[article]
| Titre : |
A randomised controlled trial of an iPad-based application to complement early behavioural intervention in Autism Spectrum Disorder |
| Type de document : |
texte imprimé |
| Auteurs : |
Andrew J. O. WHITEHOUSE, Auteur ; Joanna GRANICH, Auteur ; Gail A. ALVARES, Auteur ; Margherita L. BUSACCA, Auteur ; Matthew N. COOPER, Auteur ; Alena DASS, Auteur ; Thi DUONG, Auteur ; Rajes HARPER, Auteur ; Wendy MARSHALL, Auteur ; Amanda RICHDALE, Auteur ; Tania RODWELL, Auteur ; David TREMBATH, Auteur ; Pratibha VELLANKI, Auteur ; Dennis W. MOORE, Auteur ; Angelika ANDERSON, Auteur |
| Article en page(s) : |
p.1042-1052 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Autism Spectrum Disorder randomised controlled trial early intervention computer-assisted learning |
| Index. décimale : |
PER Périodiques |
| Résumé : |
Background Technology-based interventions for Autism Spectrum Disorder (ASD) have proliferated, but few have been evaluated within the context of a randomised controlled trial (RCT). This RCT evaluated the efficacy of one technology-based early intervention programme (Therapy Outcomes By You; TOBY) in young children with ASD. Methods TOBY is an app-based learning curriculum designed for children and parents as a complement to early behavioural intervention. Eighty children (16 female) were recruited to this RCT within 12 months of receiving a diagnosis of ASD (M age = 3.38; SD = 0.69) and randomised to receive either treatment-as-usual (community-based intervention, n = 39) or the TOBY therapy (at least 20 min/day) plus treatment-as-usual (n = 41) for a period of 6 months. Outcomes were assessed at 3 and 6 months postbaseline. (Australian New Zealand Clinical Trials Registry: ACTRN12614000738628; www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=365463). Results Children in the TOBY intervention group averaged 19 min/day engaging with the app in the first 3 months, but only 2 min/day during the second 3 months. There was no group difference in scores on the primary outcome, the Autism Treatment Evaluation Checklist, at either the 3- or 6-month follow-up. However, significant improvements at the 6-month follow-up were observed in the TOBY intervention group relative to the treatment-as-usual group on three secondary outcomes: the Fine Motor and Visual Reception subscales of the Mullen Scale of Early Learning and the Total Words Understood scale of the MacArthur-Bates Communicative Development Index. Statistical trends towards improvement in the TOBY intervention group were observed on measures of adaptive function, although these decreased in magnitude from the 3- to 6-month follow-up. Conclusions This study provides evidence that technology-based interventions may provide a relatively low-cost addition to existing therapist-delivered interventions for children with ASD. However, sustained use of the app over the full 6-month period was a challenge for most families. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.12752 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=317 |
in Journal of Child Psychology and Psychiatry > 58-9 (September 2017) . - p.1042-1052
[article] A randomised controlled trial of an iPad-based application to complement early behavioural intervention in Autism Spectrum Disorder [texte imprimé] / Andrew J. O. WHITEHOUSE, Auteur ; Joanna GRANICH, Auteur ; Gail A. ALVARES, Auteur ; Margherita L. BUSACCA, Auteur ; Matthew N. COOPER, Auteur ; Alena DASS, Auteur ; Thi DUONG, Auteur ; Rajes HARPER, Auteur ; Wendy MARSHALL, Auteur ; Amanda RICHDALE, Auteur ; Tania RODWELL, Auteur ; David TREMBATH, Auteur ; Pratibha VELLANKI, Auteur ; Dennis W. MOORE, Auteur ; Angelika ANDERSON, Auteur . - p.1042-1052. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 58-9 (September 2017) . - p.1042-1052
| Mots-clés : |
Autism Spectrum Disorder randomised controlled trial early intervention computer-assisted learning |
| Index. décimale : |
PER Périodiques |
| Résumé : |
Background Technology-based interventions for Autism Spectrum Disorder (ASD) have proliferated, but few have been evaluated within the context of a randomised controlled trial (RCT). This RCT evaluated the efficacy of one technology-based early intervention programme (Therapy Outcomes By You; TOBY) in young children with ASD. Methods TOBY is an app-based learning curriculum designed for children and parents as a complement to early behavioural intervention. Eighty children (16 female) were recruited to this RCT within 12 months of receiving a diagnosis of ASD (M age = 3.38; SD = 0.69) and randomised to receive either treatment-as-usual (community-based intervention, n = 39) or the TOBY therapy (at least 20 min/day) plus treatment-as-usual (n = 41) for a period of 6 months. Outcomes were assessed at 3 and 6 months postbaseline. (Australian New Zealand Clinical Trials Registry: ACTRN12614000738628; www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=365463). Results Children in the TOBY intervention group averaged 19 min/day engaging with the app in the first 3 months, but only 2 min/day during the second 3 months. There was no group difference in scores on the primary outcome, the Autism Treatment Evaluation Checklist, at either the 3- or 6-month follow-up. However, significant improvements at the 6-month follow-up were observed in the TOBY intervention group relative to the treatment-as-usual group on three secondary outcomes: the Fine Motor and Visual Reception subscales of the Mullen Scale of Early Learning and the Total Words Understood scale of the MacArthur-Bates Communicative Development Index. Statistical trends towards improvement in the TOBY intervention group were observed on measures of adaptive function, although these decreased in magnitude from the 3- to 6-month follow-up. Conclusions This study provides evidence that technology-based interventions may provide a relatively low-cost addition to existing therapist-delivered interventions for children with ASD. However, sustained use of the app over the full 6-month period was a challenge for most families. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.12752 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=317 |
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