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Détail de l'auteur
Auteur L. G. KLINGER |
Documents disponibles écrits par cet auteur (6)



Brief Report: Developmental Trajectories of Adaptive Behavior in Children and Adolescents with ASD / A. T. MEYER in Journal of Autism and Developmental Disorders, 48-8 (August 2018)
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Titre : Brief Report: Developmental Trajectories of Adaptive Behavior in Children and Adolescents with ASD Type de document : Texte imprimé et/ou numérique Auteurs : A. T. MEYER, Auteur ; Patrick S. POWELL, Auteur ; N. BUTERA, Auteur ; M. R. KLINGER, Auteur ; L. G. KLINGER, Auteur Article en page(s) : p.2870-2878 Langues : Anglais (eng) Mots-clés : Adaptive behavior Autism Developmental trajectories Index. décimale : PER Périodiques Résumé : Research suggests that individuals with autism spectrum disorder (ASD) have significant difficulties with adaptive behavior skills including daily living and functional communication skills. Few studies have examined the developmental trajectory of adaptive behavior across childhood and adolescence. The present study examined longitudinal trajectories of adaptive behavior in a community-based clinic sample of 186 individuals with ASD. The overall pattern indicated an initial increase in adaptive behavior during early childhood followed by a plateau in skills during adolescence for individuals of all IQ groups. Given the importance of adaptive behavior for employment and quality of life, this study emphasizes the importance of targeting adaptive behavior during adolescence to insure continued gains. En ligne : http://dx.doi.org/10.1007/s10803-018-3538-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367
in Journal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2870-2878[article] Brief Report: Developmental Trajectories of Adaptive Behavior in Children and Adolescents with ASD [Texte imprimé et/ou numérique] / A. T. MEYER, Auteur ; Patrick S. POWELL, Auteur ; N. BUTERA, Auteur ; M. R. KLINGER, Auteur ; L. G. KLINGER, Auteur . - p.2870-2878.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2870-2878
Mots-clés : Adaptive behavior Autism Developmental trajectories Index. décimale : PER Périodiques Résumé : Research suggests that individuals with autism spectrum disorder (ASD) have significant difficulties with adaptive behavior skills including daily living and functional communication skills. Few studies have examined the developmental trajectory of adaptive behavior across childhood and adolescence. The present study examined longitudinal trajectories of adaptive behavior in a community-based clinic sample of 186 individuals with ASD. The overall pattern indicated an initial increase in adaptive behavior during early childhood followed by a plateau in skills during adolescence for individuals of all IQ groups. Given the importance of adaptive behavior for employment and quality of life, this study emphasizes the importance of targeting adaptive behavior during adolescence to insure continued gains. En ligne : http://dx.doi.org/10.1007/s10803-018-3538-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367 Considerations from the 2017 IMFAR Preconference on Measuring Meaningful Outcomes from School-Age to Adulthood / Vanessa H. BAL in Autism Research, 11-11 (November 2018)
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Titre : Considerations from the 2017 IMFAR Preconference on Measuring Meaningful Outcomes from School-Age to Adulthood Type de document : Texte imprimé et/ou numérique Auteurs : Vanessa H. BAL, Auteur ; R. L. HENDREN, Auteur ; Tony CHARMAN, Auteur ; Leonard ABBEDUTO, Auteur ; Connie KASARI, Auteur ; L. G. KLINGER, Auteur ; W. ENCE, Auteur ; T. GLAVIN, Auteur ; G. LYONS, Auteur ; E. ROSENBERG, Auteur Article en page(s) : p.1446-1454 Langues : Anglais (eng) Mots-clés : lifespan outcome stakeholders strengths Index. décimale : PER Périodiques Résumé : The autism spectrum disorder (ASD) research community is increasingly considering the importance of measuring outcomes that are meaningful to individuals with ASD and their families. The 2017 IMFAR preconference aimed to gain the perspectives of how to define and measure "meaningful outcomes" from 280 participants, including people with ASD and their families, service providers, and researchers. Six themes were identified: (a) the definition of "outcome" varies by context and perspective; (b) the need to broaden the scope of what researchers measure; (c) the need for new assessment tools; (d) the need to expand data analytic methods; (e) where to focus (with emphasis on considering different developmental stages and aspects of diversity); and (f) a need for community partnerships to bridge research and daily practice. The challenge that the research community now faces is how to move the evidence base for clinical practice forward while keeping alive the divergence of views and considerations that are relevant for thinking about complex outcomes for the highly heterogeneous group of individuals with ASD. This commentary provides recommendations, with an emphasis on lifespan viewpoints that encompass individual strengths and preferences. Autism Research 2018, 11: 1446-1454. (c) 2018 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: The 2017 IMFAR preconference aimed to gain the perspectives of how to define and measure "meaningful outcomes" from a variety of stakeholders. This commentary outlines the six themes identified from keynote and panel presentations and audience-participated discussions. Recommendations are made to emphasize perspectives that look across the lifespan and encompass individual strengths and preferences. En ligne : http://dx.doi.org/10.1002/aur.2034 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370
in Autism Research > 11-11 (November 2018) . - p.1446-1454[article] Considerations from the 2017 IMFAR Preconference on Measuring Meaningful Outcomes from School-Age to Adulthood [Texte imprimé et/ou numérique] / Vanessa H. BAL, Auteur ; R. L. HENDREN, Auteur ; Tony CHARMAN, Auteur ; Leonard ABBEDUTO, Auteur ; Connie KASARI, Auteur ; L. G. KLINGER, Auteur ; W. ENCE, Auteur ; T. GLAVIN, Auteur ; G. LYONS, Auteur ; E. ROSENBERG, Auteur . - p.1446-1454.
Langues : Anglais (eng)
in Autism Research > 11-11 (November 2018) . - p.1446-1454
Mots-clés : lifespan outcome stakeholders strengths Index. décimale : PER Périodiques Résumé : The autism spectrum disorder (ASD) research community is increasingly considering the importance of measuring outcomes that are meaningful to individuals with ASD and their families. The 2017 IMFAR preconference aimed to gain the perspectives of how to define and measure "meaningful outcomes" from 280 participants, including people with ASD and their families, service providers, and researchers. Six themes were identified: (a) the definition of "outcome" varies by context and perspective; (b) the need to broaden the scope of what researchers measure; (c) the need for new assessment tools; (d) the need to expand data analytic methods; (e) where to focus (with emphasis on considering different developmental stages and aspects of diversity); and (f) a need for community partnerships to bridge research and daily practice. The challenge that the research community now faces is how to move the evidence base for clinical practice forward while keeping alive the divergence of views and considerations that are relevant for thinking about complex outcomes for the highly heterogeneous group of individuals with ASD. This commentary provides recommendations, with an emphasis on lifespan viewpoints that encompass individual strengths and preferences. Autism Research 2018, 11: 1446-1454. (c) 2018 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: The 2017 IMFAR preconference aimed to gain the perspectives of how to define and measure "meaningful outcomes" from a variety of stakeholders. This commentary outlines the six themes identified from keynote and panel presentations and audience-participated discussions. Recommendations are made to emphasize perspectives that look across the lifespan and encompass individual strengths and preferences. En ligne : http://dx.doi.org/10.1002/aur.2034 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 Examining Environmental Predictors of Community Participation for Adults with Autism Spectrum Disorder Using Geographic Information Systems (GIS) / D. V. CHAN in Journal of Autism and Developmental Disorders, 51-7 (July 2021)
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Titre : Examining Environmental Predictors of Community Participation for Adults with Autism Spectrum Disorder Using Geographic Information Systems (GIS) Type de document : Texte imprimé et/ou numérique Auteurs : D. V. CHAN, Auteur ; M. R. KLINGER, Auteur ; K. A. ADKISSON, Auteur ; L. G. KLINGER, Auteur Article en page(s) : p.2531-2537 Langues : Anglais (eng) Mots-clés : Activities of Daily Living Adult Autism Spectrum Disorder/epidemiology Community Participation Female Geographic Information Systems Humans Male Adults Autism spectrum disorder Community participation Geographic information systems (GIS) Services Foundation, the Organization for Autism Research, The University of North Carolina at Chapel Hill Junior Faculty Development Award and the University Research Council. Laura Klinger received research grants from Autism Speaks (#8316) and the Foundation of Hope. Index. décimale : PER Périodiques Résumé : A geographic information system (GIS) approach systematically assessed whether population density and distribution of community resources contributed to caregiver reported community participation outcomes for 124 adults with autism spectrum disorder (ASD). Regression analyses examined whether GIS measures predicted community participation in areas of social activities and use of services, while also accounting for adult age, conversation ability, and daily living skills (DLS). Results indicated that in addition to person factors of greater DLS and better conversation ability, access to specific community features, such as bus stops, contributed to improved participation. Unexpectedly, population density where one lived made minimal contribution to participation outcomes, except in getting together with friends outside of organized activities. En ligne : http://dx.doi.org/10.1007/s10803-020-04660-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=452
in Journal of Autism and Developmental Disorders > 51-7 (July 2021) . - p.2531-2537[article] Examining Environmental Predictors of Community Participation for Adults with Autism Spectrum Disorder Using Geographic Information Systems (GIS) [Texte imprimé et/ou numérique] / D. V. CHAN, Auteur ; M. R. KLINGER, Auteur ; K. A. ADKISSON, Auteur ; L. G. KLINGER, Auteur . - p.2531-2537.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-7 (July 2021) . - p.2531-2537
Mots-clés : Activities of Daily Living Adult Autism Spectrum Disorder/epidemiology Community Participation Female Geographic Information Systems Humans Male Adults Autism spectrum disorder Community participation Geographic information systems (GIS) Services Foundation, the Organization for Autism Research, The University of North Carolina at Chapel Hill Junior Faculty Development Award and the University Research Council. Laura Klinger received research grants from Autism Speaks (#8316) and the Foundation of Hope. Index. décimale : PER Périodiques Résumé : A geographic information system (GIS) approach systematically assessed whether population density and distribution of community resources contributed to caregiver reported community participation outcomes for 124 adults with autism spectrum disorder (ASD). Regression analyses examined whether GIS measures predicted community participation in areas of social activities and use of services, while also accounting for adult age, conversation ability, and daily living skills (DLS). Results indicated that in addition to person factors of greater DLS and better conversation ability, access to specific community features, such as bus stops, contributed to improved participation. Unexpectedly, population density where one lived made minimal contribution to participation outcomes, except in getting together with friends outside of organized activities. En ligne : http://dx.doi.org/10.1007/s10803-020-04660-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=452 Mental health Project ECHO Autism: Increasing access to community mental health services for autistic individuals / N. G. DREILING in Autism, 26-2 (February 2022)
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Titre : Mental health Project ECHO Autism: Increasing access to community mental health services for autistic individuals Type de document : Texte imprimé et/ou numérique Auteurs : N. G. DREILING, Auteur ; M. L. COOK, Auteur ; E. LAMARCHE, Auteur ; L. G. KLINGER, Auteur Article en page(s) : p.434-445 Langues : Anglais (eng) Mots-clés : Project ECHO autism mental health professional development teleconsultation of interest with respect to the research, authorship, and/or publication of this article. Index. décimale : PER Périodiques Résumé : Although many autistic individuals have additional mental health conditions, most have a hard time getting services from mental health providers. One reason why these services can be hard to access is that many mental health providers do not feel confident in their ability to provide services to autistic individuals. To share autism expertise with local community providers and boost their confidence in working with autistic individuals, we created a mental health version of the Extension for Community Healthcare Outcomes (Project ECHO) Autism virtual teleconsultation program. In this pilot study, we recruited 51 community mental health providers to participate in Project ECHO Autism. During each biweekly session, providers received information from autism experts about how to tailor mental health interventions (e.g. attention-deficit hyperactivity disorder or anxiety interventions) for use with autistic individuals. They also had the opportunity to ask questions and get advice on their current cases. At the end of the 6-month study, mental health providers showed improvements in their confidence, in their knowledge of autism, and in their problem-solving skills. Nearly half (45%) of these providers participated from rural counties, suggesting that the Project ECHO Autism teleconsultation model was able to reach mental health providers who might not have been able to get training otherwise. This study supports the feasibility of using Project ECHO Autism to share autism knowledge with mental health providers, consequently expanding mental health service options for autistic individuals with co-occurring mental health conditions. En ligne : http://dx.doi.org/10.1177/13623613211028000 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=452
in Autism > 26-2 (February 2022) . - p.434-445[article] Mental health Project ECHO Autism: Increasing access to community mental health services for autistic individuals [Texte imprimé et/ou numérique] / N. G. DREILING, Auteur ; M. L. COOK, Auteur ; E. LAMARCHE, Auteur ; L. G. KLINGER, Auteur . - p.434-445.
Langues : Anglais (eng)
in Autism > 26-2 (February 2022) . - p.434-445
Mots-clés : Project ECHO autism mental health professional development teleconsultation of interest with respect to the research, authorship, and/or publication of this article. Index. décimale : PER Périodiques Résumé : Although many autistic individuals have additional mental health conditions, most have a hard time getting services from mental health providers. One reason why these services can be hard to access is that many mental health providers do not feel confident in their ability to provide services to autistic individuals. To share autism expertise with local community providers and boost their confidence in working with autistic individuals, we created a mental health version of the Extension for Community Healthcare Outcomes (Project ECHO) Autism virtual teleconsultation program. In this pilot study, we recruited 51 community mental health providers to participate in Project ECHO Autism. During each biweekly session, providers received information from autism experts about how to tailor mental health interventions (e.g. attention-deficit hyperactivity disorder or anxiety interventions) for use with autistic individuals. They also had the opportunity to ask questions and get advice on their current cases. At the end of the 6-month study, mental health providers showed improvements in their confidence, in their knowledge of autism, and in their problem-solving skills. Nearly half (45%) of these providers participated from rural counties, suggesting that the Project ECHO Autism teleconsultation model was able to reach mental health providers who might not have been able to get training otherwise. This study supports the feasibility of using Project ECHO Autism to share autism knowledge with mental health providers, consequently expanding mental health service options for autistic individuals with co-occurring mental health conditions. En ligne : http://dx.doi.org/10.1177/13623613211028000 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=452 Patterns of autism spectrum symptomatology in individuals with Down syndrome without comorbid autism spectrum disorder / Marie M. CHANNELL in Journal of Neurodevelopmental Disorders, 7-1 (December 2015)
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Titre : Patterns of autism spectrum symptomatology in individuals with Down syndrome without comorbid autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Marie M. CHANNELL, Auteur ; B. A. PHILLIPS, Auteur ; S. J. LOVEALL, Auteur ; F. A. CONNERS, Auteur ; P. M. BUSSANICH, Auteur ; L. G. KLINGER, Auteur Article en page(s) : p.5 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Comorbidity Down syndrome Intellectual disability Social communication Index. décimale : PER Périodiques Résumé : BACKGROUND: Prevalence estimates of autism spectrum disorder (ASD) in Down syndrome (DS) are highly varied. This variation is partly due to the difficulty of screening for and diagnosing comorbid ASD in individuals with a syndrome that carries its own set of social communicative and behavioral difficulties that are not well documented. The aim of this study was to identify the typical range of social communicative impairments observed in children, adolescents, and young adults with DS who do not have comorbid ASD. METHODS: We examined patterns of scores from the five subscales of the Social Responsiveness Scale (SRS) in 46 individuals with DS (ages 10-21 years) without comorbid ASD relative to the published normative sample. We also explored the correlations between SRS symptomatology and age, nonverbal cognition, and receptive language. RESULTS: SRS scores were elevated (i.e., more ASD symptoms endorsed), with mean scores falling into the clinically significant range. Analysis by subscale revealed a specific pattern, with Autistic Mannerisms and Social Cognition scores significantly more elevated than Social Communication scores, which were significantly more elevated than Social Awareness and Social Motivation scores. Correlations between SRS scores and the other measures varied by subscale. CONCLUSIONS: General elevated ASD symptomatology on the SRS indicates the need for developing population-based norms specific to DS. The pattern of scores across subscales should inform clinicians of the typical range of behaviors observed in DS so that individuals with atypical patterns of behavior can be more easily identified and considered for a full ASD evaluation. En ligne : http://dx.doi.org/10.1186/1866-1955-7-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=347
in Journal of Neurodevelopmental Disorders > 7-1 (December 2015) . - p.5[article] Patterns of autism spectrum symptomatology in individuals with Down syndrome without comorbid autism spectrum disorder [Texte imprimé et/ou numérique] / Marie M. CHANNELL, Auteur ; B. A. PHILLIPS, Auteur ; S. J. LOVEALL, Auteur ; F. A. CONNERS, Auteur ; P. M. BUSSANICH, Auteur ; L. G. KLINGER, Auteur . - p.5.
Langues : Anglais (eng)
in Journal of Neurodevelopmental Disorders > 7-1 (December 2015) . - p.5
Mots-clés : Autism spectrum disorder Comorbidity Down syndrome Intellectual disability Social communication Index. décimale : PER Périodiques Résumé : BACKGROUND: Prevalence estimates of autism spectrum disorder (ASD) in Down syndrome (DS) are highly varied. This variation is partly due to the difficulty of screening for and diagnosing comorbid ASD in individuals with a syndrome that carries its own set of social communicative and behavioral difficulties that are not well documented. The aim of this study was to identify the typical range of social communicative impairments observed in children, adolescents, and young adults with DS who do not have comorbid ASD. METHODS: We examined patterns of scores from the five subscales of the Social Responsiveness Scale (SRS) in 46 individuals with DS (ages 10-21 years) without comorbid ASD relative to the published normative sample. We also explored the correlations between SRS symptomatology and age, nonverbal cognition, and receptive language. RESULTS: SRS scores were elevated (i.e., more ASD symptoms endorsed), with mean scores falling into the clinically significant range. Analysis by subscale revealed a specific pattern, with Autistic Mannerisms and Social Cognition scores significantly more elevated than Social Communication scores, which were significantly more elevated than Social Awareness and Social Motivation scores. Correlations between SRS scores and the other measures varied by subscale. CONCLUSIONS: General elevated ASD symptomatology on the SRS indicates the need for developing population-based norms specific to DS. The pattern of scores across subscales should inform clinicians of the typical range of behaviors observed in DS so that individuals with atypical patterns of behavior can be more easily identified and considered for a full ASD evaluation. En ligne : http://dx.doi.org/10.1186/1866-1955-7-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=347 Understanding Service Usage and Needs for Adults with ASD: The Importance of Living Situation / K. M. DUDLEY in Journal of Autism and Developmental Disorders, 49-2 (February 2019)
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