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A pilot RCT of virtual reality job interview training in transition-age youth on the autism spectrum / Helen M. GENOVA in Research in Autism Spectrum Disorders, 89 (November 2021)
[article]
Titre : A pilot RCT of virtual reality job interview training in transition-age youth on the autism spectrum Type de document : Texte imprimé et/ou numérique Auteurs : Helen M. GENOVA, Auteur ; Katie LANCASTER, Auteur ; James MORECRAFT, Auteur ; Mikayla HAAS, Auteur ; Alexandra EDWARDS, Auteur ; Michael DIBENEDETTO, Auteur ; Denise KRCH, Auteur ; John DELUCA, Auteur ; Matthew J. SMITH, Auteur Article en page(s) : 101878 Langues : Anglais (eng) Mots-clés : Autism Transition age youth Adolescents Job interview Virtual reality RCT Index. décimale : PER Périodiques Résumé : Background Adolescents on the autism spectrum may have difficulty obtaining and maintaining employment. One particular obstacle for adolescents on the autism spectrum is the job interview. The purpose of the current pilot randomized controlled trial is to examine the preliminary effectiveness and feasibility of a virtual reality job interview tool (VR-JIT) in improving job interview performance in adolescents on the autism spectrum. Method The study was implemented in a high school setting. Fourteen adolescents on the autism spectrum were randomly divided into two groups: an experimental group (n = 7) and a services as usual (SAU) control group (n = 7). The intervention group received 10 h of VR-JIT, which includes interviewing with a virtual human and receiving feedback. All participants performed a video-recorded mock job interview at pre-test and post-test, which was rated by blinded assessors to track interview skills. Students filled out questionnaires related to job interviewing anxiety and self-efficacy pre- and post- intervention. Feasibility metrics were recorded as well. Results Repeated Measures ANOVA revealed improved a metric of job interview performance in the experimental group following the intervention compared to the control group, indicated by medium to large effect sizes. However, perceptions of anxiety and self-efficacy did not improve following the intervention. Students reported that the intervention was easy to use and enjoyable. Conclusions The current pilot study indicates preliminary evidence of the VR-JIT’s effectiveness in improving measures of job interview performance in adolescents on the autism spectrum, even though their own perceptions did not improve. Importantly, the VR-JIT intervention was implemented in a school setting, demonstrating feasibility in its adoption as part of curriculum to help improve employment outcomes in transition age youth on the autism spectrum. En ligne : https://doi.org/10.1016/j.rasd.2021.101878 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458
in Research in Autism Spectrum Disorders > 89 (November 2021) . - 101878[article] A pilot RCT of virtual reality job interview training in transition-age youth on the autism spectrum [Texte imprimé et/ou numérique] / Helen M. GENOVA, Auteur ; Katie LANCASTER, Auteur ; James MORECRAFT, Auteur ; Mikayla HAAS, Auteur ; Alexandra EDWARDS, Auteur ; Michael DIBENEDETTO, Auteur ; Denise KRCH, Auteur ; John DELUCA, Auteur ; Matthew J. SMITH, Auteur . - 101878.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 89 (November 2021) . - 101878
Mots-clés : Autism Transition age youth Adolescents Job interview Virtual reality RCT Index. décimale : PER Périodiques Résumé : Background Adolescents on the autism spectrum may have difficulty obtaining and maintaining employment. One particular obstacle for adolescents on the autism spectrum is the job interview. The purpose of the current pilot randomized controlled trial is to examine the preliminary effectiveness and feasibility of a virtual reality job interview tool (VR-JIT) in improving job interview performance in adolescents on the autism spectrum. Method The study was implemented in a high school setting. Fourteen adolescents on the autism spectrum were randomly divided into two groups: an experimental group (n = 7) and a services as usual (SAU) control group (n = 7). The intervention group received 10 h of VR-JIT, which includes interviewing with a virtual human and receiving feedback. All participants performed a video-recorded mock job interview at pre-test and post-test, which was rated by blinded assessors to track interview skills. Students filled out questionnaires related to job interviewing anxiety and self-efficacy pre- and post- intervention. Feasibility metrics were recorded as well. Results Repeated Measures ANOVA revealed improved a metric of job interview performance in the experimental group following the intervention compared to the control group, indicated by medium to large effect sizes. However, perceptions of anxiety and self-efficacy did not improve following the intervention. Students reported that the intervention was easy to use and enjoyable. Conclusions The current pilot study indicates preliminary evidence of the VR-JIT’s effectiveness in improving measures of job interview performance in adolescents on the autism spectrum, even though their own perceptions did not improve. Importantly, the VR-JIT intervention was implemented in a school setting, demonstrating feasibility in its adoption as part of curriculum to help improve employment outcomes in transition age youth on the autism spectrum. En ligne : https://doi.org/10.1016/j.rasd.2021.101878 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458 Spoken language outcomes in limited language preschoolers with autism and global developmental delay: RCT of early intervention approaches / Connie KASARI in Autism Research, 16-6 (June 2023)
[article]
Titre : Spoken language outcomes in limited language preschoolers with autism and global developmental delay: RCT of early intervention approaches Type de document : Texte imprimé et/ou numérique Auteurs : Connie KASARI, Auteur ; Stephanie Shire, Auteur ; Wendy SHIH, Auteur ; Rebecca LANDA, Auteur ; Lynne LEVATO, Auteur ; Tristram SMITH, Auteur Article en page(s) : p.1236-1246 Langues : Anglais (eng) Mots-clés : developmental delay DTT JASPER language minimally verbal preschoolers RCT Index. décimale : PER Périodiques Résumé : Abstract Preschool autistic children with significant global developmental delays and very limited language skills are at high risk for remaining minimally verbal at entry into primary school. This study compared two early intervention models for improving social communication and spoken language outcomes in 164 children who received intervention in their community preschool program for 6?months, with a six-month follow-up. The primary outcome measure was a standardized language assessment, and secondary measures focused on social communication. Results indicated children on average made 6?months gain in language development in the active 6?months of intervention with no difference between intervention models. Children who initiated joint attention more frequently, or who had higher receptive language at baseline made more progress if assigned to receive JASPER, a naturalistic developmental behavioral intervention. Children who received Discrete Trial Training made greater spoken language progress from exit to follow-up. These findings suggest that progress can be made in autistic children who have very little spoken language and who receive targeted early interventions. Individual trajectories vary and depend in part on initial abilities in social communication and receptive language. Future research might consider methods to systematically personalize approaches to fit child characteristics and family preference. Lay Summary This study compared two different early intervention approaches for teaching spoken language to minimally verbal, globally delayed autistic preschoolers. Children were given an hour of therapy daily for 6 months and then reassessed 6 months later. The majority of the 164 participants were from historically excluded populations (low income and minority), and therapy was delivered in school community settings by expert clinicians. Results indicated that the participants made significant progress regardless of intervention approach: 6?months gain in standardized language scores over 6?months, but slower progress during the period after therapy ended. Children who initiated joint attention more frequently, or who had higher language understanding at baseline made more progress if assigned to receive JASPER, a naturalistic developmental behavioral intervention. Children who received Discrete Trial Training made greater language progress during 6-month period after therapy ended. These findings suggest that progress can be made in children with ASD who have very little spoken language and who receive targeted early interventions. En ligne : https://doi.org/10.1002/aur.2932 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=507
in Autism Research > 16-6 (June 2023) . - p.1236-1246[article] Spoken language outcomes in limited language preschoolers with autism and global developmental delay: RCT of early intervention approaches [Texte imprimé et/ou numérique] / Connie KASARI, Auteur ; Stephanie Shire, Auteur ; Wendy SHIH, Auteur ; Rebecca LANDA, Auteur ; Lynne LEVATO, Auteur ; Tristram SMITH, Auteur . - p.1236-1246.
Langues : Anglais (eng)
in Autism Research > 16-6 (June 2023) . - p.1236-1246
Mots-clés : developmental delay DTT JASPER language minimally verbal preschoolers RCT Index. décimale : PER Périodiques Résumé : Abstract Preschool autistic children with significant global developmental delays and very limited language skills are at high risk for remaining minimally verbal at entry into primary school. This study compared two early intervention models for improving social communication and spoken language outcomes in 164 children who received intervention in their community preschool program for 6?months, with a six-month follow-up. The primary outcome measure was a standardized language assessment, and secondary measures focused on social communication. Results indicated children on average made 6?months gain in language development in the active 6?months of intervention with no difference between intervention models. Children who initiated joint attention more frequently, or who had higher receptive language at baseline made more progress if assigned to receive JASPER, a naturalistic developmental behavioral intervention. Children who received Discrete Trial Training made greater spoken language progress from exit to follow-up. These findings suggest that progress can be made in autistic children who have very little spoken language and who receive targeted early interventions. Individual trajectories vary and depend in part on initial abilities in social communication and receptive language. Future research might consider methods to systematically personalize approaches to fit child characteristics and family preference. Lay Summary This study compared two different early intervention approaches for teaching spoken language to minimally verbal, globally delayed autistic preschoolers. Children were given an hour of therapy daily for 6 months and then reassessed 6 months later. The majority of the 164 participants were from historically excluded populations (low income and minority), and therapy was delivered in school community settings by expert clinicians. Results indicated that the participants made significant progress regardless of intervention approach: 6?months gain in standardized language scores over 6?months, but slower progress during the period after therapy ended. Children who initiated joint attention more frequently, or who had higher language understanding at baseline made more progress if assigned to receive JASPER, a naturalistic developmental behavioral intervention. Children who received Discrete Trial Training made greater language progress during 6-month period after therapy ended. These findings suggest that progress can be made in children with ASD who have very little spoken language and who receive targeted early interventions. En ligne : https://doi.org/10.1002/aur.2932 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=507 Early language screening and intervention can be delivered successfully at scale: evidence from a cluster randomized controlled trial / G. WEST in Journal of Child Psychology and Psychiatry, 62-12 (December 2021)
[article]
Titre : Early language screening and intervention can be delivered successfully at scale: evidence from a cluster randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : G. WEST, Auteur ; M. J. SNOWLING, Auteur ; A. LERVAG, Auteur ; E. BUCHANAN-WORSTER, Auteur ; M. DUTA, Auteur ; A. HALL, Auteur ; H. MCLACHLAN, Auteur ; C. HULME, Auteur Article en page(s) : p.1425-1434 Langues : Anglais (eng) Mots-clés : Child Early Intervention, Educational Humans Language Language Development Disorders Language Tests Schools Rct education Index. décimale : PER Périodiques Résumé : BACKGROUND: It is well established that oral language skills provide a critical foundation for formal education. This study evaluated the effectiveness of the Nuffield Early Language Intervention (NELI) programme in ameliorating language difficulties in the first year of school when delivered at scale. METHODS: We conducted a cluster randomized controlled trial (RCT) in 193 primary schools (containing 238 Reception classrooms). Schools were randomly allocated to either a 20-week oral language intervention or a business-as-usual control group. All classes (N?=?5,879 children) in participating schools were screened by school staff using an automated App to assess children's oral language skills. Screening identified 1,173 children as eligible for language intervention: schools containing 571 of these children were allocated to the control group and 569 to the intervention group. RESULTS: Children receiving the NELI programme made significantly larger gains than the business-as-usual control group on a latent variable reflecting standardized measures of language ability (d?=?.26) and on the school-administered automated assessment of receptive and expressive language skills (d?=?.32). The effects of intervention did not vary as a function of home language background or gender. CONCLUSIONS: This study provides strong evidence for the effectiveness of a school-based language intervention programme (NELI) delivered at scale. These findings demonstrate that language difficulties can be identified by school-based testing and ameliorated by a TA delivered intervention; this has important implications for educational and social policy. En ligne : http://dx.doi.org/10.1111/jcpp.13415 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456
in Journal of Child Psychology and Psychiatry > 62-12 (December 2021) . - p.1425-1434[article] Early language screening and intervention can be delivered successfully at scale: evidence from a cluster randomized controlled trial [Texte imprimé et/ou numérique] / G. WEST, Auteur ; M. J. SNOWLING, Auteur ; A. LERVAG, Auteur ; E. BUCHANAN-WORSTER, Auteur ; M. DUTA, Auteur ; A. HALL, Auteur ; H. MCLACHLAN, Auteur ; C. HULME, Auteur . - p.1425-1434.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 62-12 (December 2021) . - p.1425-1434
Mots-clés : Child Early Intervention, Educational Humans Language Language Development Disorders Language Tests Schools Rct education Index. décimale : PER Périodiques Résumé : BACKGROUND: It is well established that oral language skills provide a critical foundation for formal education. This study evaluated the effectiveness of the Nuffield Early Language Intervention (NELI) programme in ameliorating language difficulties in the first year of school when delivered at scale. METHODS: We conducted a cluster randomized controlled trial (RCT) in 193 primary schools (containing 238 Reception classrooms). Schools were randomly allocated to either a 20-week oral language intervention or a business-as-usual control group. All classes (N?=?5,879 children) in participating schools were screened by school staff using an automated App to assess children's oral language skills. Screening identified 1,173 children as eligible for language intervention: schools containing 571 of these children were allocated to the control group and 569 to the intervention group. RESULTS: Children receiving the NELI programme made significantly larger gains than the business-as-usual control group on a latent variable reflecting standardized measures of language ability (d?=?.26) and on the school-administered automated assessment of receptive and expressive language skills (d?=?.32). The effects of intervention did not vary as a function of home language background or gender. CONCLUSIONS: This study provides strong evidence for the effectiveness of a school-based language intervention programme (NELI) delivered at scale. These findings demonstrate that language difficulties can be identified by school-based testing and ameliorated by a TA delivered intervention; this has important implications for educational and social policy. En ligne : http://dx.doi.org/10.1111/jcpp.13415 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 A Pilot Randomised Control Trial of Digitally-Mediated Social Stories for Children on the Autism Spectrum / R. HANRAHAN in Journal of Autism and Developmental Disorders, 50-12 (December 2020)
[article]
Titre : A Pilot Randomised Control Trial of Digitally-Mediated Social Stories for Children on the Autism Spectrum Type de document : Texte imprimé et/ou numérique Auteurs : R. HANRAHAN, Auteur ; E. SMITH, Auteur ; H. JOHNSON, Auteur ; A. CONSTANTIN, Auteur ; Mark BROSNAN, Auteur Article en page(s) : p.4243-4257 Langues : Anglais (eng) Mots-clés : Autism Rct Social stories Technology sofa-app.org. This is freely available and there are no financial conflicts of interest. Index. décimale : PER Périodiques Résumé : Social stories is a widely used intervention for children on the autism spectrum, particularly within an educational context. To date, systematic reviews and meta analyses of the research evaluating social stories has produced mixed results, often due to a lack of methodological rigour and variability in the development and delivery of the social stories. To address the gap in methodological rigour, a pilot Randomised Control Trial (RCT) was conducted, incorporating a social stories intervention group (n?=?9 children on the autism spectrum) and an attentional control group who received a poem (n?=?6 children on the autism spectrum) using a digital platform to address variability. Digitally-mediated social stories were found to be effective in producing beneficial changes in behaviour outcomes, which were sustained at a six-week follow up. En ligne : http://dx.doi.org/10.1007/s10803-020-04490-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=434
in Journal of Autism and Developmental Disorders > 50-12 (December 2020) . - p.4243-4257[article] A Pilot Randomised Control Trial of Digitally-Mediated Social Stories for Children on the Autism Spectrum [Texte imprimé et/ou numérique] / R. HANRAHAN, Auteur ; E. SMITH, Auteur ; H. JOHNSON, Auteur ; A. CONSTANTIN, Auteur ; Mark BROSNAN, Auteur . - p.4243-4257.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 50-12 (December 2020) . - p.4243-4257
Mots-clés : Autism Rct Social stories Technology sofa-app.org. This is freely available and there are no financial conflicts of interest. Index. décimale : PER Périodiques Résumé : Social stories is a widely used intervention for children on the autism spectrum, particularly within an educational context. To date, systematic reviews and meta analyses of the research evaluating social stories has produced mixed results, often due to a lack of methodological rigour and variability in the development and delivery of the social stories. To address the gap in methodological rigour, a pilot Randomised Control Trial (RCT) was conducted, incorporating a social stories intervention group (n?=?9 children on the autism spectrum) and an attentional control group who received a poem (n?=?6 children on the autism spectrum) using a digital platform to address variability. Digitally-mediated social stories were found to be effective in producing beneficial changes in behaviour outcomes, which were sustained at a six-week follow up. En ligne : http://dx.doi.org/10.1007/s10803-020-04490-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=434 A randomized controlled trial into the effects of neurofeedback, methylphenidate, and physical activity on EEG power spectra in children with ADHD / Tieme W. P. JANSSEN in Journal of Child Psychology and Psychiatry, 57-5 (May 2016)
[article]
Titre : A randomized controlled trial into the effects of neurofeedback, methylphenidate, and physical activity on EEG power spectra in children with ADHD Type de document : Texte imprimé et/ou numérique Auteurs : Tieme W. P. JANSSEN, Auteur ; Marleen BINK, Auteur ; Katleen GELADE, Auteur ; Rosa VAN MOURIK, Auteur ; Athanasios MARAS, Auteur ; Jaap OOSTERLAAN, Auteur Article en page(s) : p.633-644 Langues : Anglais (eng) Mots-clés : ADHD neurofeedback methylphenidate physical activity EEG RCT Index. décimale : PER Périodiques Résumé : Background The clinical and neurophysiological effects of neurofeedback (NF) as treatment for children with ADHD are still unclear. This randomized controlled trial (RCT) examined electroencephalogram (EEG) power spectra before and after NF compared to methylphenidate (MPH) treatment and physical activity (PA) – as semi-active control group – during resting and active (effortful) task conditions to determine whether NF can induce sustained alterations in brain function. Methods Using a multicentre three-way parallel group RCT design, 112 children with a DSM-IV diagnosis of ADHD, aged between 7 and 13 years, were initially included. NF training consisted of 30 sessions of theta/beta training at Cz over a 10-week period. PA training was a semi-active control group, matched in frequency and duration. Methylphenidate was titrated using a double-blind placebo controlled procedure in 6 weeks, followed by a stable dose for 4 weeks. EEG power spectra measures during eyes open (EO), eyes closed (EC) and task (effortful) conditions were available for 81 children at pre- and postintervention (n = 29 NF, n = 25 MPH, n = 27 PA). Clinical trials registration: Train Your Brain? Exercise and Neurofeedback Intervention for ADHD, https://clinicaltrials.gov/show/;NCT01363544, Ref. No. NCT01363544. Results Both NF and MPH resulted in comparable reductions in theta power from pre- to postintervention during the EO condition compared to PA (?p2 = .08 and .12). For NF, greater reductions in theta were related to greater reductions in ADHD symptoms. During the task condition, only MPH showed reductions in theta and alpha power compared to PA (?p2 = .10 and .12). Conclusions This study provides evidence for specific neurophysiological effects after theta/beta NF and MPH treatment in children with ADHD. However, for NF these effects did not generalize to an active task condition, potentially explaining reduced behavioural effects of NF in the classroom. En ligne : http://dx.doi.org/10.1111/jcpp.12517 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288
in Journal of Child Psychology and Psychiatry > 57-5 (May 2016) . - p.633-644[article] A randomized controlled trial into the effects of neurofeedback, methylphenidate, and physical activity on EEG power spectra in children with ADHD [Texte imprimé et/ou numérique] / Tieme W. P. JANSSEN, Auteur ; Marleen BINK, Auteur ; Katleen GELADE, Auteur ; Rosa VAN MOURIK, Auteur ; Athanasios MARAS, Auteur ; Jaap OOSTERLAAN, Auteur . - p.633-644.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 57-5 (May 2016) . - p.633-644
Mots-clés : ADHD neurofeedback methylphenidate physical activity EEG RCT Index. décimale : PER Périodiques Résumé : Background The clinical and neurophysiological effects of neurofeedback (NF) as treatment for children with ADHD are still unclear. This randomized controlled trial (RCT) examined electroencephalogram (EEG) power spectra before and after NF compared to methylphenidate (MPH) treatment and physical activity (PA) – as semi-active control group – during resting and active (effortful) task conditions to determine whether NF can induce sustained alterations in brain function. Methods Using a multicentre three-way parallel group RCT design, 112 children with a DSM-IV diagnosis of ADHD, aged between 7 and 13 years, were initially included. NF training consisted of 30 sessions of theta/beta training at Cz over a 10-week period. PA training was a semi-active control group, matched in frequency and duration. Methylphenidate was titrated using a double-blind placebo controlled procedure in 6 weeks, followed by a stable dose for 4 weeks. EEG power spectra measures during eyes open (EO), eyes closed (EC) and task (effortful) conditions were available for 81 children at pre- and postintervention (n = 29 NF, n = 25 MPH, n = 27 PA). Clinical trials registration: Train Your Brain? Exercise and Neurofeedback Intervention for ADHD, https://clinicaltrials.gov/show/;NCT01363544, Ref. No. NCT01363544. Results Both NF and MPH resulted in comparable reductions in theta power from pre- to postintervention during the EO condition compared to PA (?p2 = .08 and .12). For NF, greater reductions in theta were related to greater reductions in ADHD symptoms. During the task condition, only MPH showed reductions in theta and alpha power compared to PA (?p2 = .10 and .12). Conclusions This study provides evidence for specific neurophysiological effects after theta/beta NF and MPH treatment in children with ADHD. However, for NF these effects did not generalize to an active task condition, potentially explaining reduced behavioural effects of NF in the classroom. En ligne : http://dx.doi.org/10.1111/jcpp.12517 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288 A Randomized Waitlist-Control Group Study of a Culturally Tailored Parent Education Intervention for Latino Parents of Children with ASD / Sandy MAGAÑA in Journal of Autism and Developmental Disorders, 50-1 (January 2020)
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