Caregiver responsiveness as a mechanism to improve social communication in toddlers: Secondary analysis of a randomized controlled trial / P. H. DAVIS in Autism Research, 15-2 (February 2022)  

Public ISBD [article]  inAutism Research > 15-2 (February 2022) . - p.366-378 Titre : Caregiver responsiveness as a mechanism to improve social communication in toddlers: Secondary analysis of a randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : P. H. DAVIS, Auteur ; H. ELSAYED, Auteur ; Elizabeth R. CRAIS, Auteur ; Linda R. WATSON, Auteur ; R. GRZADZINSKI, Auteur Article en page(s) : p.366-378 Langues : Anglais (eng) Mots-clés : Boscc  autism spectrum disorder  caregiver responsiveness  early intervention  social communication  treatment response measure  Dr. Grzadzinski has received compensation for trainings she has led on the ADOS and  BOSCC  she did not receive compensation for trainings associated with this  manuscript. Additionally, Dr. Watson and Dr. Crais have received compensation for  invited talks/workshops on the ART intervention and its strategies. Index. décimale : PER Périodiques Résumé : Early intensive behavioral interventions (EIBI) for children at elevated likelihood for a later diagnosis of autism spectrum disorder (EL-ASD), are often delivered through parent-mediated models. An area of current exploration is whether changes in caregiver behaviors are a mechanism through which to improve and track child behaviors in these interventions. Toddlers and their caregivers participated in an intervention trial (randomized controlled trial) and were randomized to either a parent-mediated intervention (adapted responsive teaching; ART) or a control condition (referral to early intervention and monitoring; REIM). Changes in toddler social communication (SC) behaviors and characteristics of caregiver responsiveness (CR) were quantified over 8?months. Analyses were conducted to assess whether changes in CR mediated the relation between group (ART vs. REIM) and changes in child SC. Results of the current study indicated that caregivers who participated in a parent-mediated intervention improved in three domains of CR (contingent verbal sensitivity, responsivity, affect). CR was also found to be a mechanism through which children's SC skills improved. This work provides evidence that qualities of CR serve as mechanisms through which to improve and monitor child behaviors over the course of EIBIs. These results may lead to novel intervention targets, methods for tracking change, and tailored treatment planning for toddlers with EL-ASD. The data used in this study comes from a clinical trial that was prospectively registered with the Registry of Efficacy and Effectiveness Studies (Registry ID: 316.1v1). LAY SUMMARY: Interventions for toddlers with high likelihood for a later diagnosis of autism often include the caregiver as an active participant in the intervention. In this study, we aimed to understand qualities of caregiver responsiveness (CR) that facilitate improvements in child behaviors during intervention. Results show that increasing verbal CR and affect are ways to improve child social skills over the course of intervention. En ligne : http://dx.doi.org/10.1002/aur.2640 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 [article] Caregiver responsiveness as a mechanism to improve social communication in toddlers: Secondary analysis of a randomized controlled trial [Texte imprimé et/ou numérique] / P. H. DAVIS, Auteur ; H. ELSAYED, Auteur ; Elizabeth R. CRAIS, Auteur ; Linda R. WATSON, Auteur ; R. GRZADZINSKI, Auteur . - p.366-378. Langues : Anglais (eng) in Autism Research > 15-2 (February 2022) . - p.366-378 Mots-clés : Boscc  autism spectrum disorder  caregiver responsiveness  early intervention  social communication  treatment response measure  Dr. Grzadzinski has received compensation for trainings she has led on the ADOS and  BOSCC  she did not receive compensation for trainings associated with this  manuscript. Additionally, Dr. Watson and Dr. Crais have received compensation for  invited talks/workshops on the ART intervention and its strategies. Index. décimale : PER Périodiques Résumé : Early intensive behavioral interventions (EIBI) for children at elevated likelihood for a later diagnosis of autism spectrum disorder (EL-ASD), are often delivered through parent-mediated models. An area of current exploration is whether changes in caregiver behaviors are a mechanism through which to improve and track child behaviors in these interventions. Toddlers and their caregivers participated in an intervention trial (randomized controlled trial) and were randomized to either a parent-mediated intervention (adapted responsive teaching; ART) or a control condition (referral to early intervention and monitoring; REIM). Changes in toddler social communication (SC) behaviors and characteristics of caregiver responsiveness (CR) were quantified over 8?months. Analyses were conducted to assess whether changes in CR mediated the relation between group (ART vs. REIM) and changes in child SC. Results of the current study indicated that caregivers who participated in a parent-mediated intervention improved in three domains of CR (contingent verbal sensitivity, responsivity, affect). CR was also found to be a mechanism through which children's SC skills improved. This work provides evidence that qualities of CR serve as mechanisms through which to improve and monitor child behaviors over the course of EIBIs. These results may lead to novel intervention targets, methods for tracking change, and tailored treatment planning for toddlers with EL-ASD. The data used in this study comes from a clinical trial that was prospectively registered with the Registry of Efficacy and Effectiveness Studies (Registry ID: 316.1v1). LAY SUMMARY: Interventions for toddlers with high likelihood for a later diagnosis of autism often include the caregiver as an active participant in the intervention. In this study, we aimed to understand qualities of caregiver responsiveness (CR) that facilitate improvements in child behaviors during intervention. Results show that increasing verbal CR and affect are ways to improve child social skills over the course of intervention. En ligne : http://dx.doi.org/10.1002/aur.2640 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450

Measuring treatment response in children with autism spectrum disorder: Applications of the Brief Observation of Social Communication Change to the Autism Diagnostic Observation Schedule / S. H. KIM in Autism, 23-5 (July 2019)  

Public ISBD [article]  inAutism > 23-5 (July 2019) . - p.1176-1185 Titre : Measuring treatment response in children with autism spectrum disorder: Applications of the Brief Observation of Social Communication Change to the Autism Diagnostic Observation Schedule Type de document : Texte imprimé et/ou numérique Auteurs : S. H. KIM, Auteur ; R. GRZADZINSKI, Auteur ; K. MARTINEZ, Auteur ; C. LORD, Auteur Article en page(s) : p.1176-1185 Langues : Anglais (eng) Mots-clés : Autism Diagnostic Observation Schedule  Brief Observation of Social Communication Change  autism spectrum disorder  outcome measure Index. décimale : PER Périodiques Résumé : This study aims to determine the validity and reliability of applying the coding strategy from the Brief Observation of Social Communication Change, a newly validated treatment outcome measure, to videotaped segments of the Autism Diagnostic Observation Schedule. Results indicate strong reliability and validity of the Brief Observation of Social Communication Change ratings using the Autism Diagnostic Observation Schedule segments in detecting changes in social communication over the course of treatment in young, minimally verbal children with autism spectrum disorder. Results also suggest that the Brief Observation of Social Communication Change, when applied to Autism Diagnostic Observation Schedule segments, may be more sensitive in detecting subtle changes in social communication compared to the Autism Diagnostic Observation Schedule Calibrated Severity Scores. These results may support the application of the Brief Observation of Social Communication Change to pre-existing datasets of Autism Diagnostic Observation Schedule videos to examine treatment responses. En ligne : http://dx.doi.org/10.1177/1362361318793253 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=401 [article] Measuring treatment response in children with autism spectrum disorder: Applications of the Brief Observation of Social Communication Change to the Autism Diagnostic Observation Schedule [Texte imprimé et/ou numérique] / S. H. KIM, Auteur ; R. GRZADZINSKI, Auteur ; K. MARTINEZ, Auteur ; C. LORD, Auteur . - p.1176-1185. Langues : Anglais (eng) in Autism > 23-5 (July 2019) . - p.1176-1185 Mots-clés : Autism Diagnostic Observation Schedule  Brief Observation of Social Communication Change  autism spectrum disorder  outcome measure Index. décimale : PER Périodiques Résumé : This study aims to determine the validity and reliability of applying the coding strategy from the Brief Observation of Social Communication Change, a newly validated treatment outcome measure, to videotaped segments of the Autism Diagnostic Observation Schedule. Results indicate strong reliability and validity of the Brief Observation of Social Communication Change ratings using the Autism Diagnostic Observation Schedule segments in detecting changes in social communication over the course of treatment in young, minimally verbal children with autism spectrum disorder. Results also suggest that the Brief Observation of Social Communication Change, when applied to Autism Diagnostic Observation Schedule segments, may be more sensitive in detecting subtle changes in social communication compared to the Autism Diagnostic Observation Schedule Calibrated Severity Scores. These results may support the application of the Brief Observation of Social Communication Change to pre-existing datasets of Autism Diagnostic Observation Schedule videos to examine treatment responses. En ligne : http://dx.doi.org/10.1177/1362361318793253 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=401

Parent-reported and clinician-observed autism spectrum disorder (ASD) symptoms in children with attention deficit/hyperactivity disorder (ADHD): implications for practice under DSM-5 / R. GRZADZINSKI in Molecular Autism, 7 (2016)  

Public ISBD [article]  inMolecular Autism > 7 (2016) . - 7p. Titre : Parent-reported and clinician-observed autism spectrum disorder (ASD) symptoms in children with attention deficit/hyperactivity disorder (ADHD): implications for practice under DSM-5 Type de document : Texte imprimé et/ou numérique Auteurs : R. GRZADZINSKI, Auteur ; C. DICK, Auteur ; C. LORD, Auteur ; Somer L. BISHOP, Auteur Article en page(s) : 7p. Langues : Anglais (eng) Mots-clés : Adolescent  Age of Onset  Attention Deficit Disorder with Hyperactivity/diagnosis  Autism Spectrum Disorder/diagnosis  Child  Child, Preschool  Diagnosis, Differential  Diagnostic and Statistical Manual of Mental Disorders  Facial Expression  Female  Fixation, Ocular  Humans  Interview, Psychological  Male  Observer Variation  Parents/psychology  Psychiatry  Psychological Tests  Psychology  Severity of Illness Index  Social Behavior  Symptom Assessment  Attention Deficit/Hyperactivity Disorder (ADHD)  Autism  Autism Diagnostic Interview-Revised (ADI-R)  Autism Diagnostic Observation Schedule (ADOS)  Autism Spectrum Disorder (ASD)  Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Index. décimale : PER Périodiques Résumé : BACKGROUND: Children with attention deficit/hyperactivity disorder (ADHD) often present with social difficulties, though the extent to which these clearly overlap with symptoms of autism spectrum disorder (ASD) is not well understood. METHODS: We explored parent-reported and directly-observed ASD symptoms on the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) in children referred to ASD-specialty clinics who received diagnoses of either ADHD (n = 48) or ASD (n = 164). RESULTS: Of the ADHD sample, 21 % met ASD cut-offs on the ADOS and 30 % met ASD cut-offs on all domains of the ADI-R. Four social communication ADOS items (Quality of Social Overtures, Unusual Eye Contact, Facial Expressions Directed to Examiner, and Amount of Reciprocal Social Communication) adequately differentiated the groups while none of the items on the ADI-R met the criteria for adequate discrimination. CONCLUSIONS: Results of this work highlight the challenges that clinicians and researchers face when distinguishing ASD from other disorders in verbally fluent, school-age children. En ligne : http://dx.doi.org/10.1186/s13229-016-0072-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=328 [article] Parent-reported and clinician-observed autism spectrum disorder (ASD) symptoms in children with attention deficit/hyperactivity disorder (ADHD): implications for practice under DSM-5 [Texte imprimé et/ou numérique] / R. GRZADZINSKI, Auteur ; C. DICK, Auteur ; C. LORD, Auteur ; Somer L. BISHOP, Auteur . - 7p. Langues : Anglais (eng) in Molecular Autism > 7 (2016) . - 7p. Mots-clés : Adolescent  Age of Onset  Attention Deficit Disorder with Hyperactivity/diagnosis  Autism Spectrum Disorder/diagnosis  Child  Child, Preschool  Diagnosis, Differential  Diagnostic and Statistical Manual of Mental Disorders  Facial Expression  Female  Fixation, Ocular  Humans  Interview, Psychological  Male  Observer Variation  Parents/psychology  Psychiatry  Psychological Tests  Psychology  Severity of Illness Index  Social Behavior  Symptom Assessment  Attention Deficit/Hyperactivity Disorder (ADHD)  Autism  Autism Diagnostic Interview-Revised (ADI-R)  Autism Diagnostic Observation Schedule (ADOS)  Autism Spectrum Disorder (ASD)  Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Index. décimale : PER Périodiques Résumé : BACKGROUND: Children with attention deficit/hyperactivity disorder (ADHD) often present with social difficulties, though the extent to which these clearly overlap with symptoms of autism spectrum disorder (ASD) is not well understood. METHODS: We explored parent-reported and directly-observed ASD symptoms on the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) in children referred to ASD-specialty clinics who received diagnoses of either ADHD (n = 48) or ASD (n = 164). RESULTS: Of the ADHD sample, 21 % met ASD cut-offs on the ADOS and 30 % met ASD cut-offs on all domains of the ADI-R. Four social communication ADOS items (Quality of Social Overtures, Unusual Eye Contact, Facial Expressions Directed to Examiner, and Amount of Reciprocal Social Communication) adequately differentiated the groups while none of the items on the ADI-R met the criteria for adequate discrimination. CONCLUSIONS: Results of this work highlight the challenges that clinicians and researchers face when distinguishing ASD from other disorders in verbally fluent, school-age children. En ligne : http://dx.doi.org/10.1186/s13229-016-0072-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=328

Parent responsiveness mediates the association between hyporeactivity at age 1 year and communication at age 2 years in children at elevated likelihood of ASD / R. GRZADZINSKI in Autism Research, 14-9 (September 2021)  

Public ISBD [article]  inAutism Research > 14-9 (September 2021) . - p.2027-2037 Titre : Parent responsiveness mediates the association between hyporeactivity at age 1 year and communication at age 2 years in children at elevated likelihood of ASD Type de document : Texte imprimé et/ou numérique Auteurs : R. GRZADZINSKI, Auteur ; Sallie W. NOWELL, Auteur ; Elizabeth R. CRAIS, Auteur ; Grace T. BARANEK, Auteur ; Lauren M. TURNER-BROWN, Auteur ; Linda R. WATSON, Auteur Article en page(s) : p.2027-2037 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Child  Child Language  Communication  Humans  Infant  Male  Parents  autism  mediation  parents  responsiveness  sensory  toddlers  treatment  to this study. Index. décimale : PER Périodiques Résumé : Studies suggest that higher parent responsiveness is associated with higher child language abilities. Infants and toddlers later diagnosed with autism spectrum disorder (ASD) often display hyporeactivity to sensory stimuli, which has also been associated with lower child communication abilities and lower parent responsiveness. Yet, whether parent responsiveness mediates the relationship between child hyporeactivity and later communication outcomes remains unexplored. This study is a secondary data analysis which includes children (n =?83; 56 males) identified as at elevated likelihood of later ASD. Children completed an observational measure of sensory reactivity and a standard developmental assessment at 14 (Time 1) and 23?months old (Time 2). At each time point, parents reported on the child's adaptive communication behaviors and sensory behaviors, and Parent Verbal Responsiveness (AvgPVR) was coded from parent-child free-play videos. Results indicated that the association between child sensory hyporeactivity at Time 1 (observed and parent-reported) and communication at Time 2 (observed and parent reported) was significantly mediated by AvgPVR. Although child hyporeactivity predicts poorer communication outcomes, increased parent verbal responsiveness may attenuate this negative impact. Parent responsiveness, a focus of many parent-mediated interventions, may be an important mechanism of treatment response that should be directly tested in future research. LAY SUMMARY: Toddlers at elevated likelihood of autism spectrum disorder (ASD) are often under-reactive (hyporeactive) to sensory stimuli. This hyporeactivity slows learning of communication skills and provides parents with fewer opportunities to respond to their children. In this study, children with hyporeactivity at 14?months generally had poorer communication at 23?months; however, the more responsive their parents were, the weaker the relationship between early hyporeactivity and later communication. Thus, increasing parent responsiveness may lead to better communication outcomes for toddlers with the early ASD symptom of hyporeactivity. En ligne : http://dx.doi.org/10.1002/aur.2557 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 [article] Parent responsiveness mediates the association between hyporeactivity at age 1 year and communication at age 2 years in children at elevated likelihood of ASD [Texte imprimé et/ou numérique] / R. GRZADZINSKI, Auteur ; Sallie W. NOWELL, Auteur ; Elizabeth R. CRAIS, Auteur ; Grace T. BARANEK, Auteur ; Lauren M. TURNER-BROWN, Auteur ; Linda R. WATSON, Auteur . - p.2027-2037. Langues : Anglais (eng) in Autism Research > 14-9 (September 2021) . - p.2027-2037 Mots-clés : Autism Spectrum Disorder  Child  Child Language  Communication  Humans  Infant  Male  Parents  autism  mediation  parents  responsiveness  sensory  toddlers  treatment  to this study. Index. décimale : PER Périodiques Résumé : Studies suggest that higher parent responsiveness is associated with higher child language abilities. Infants and toddlers later diagnosed with autism spectrum disorder (ASD) often display hyporeactivity to sensory stimuli, which has also been associated with lower child communication abilities and lower parent responsiveness. Yet, whether parent responsiveness mediates the relationship between child hyporeactivity and later communication outcomes remains unexplored. This study is a secondary data analysis which includes children (n =?83; 56 males) identified as at elevated likelihood of later ASD. Children completed an observational measure of sensory reactivity and a standard developmental assessment at 14 (Time 1) and 23?months old (Time 2). At each time point, parents reported on the child's adaptive communication behaviors and sensory behaviors, and Parent Verbal Responsiveness (AvgPVR) was coded from parent-child free-play videos. Results indicated that the association between child sensory hyporeactivity at Time 1 (observed and parent-reported) and communication at Time 2 (observed and parent reported) was significantly mediated by AvgPVR. Although child hyporeactivity predicts poorer communication outcomes, increased parent verbal responsiveness may attenuate this negative impact. Parent responsiveness, a focus of many parent-mediated interventions, may be an important mechanism of treatment response that should be directly tested in future research. LAY SUMMARY: Toddlers at elevated likelihood of autism spectrum disorder (ASD) are often under-reactive (hyporeactive) to sensory stimuli. This hyporeactivity slows learning of communication skills and provides parents with fewer opportunities to respond to their children. In this study, children with hyporeactivity at 14?months generally had poorer communication at 23?months; however, the more responsive their parents were, the weaker the relationship between early hyporeactivity and later communication. Thus, increasing parent responsiveness may lead to better communication outcomes for toddlers with the early ASD symptom of hyporeactivity. En ligne : http://dx.doi.org/10.1002/aur.2557 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450

Social and non-social sensory responsivity in toddlers at high-risk for autism spectrum disorder / J. GUNDERSON in Autism Research, 14-10 (October 2021)  

Public ISBD [article]  inAutism Research > 14-10 (October 2021) . - p.2143-2155 Titre : Social and non-social sensory responsivity in toddlers at high-risk for autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : J. GUNDERSON, Auteur ; E. WORTHLEY, Auteur ; R. GRZADZINSKI, Auteur ; C. BURROWS, Auteur ; A. ESTES, Auteur ; Lonnie ZWAIGENBAUM, Auteur ; Kelly N. BOTTERON, Auteur ; Stephen R. DAGER, Auteur ; Heather C. HAZLETT, Auteur ; R. SCHULTZ, Auteur ; J. PIVEN, Auteur ; J. WOLFF, Auteur Article en page(s) : p.2143-2155 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Child, Preschool  Female  Humans  Infant  Male  Surveys and Questionnaires  context  environment  sensory functioning  sensory responsivity  social Index. décimale : PER Périodiques Résumé : Empirical evidence concerning sensory responsivity in young children who later develop autism spectrum disorder (ASD) remains relatively limited. It is unclear whether specific patterns or aspects of sensory responsivity underlay the emergence of the disorder. The goals of this study were to (a) examine whether social versus non-social context impacted the expression of sensory responsivity in infants at high risk for ASD, and (b) examine if sensory responsivity in social or non-social contexts was associated with severity of ASD symptoms. The Sensory Experiences Questionnaire 2.1 was collected for 338 infants (131 females, 207 males) at high-risk for ASD at 12 and/or 24?months of age. High-risk toddlers meeting diagnostic criteria for ASD (n =?75) showed elevated sensory responsivity in both social and non-social contexts at 12?months of age and differences widened over the second year of life. Individuals with ASD demonstrate higher responsivity in both contexts suggestive of generalized atypical sensory responsivity in ASD. LAY SUMMARY: Behaviors such as avoiding or noticing sensory input (e.g., sounds, touches) are often different in individuals with autism spectrum disorder (ASD) than those without. The reason for this is widely unknown. The findings from this study show that in toddlers, sensory responsivity increased in both social and non-social situations. Therefore, the setting of sensory input does not explain these differences. En ligne : http://dx.doi.org/10.1002/aur.2556 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 [article] Social and non-social sensory responsivity in toddlers at high-risk for autism spectrum disorder [Texte imprimé et/ou numérique] / J. GUNDERSON, Auteur ; E. WORTHLEY, Auteur ; R. GRZADZINSKI, Auteur ; C. BURROWS, Auteur ; A. ESTES, Auteur ; Lonnie ZWAIGENBAUM, Auteur ; Kelly N. BOTTERON, Auteur ; Stephen R. DAGER, Auteur ; Heather C. HAZLETT, Auteur ; R. SCHULTZ, Auteur ; J. PIVEN, Auteur ; J. WOLFF, Auteur . - p.2143-2155. Langues : Anglais (eng) in Autism Research > 14-10 (October 2021) . - p.2143-2155 Mots-clés : Autism Spectrum Disorder  Child, Preschool  Female  Humans  Infant  Male  Surveys and Questionnaires  context  environment  sensory functioning  sensory responsivity  social Index. décimale : PER Périodiques Résumé : Empirical evidence concerning sensory responsivity in young children who later develop autism spectrum disorder (ASD) remains relatively limited. It is unclear whether specific patterns or aspects of sensory responsivity underlay the emergence of the disorder. The goals of this study were to (a) examine whether social versus non-social context impacted the expression of sensory responsivity in infants at high risk for ASD, and (b) examine if sensory responsivity in social or non-social contexts was associated with severity of ASD symptoms. The Sensory Experiences Questionnaire 2.1 was collected for 338 infants (131 females, 207 males) at high-risk for ASD at 12 and/or 24?months of age. High-risk toddlers meeting diagnostic criteria for ASD (n =?75) showed elevated sensory responsivity in both social and non-social contexts at 12?months of age and differences widened over the second year of life. Individuals with ASD demonstrate higher responsivity in both contexts suggestive of generalized atypical sensory responsivity in ASD. LAY SUMMARY: Behaviors such as avoiding or noticing sensory input (e.g., sounds, touches) are often different in individuals with autism spectrum disorder (ASD) than those without. The reason for this is widely unknown. The findings from this study show that in toddlers, sensory responsivity increased in both social and non-social situations. Therefore, the setting of sensory input does not explain these differences. En ligne : http://dx.doi.org/10.1002/aur.2556 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450

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