectrum disorder in the control group. The pivotal response treatment package group received 24?weeks of the pivotal response treatment package intervention. The control group received their usual intervention services during that time. The groups did not differ in reciprocal vocal contingency when the intervention started or after 12?weeks of intervention. However, after 24?weeks the pivotal response treatment package group had higher ranked reciprocal vocal contingency scores than the control group. These findings are consistent with results from parent report and parent-child interaction measures obtained during the trial. The participants in the pivotal response treatment package exhibited greater vocal responsiveness to adult vocal responses to their vocalizations than the control group. Findings support the effectiveness of the pivotal response treatment package on vocal reciprocity of children with autism spectrum disorder, which may be a pivotal skill for language development. En ligne : http://dx.doi.org/10.1177/1362361320903138 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428

A randomized controlled trial of Pivotal Response Treatment Group for parents of children with autism / Antonio Y. HARDAN in Journal of Child Psychology and Psychiatry, 56-8 (August 2015)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 56-8 (August 2015) . - p.884-892 Titre : A randomized controlled trial of Pivotal Response Treatment Group for parents of children with autism Type de document : Texte imprimé et/ou numérique Auteurs : Antonio Y. HARDAN, Auteur ; Grace W. GENGOUX, Auteur ; Kari L. BERQUIST, Auteur ; Robin A. LIBOVE, Auteur ; Christina M. ARDEL, Auteur ; Jennifer PHILLIPS, Auteur ; Thomas W. FRAZIER, Auteur ; Mendy B. MINJAREZ, Auteur Article en page(s) : p.884-892 Langues : Anglais (eng) Mots-clés : Language deficits  treatment fidelity  group parent training  social communication  naturalistic developmental behavior intervention Index. décimale : PER Périodiques Résumé : Background With rates of autism diagnosis continuing to rise, there is an urgent need for effective and efficient service delivery models. Pivotal Response Treatment (PRT) is considered an established treatment for autism spectrum disorder (ASD); however, there have been few well-controlled studies with adequate sample size. The aim of this study was to conduct a randomized controlled trial to evaluate PRT parent training group (PRTG) for targeting language deficits in young children with ASD. Methods Fifty-three children with autism and significant language delay between 2 and 6 years old were randomized to PRTG (N = 27) or psychoeducation group (PEG; N = 26) for 12 weeks. The PRTG taught parents behavioral techniques to facilitate language development. The PEG taught general information about ASD (clinical trial NCT01881750; http://www.clinicaltrials.gov). Results Analysis of child utterances during the structured laboratory observation (primary outcome) indicated that, compared with children in the PEG, children in the PRTG demonstrated greater improvement in frequency of utterances (F(2, 43) = 3.53, p = .038, d = 0.42). Results indicated that parents were able to learn PRT in a group format, as the majority of parents in the PRTG (84%) met fidelity of implementation criteria after 12 weeks. Children also demonstrated greater improvement in adaptive communication skills (Vineland-II) following PRTG and baseline Mullen visual reception scores predicted treatment response to PRTG. Conclusions This is the first randomized controlled trial of group-delivered PRT and one of the largest experimental investigations of the PRT model to date. The findings suggest that specific instruction in PRT results in greater skill acquisition for both parents and children, especially in functional and adaptive communication skills. Further research in PRT is warranted to replicate the observed results and address other core ASD symptoms. En ligne : http://dx.doi.org/10.1111/jcpp.12354 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=263 [article] A randomized controlled trial of Pivotal Response Treatment Group for parents of children with autism [Texte imprimé et/ou numérique] / Antonio Y. HARDAN, Auteur ; Grace W. GENGOUX, Auteur ; Kari L. BERQUIST, Auteur ; Robin A. LIBOVE, Auteur ; Christina M. ARDEL, Auteur ; Jennifer PHILLIPS, Auteur ; Thomas W. FRAZIER, Auteur ; Mendy B. MINJAREZ, Auteur . - p.884-892. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 56-8 (August 2015) . - p.884-892 Mots-clés : Language deficits  treatment fidelity  group parent training  social communication  naturalistic developmental behavior intervention Index. décimale : PER Périodiques Résumé : Background With rates of autism diagnosis continuing to rise, there is an urgent need for effective and efficient service delivery models. Pivotal Response Treatment (PRT) is considered an established treatment for autism spectrum disorder (ASD); however, there have been few well-controlled studies with adequate sample size. The aim of this study was to conduct a randomized controlled trial to evaluate PRT parent training group (PRTG) for targeting language deficits in young children with ASD. Methods Fifty-three children with autism and significant language delay between 2 and 6 years old were randomized to PRTG (N = 27) or psychoeducation group (PEG; N = 26) for 12 weeks. The PRTG taught parents behavioral techniques to facilitate language development. The PEG taught general information about ASD (clinical trial NCT01881750; http://www.clinicaltrials.gov). Results Analysis of child utterances during the structured laboratory observation (primary outcome) indicated that, compared with children in the PEG, children in the PRTG demonstrated greater improvement in frequency of utterances (F(2, 43) = 3.53, p = .038, d = 0.42). Results indicated that parents were able to learn PRT in a group format, as the majority of parents in the PRTG (84%) met fidelity of implementation criteria after 12 weeks. Children also demonstrated greater improvement in adaptive communication skills (Vineland-II) following PRTG and baseline Mullen visual reception scores predicted treatment response to PRTG. Conclusions This is the first randomized controlled trial of group-delivered PRT and one of the largest experimental investigations of the PRT model to date. The findings suggest that specific instruction in PRT results in greater skill acquisition for both parents and children, especially in functional and adaptive communication skills. Further research in PRT is warranted to replicate the observed results and address other core ASD symptoms. En ligne : http://dx.doi.org/10.1111/jcpp.12354 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=263

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