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Auteur Megan FOK |
Documents disponibles écrits par cet auteur (5)



Frequency and correlates of augmentative and alternative communication use in an autistic inpatient sample / Elizabeth A. DELUCIA in Journal of Autism and Developmental Disorders, 54-5 (May 2024)
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Titre : Frequency and correlates of augmentative and alternative communication use in an autistic inpatient sample Type de document : Texte imprimé et/ou numérique Auteurs : Elizabeth A. DELUCIA, Auteur ; Tyler C. MCFAYDEN, Auteur ; Megan FOK, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Angela SCARPA, Auteur ; Christina G. MCDONNELL, Auteur Article en page(s) : p.2060-2068 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Although augmentative and alternative communication (AAC) strategies are often used by autistic youth, little is known about the use of AAC in inpatient psychiatric settings. This study evaluated how demographic and clinical factors (e.g., language level, IQ) related to AAC use in a well-characterized sample of 527 autistic youth (78.7% male, mean age 12.94) who participated in the Autism Inpatient Collection. AAC use was common, with 42.5% of caregivers reporting at least one form of AAC. White children were more likely to use AAC than non-white children at the bivariate level. In regression analyses, young children were more likely to use AAC than older children. These results suggest the importance of provider training and improved equitable access to AAC. En ligne : https://doi.org/10.1007/s10803-022-05650-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=530
in Journal of Autism and Developmental Disorders > 54-5 (May 2024) . - p.2060-2068[article] Frequency and correlates of augmentative and alternative communication use in an autistic inpatient sample [Texte imprimé et/ou numérique] / Elizabeth A. DELUCIA, Auteur ; Tyler C. MCFAYDEN, Auteur ; Megan FOK, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Angela SCARPA, Auteur ; Christina G. MCDONNELL, Auteur . - p.2060-2068.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 54-5 (May 2024) . - p.2060-2068
Index. décimale : PER Périodiques Résumé : Although augmentative and alternative communication (AAC) strategies are often used by autistic youth, little is known about the use of AAC in inpatient psychiatric settings. This study evaluated how demographic and clinical factors (e.g., language level, IQ) related to AAC use in a well-characterized sample of 527 autistic youth (78.7% male, mean age 12.94) who participated in the Autism Inpatient Collection. AAC use was common, with 42.5% of caregivers reporting at least one form of AAC. White children were more likely to use AAC than non-white children at the bivariate level. In regression analyses, young children were more likely to use AAC than older children. These results suggest the importance of provider training and improved equitable access to AAC. En ligne : https://doi.org/10.1007/s10803-022-05650-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=530 Measurement invariance of Child Behavior Checklist internalizing and externalizing factors between non-speaking/partially verbal and speaking autistic children / Megan FOK in Research in Autism Spectrum Disorders, 108 (October 2023)
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Titre : Measurement invariance of Child Behavior Checklist internalizing and externalizing factors between non-speaking/partially verbal and speaking autistic children Type de document : Texte imprimé et/ou numérique Auteurs : Megan FOK, Auteur ; Elizabeth A. DELUCIA, Auteur ; Theresa ANDRZEJEWSKI, Auteur ; Christina G. MCDONNELL, Auteur ; Angela SCARPA, Auteur Article en page(s) : p.102249 Mots-clés : CBCL Measurement invariance Non-speaking Partially verbal Language Emotional behavioral concerns Index. décimale : PER Périodiques Résumé : Background The Child Behavior Checklist (CBCL) is commonly used to screen for emotional and behavioral concerns (EBC) in autistic children; however, few studies have tested the measurement invariance across language groups. Method The current study conducted a multi-group confirmatory factor analysis to examine the factorial invariance of the broadband internalizing and externalizing factor structure between 311 speaking and 1778 non-speaking/partially verbal (NSPV) autistic children using the Simons Simplex Collection (N = 2089), which represents a specific phenotypic presentation of autism. Results The two-factor structure achieved configural and metric but not scalar invariance, suggesting that, while the CBCL appears useful as a measure of EBC in autistic youth within language groups in our sample, the Internalizing and Externalizing domain scores might not be comparable between language groups due to measurement bias. Conclusions While EBC in autistic children can be measured using the CBCL, comparisons between NSPV and speaking children should be approached with caution. Measures that demonstrate invariance across language groups are a critical research priority in understanding how EBC manifest across ability levels, particularly in the development of appropriate mental health interventions. Considerations for practical implications of scalar non-invariance are discussed. En ligne : https://doi.org/10.1016/j.rasd.2023.102249 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514
in Research in Autism Spectrum Disorders > 108 (October 2023) . - p.102249[article] Measurement invariance of Child Behavior Checklist internalizing and externalizing factors between non-speaking/partially verbal and speaking autistic children [Texte imprimé et/ou numérique] / Megan FOK, Auteur ; Elizabeth A. DELUCIA, Auteur ; Theresa ANDRZEJEWSKI, Auteur ; Christina G. MCDONNELL, Auteur ; Angela SCARPA, Auteur . - p.102249.
in Research in Autism Spectrum Disorders > 108 (October 2023) . - p.102249
Mots-clés : CBCL Measurement invariance Non-speaking Partially verbal Language Emotional behavioral concerns Index. décimale : PER Périodiques Résumé : Background The Child Behavior Checklist (CBCL) is commonly used to screen for emotional and behavioral concerns (EBC) in autistic children; however, few studies have tested the measurement invariance across language groups. Method The current study conducted a multi-group confirmatory factor analysis to examine the factorial invariance of the broadband internalizing and externalizing factor structure between 311 speaking and 1778 non-speaking/partially verbal (NSPV) autistic children using the Simons Simplex Collection (N = 2089), which represents a specific phenotypic presentation of autism. Results The two-factor structure achieved configural and metric but not scalar invariance, suggesting that, while the CBCL appears useful as a measure of EBC in autistic youth within language groups in our sample, the Internalizing and Externalizing domain scores might not be comparable between language groups due to measurement bias. Conclusions While EBC in autistic children can be measured using the CBCL, comparisons between NSPV and speaking children should be approached with caution. Measures that demonstrate invariance across language groups are a critical research priority in understanding how EBC manifest across ability levels, particularly in the development of appropriate mental health interventions. Considerations for practical implications of scalar non-invariance are discussed. En ligne : https://doi.org/10.1016/j.rasd.2023.102249 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514 Predictors of longer-term development of expressive language in two independent longitudinal cohorts of language-delayed preschoolers with Autism Spectrum Disorder / Vanessa H. BAL in Journal of Child Psychology and Psychiatry, 61-7 (July 2020)
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Titre : Predictors of longer-term development of expressive language in two independent longitudinal cohorts of language-delayed preschoolers with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Vanessa H. BAL, Auteur ; Megan FOK, Auteur ; Catherine LORD, Auteur ; Isabel M SMITH, Auteur ; Pat MIRENDA, Auteur ; Peter SZATMARI, Auteur ; Tracy VAILLANCOURT, Auteur ; Joanne VOLDEN, Auteur ; Charlotte WADDELL, Auteur ; Lonnie ZWAIGENBAUM, Auteur ; Terry BENNETT, Auteur ; Eric DUKU, Auteur ; Mayada ELSABBAGH, Auteur ; Stelios GEORGIADES, Auteur ; Wendy J. UNGAR, Auteur ; Anat ZAIDMAN-ZAIT, Auteur Article en page(s) : p.826-835 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder language longitudinal studies motor skills conflicts of interest. Index. décimale : PER Périodiques Résumé : BACKGROUND: Studies estimate that 30% of individuals with autism are minimally verbal. Understanding what factors predict longer-term expressive development in children with language delays is critical to inform identification and treatment of those at-risk for persistent language impairments. The present study examined predictors of expressive language development in language-delayed preschoolers followed through later school-age and young adulthood. METHODS: Children using single words or less on the Autism Diagnostic Observation Schedule (ADOS) at approximately 3 years old were drawn from the Early Diagnosis (EDX) and Pathways in ASD longitudinal cohorts. Age-3 predictors of Age-19 ADOS language level were identified using Classification and Regression Trees (CART) in the EDX sample. Linear mixed models examined the effects of CART-identified predictors on Vineland expressive communication (VExp) trajectories from Age-3 to Age-19. The same linear mixed models were examined in the Pathways sample, identifying predictors of VExp from ages 3 to 10.5 years. RESULTS: Significantly delayed fine motor skills (T-score < 20) was the strongest CART predictor of Age-19 language. In the linear mixed models, time, Age-3 fine motor skills and initiation of joint attention (IJA) predicted VExp trajectories in the EDX sample, even when controlling for Age-3 visual receptive abilities. In the Pathways sample, time and Age-3 fine motor skills were significant predictors of VExp trajectories; IJA and cognitive skills were not significant predictors. CONCLUSIONS: Marked deficits in fine motor skills may be a salient proxy marker for identifying language-delayed children with ASD who are at risk for persistent language impairments. This finding adds to the literature demonstrating a relation between motor and language development in ASD. Investigating individual skill areas (e.g., fine motor and nonverbal problem-solving skills), rather than broader indices of developmental level (e.g., nonverbal IQ) may provide important cues to understanding longer-term language outcomes that can be targeted in early intervention. En ligne : http://dx.doi.org/10.1111/jcpp.13117 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429
in Journal of Child Psychology and Psychiatry > 61-7 (July 2020) . - p.826-835[article] Predictors of longer-term development of expressive language in two independent longitudinal cohorts of language-delayed preschoolers with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Vanessa H. BAL, Auteur ; Megan FOK, Auteur ; Catherine LORD, Auteur ; Isabel M SMITH, Auteur ; Pat MIRENDA, Auteur ; Peter SZATMARI, Auteur ; Tracy VAILLANCOURT, Auteur ; Joanne VOLDEN, Auteur ; Charlotte WADDELL, Auteur ; Lonnie ZWAIGENBAUM, Auteur ; Terry BENNETT, Auteur ; Eric DUKU, Auteur ; Mayada ELSABBAGH, Auteur ; Stelios GEORGIADES, Auteur ; Wendy J. UNGAR, Auteur ; Anat ZAIDMAN-ZAIT, Auteur . - p.826-835.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 61-7 (July 2020) . - p.826-835
Mots-clés : Autism spectrum disorder language longitudinal studies motor skills conflicts of interest. Index. décimale : PER Périodiques Résumé : BACKGROUND: Studies estimate that 30% of individuals with autism are minimally verbal. Understanding what factors predict longer-term expressive development in children with language delays is critical to inform identification and treatment of those at-risk for persistent language impairments. The present study examined predictors of expressive language development in language-delayed preschoolers followed through later school-age and young adulthood. METHODS: Children using single words or less on the Autism Diagnostic Observation Schedule (ADOS) at approximately 3 years old were drawn from the Early Diagnosis (EDX) and Pathways in ASD longitudinal cohorts. Age-3 predictors of Age-19 ADOS language level were identified using Classification and Regression Trees (CART) in the EDX sample. Linear mixed models examined the effects of CART-identified predictors on Vineland expressive communication (VExp) trajectories from Age-3 to Age-19. The same linear mixed models were examined in the Pathways sample, identifying predictors of VExp from ages 3 to 10.5 years. RESULTS: Significantly delayed fine motor skills (T-score < 20) was the strongest CART predictor of Age-19 language. In the linear mixed models, time, Age-3 fine motor skills and initiation of joint attention (IJA) predicted VExp trajectories in the EDX sample, even when controlling for Age-3 visual receptive abilities. In the Pathways sample, time and Age-3 fine motor skills were significant predictors of VExp trajectories; IJA and cognitive skills were not significant predictors. CONCLUSIONS: Marked deficits in fine motor skills may be a salient proxy marker for identifying language-delayed children with ASD who are at risk for persistent language impairments. This finding adds to the literature demonstrating a relation between motor and language development in ASD. Investigating individual skill areas (e.g., fine motor and nonverbal problem-solving skills), rather than broader indices of developmental level (e.g., nonverbal IQ) may provide important cues to understanding longer-term language outcomes that can be targeted in early intervention. En ligne : http://dx.doi.org/10.1111/jcpp.13117 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429 A Qualitative Examination of the Impact of COVID-19 on Transition Services for Autistic Youth / Megan FOK ; Elizabeth A. DELUCIA ; Angela SCARPA in Journal of Autism and Developmental Disorders, 54-8 (August 2024)
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Titre : A Qualitative Examination of the Impact of COVID-19 on Transition Services for Autistic Youth Type de document : Texte imprimé et/ou numérique Auteurs : Megan FOK, Auteur ; Elizabeth A. DELUCIA, Auteur ; Angela SCARPA, Auteur Article en page(s) : p.3028-3042 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The coronavirus (COVID-19) pandemic has caused widespread disturbances in many human and social service programs. Several studies have examined special education programming adaptations since the onset of the pandemic; however, there has yet to be documentation of pandemic-related changes to transition programming and the impact of these changes for autistic youth. The purpose of this qualitative study was to examine changes in transition programming for autistic youth amid the changing educational landscape. We conducted 12 interviews with caregivers (n = 5) and school providers (n = 7) about transition programming for autistic youth and the COVID-19 impact to these services. The pandemic had positive and negative effects on many aspects of transition programming, including student-focused planning, student development, interagency and interdisciplinary collaboration, family involvement, and program structure and attributes. Elucidation of the ways that the COVID-19 pandemic impacted transition programming from the perspectives of multiple stakeholders has important implications for school personnel and can help to inform the future directions for the field of transition programming research. En ligne : https://doi.org/10.1007/s10803-023-06009-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=534
in Journal of Autism and Developmental Disorders > 54-8 (August 2024) . - p.3028-3042[article] A Qualitative Examination of the Impact of COVID-19 on Transition Services for Autistic Youth [Texte imprimé et/ou numérique] / Megan FOK, Auteur ; Elizabeth A. DELUCIA, Auteur ; Angela SCARPA, Auteur . - p.3028-3042.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 54-8 (August 2024) . - p.3028-3042
Index. décimale : PER Périodiques Résumé : The coronavirus (COVID-19) pandemic has caused widespread disturbances in many human and social service programs. Several studies have examined special education programming adaptations since the onset of the pandemic; however, there has yet to be documentation of pandemic-related changes to transition programming and the impact of these changes for autistic youth. The purpose of this qualitative study was to examine changes in transition programming for autistic youth amid the changing educational landscape. We conducted 12 interviews with caregivers (n = 5) and school providers (n = 7) about transition programming for autistic youth and the COVID-19 impact to these services. The pandemic had positive and negative effects on many aspects of transition programming, including student-focused planning, student development, interagency and interdisciplinary collaboration, family involvement, and program structure and attributes. Elucidation of the ways that the COVID-19 pandemic impacted transition programming from the perspectives of multiple stakeholders has important implications for school personnel and can help to inform the future directions for the field of transition programming research. En ligne : https://doi.org/10.1007/s10803-023-06009-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=534 The Impact of Birth Order on Language Development in Autistic Children from Simplex Families / Tyler C. MCFAYDEN in Journal of Autism and Developmental Disorders, 52-9 (September 2022)
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Titre : The Impact of Birth Order on Language Development in Autistic Children from Simplex Families Type de document : Texte imprimé et/ou numérique Auteurs : Tyler C. MCFAYDEN, Auteur ; Megan FOK, Auteur ; Thomas H. OLLENDICK, Auteur Article en page(s) : p.3861-3876 Langues : Anglais (eng) Mots-clés : Adolescent Autism Spectrum Disorder Autistic Disorder Bayes Theorem Birth Order Child Female Humans Language Development Language Development Disorders Male Vocabulary Autism spectrum disorder Birth order Language development Siblings Index. décimale : PER Périodiques Résumé : The current study investigated the impact of birth order on vocabulary and social language development in 1338 first-born and 1049Â s-born autistic youth (M age=9.03Â years, SD=3.57; 86.4% male) from the Simons Simplex Collection. Frequentist and Bayesian analyses revealed mixed findings in language development. There were no differences in vocabulary or social language between first-born and second-born children. However, birth order and income together predicted expressive vocabulary and inappropriate speech such that birth order had a greater impact on language in lower-income families. This is the first study to investigate the impact of birth order on language outcomes in autistic youth and has implications for early intervention in lower-resourced communities. En ligne : http://dx.doi.org/10.1007/s10803-021-05274-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485
in Journal of Autism and Developmental Disorders > 52-9 (September 2022) . - p.3861-3876[article] The Impact of Birth Order on Language Development in Autistic Children from Simplex Families [Texte imprimé et/ou numérique] / Tyler C. MCFAYDEN, Auteur ; Megan FOK, Auteur ; Thomas H. OLLENDICK, Auteur . - p.3861-3876.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-9 (September 2022) . - p.3861-3876
Mots-clés : Adolescent Autism Spectrum Disorder Autistic Disorder Bayes Theorem Birth Order Child Female Humans Language Development Language Development Disorders Male Vocabulary Autism spectrum disorder Birth order Language development Siblings Index. décimale : PER Périodiques Résumé : The current study investigated the impact of birth order on vocabulary and social language development in 1338 first-born and 1049Â s-born autistic youth (M age=9.03Â years, SD=3.57; 86.4% male) from the Simons Simplex Collection. Frequentist and Bayesian analyses revealed mixed findings in language development. There were no differences in vocabulary or social language between first-born and second-born children. However, birth order and income together predicted expressive vocabulary and inappropriate speech such that birth order had a greater impact on language in lower-income families. This is the first study to investigate the impact of birth order on language outcomes in autistic youth and has implications for early intervention in lower-resourced communities. En ligne : http://dx.doi.org/10.1007/s10803-021-05274-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485