scholarly journals Early intervention in severe Autism : positive outcome using EDT

2021 ◽  
Author(s):  
Romuald Blanc ◽  
Marianne Latinus ◽  
Marco Guidotti ◽  
Jean-Louis Adrien ◽  
Sylvie Roux ◽  
...  
Keyword(s):  
Early Intervention ◽  
Autism Spectrum ◽  
Post Intervention ◽  
Cognitive Domains ◽  
Emotional Skills ◽  
Group Settings ◽  
Children With Asd ◽  
Social Domains ◽  
One To One ◽  
Severe Autism

Early intervention programs positively affect key behaviours for children with Autism Spectrum Disorder. Yet, most of these programs do not target children with severe autistic symptomatology associated with intellectual disability (ID).The aim of this study was to investigate psychological and clinical outcomes of children with severe autism and ID enrolled in the Tailored and Inclusive Program for Autism - Tours (TIPA-T). The first step of the TIPA-T is the Exchange and Development Therapy (EDT): an individual neurofunctional intervention, consisting of one-to-one exchanges between a child and a therapist taking place in a pared-down environment. It aims to rehabilitate psychophysiological abilities at the roots of social communication, through structured sequences of “social play”.Cognitive and socio-emotional skills and general development were evaluated with the Social Cognitive Evaluation Battery (SCEB) scale and the Brunet-Lézine scale-Revised, respectively, before and after 9 months of intervention in 32 children with ASD and ID. Autistic symptomatology was evaluated with the Behavior Summarized Evaluation-Revised (BSE-R) scale at 5 time-points in a subset of 14 children, both in individual and group settings. Statistically significant post-intervention improvements were found in cognitive and socio-emotional skills. All but one child showed improvements in at least one social domains, and 78% of children gained one-level in at least 4 social domains. 29 children improved in cognitive domains with 66% of children improving in at least 3 cognitive domains. Autistic symptomatology evaluated in one-to-one settings significantly decreased with therapy; this reduction was observed in more than 85% of children. In group settings, autistic symptomatology also decreased in more than 60% of children. Global developmental age significantly increased by 3.8 months.The TIPA-T, including EDT in particular, improves socio-emotional skills of most children with ASD and reduces autistic symptomatology; yet, with heterogeneous outcomes profiles, in line with the strong heterogeneity of profiles observed in ASD. At the group level, this study highlights the benefits of the TIPA-T for children with severe autism and associated ID. Assessment of autistic core symptoms showed an improvement of social interaction, both in one-to-one and group evaluations, demonstrating the generalizability of the skills learned during the EDT.

scholarly journals Early Intervention in Severe Autism: Positive Outcome Using Exchange and Development Therapy

2021 ◽  
Vol 9 ◽  
Author(s):  
Romuald Blanc ◽  
Marianne Latinus ◽  
Marco Guidotti ◽  
Jean-Louis Adrien ◽  
Sylvie Roux ◽  
...  
Keyword(s):  
Early Intervention ◽  
Autism Spectrum ◽  
Post Intervention ◽  
Cognitive Domains ◽  
Emotional Skills ◽  
Group Settings ◽  
Children With Asd ◽  
Development Therapy ◽  
One To One ◽  
Severe Autism

Early intervention programs positively affect key behaviors for children with autism spectrum disorder (ASD). However, most of these programs do not target children with severe autistic symptomatology associated with intellectual disability (ID). This study aimed to investigate the psychological and clinical outcomes of children with severe autism and ID enrolled in the Tailored and Inclusive Program for Autism—Tours (TIPA-T). The first step of the TIPA-T is the Exchange and Development Therapy (EDT): an individual neurofunctional intervention consisting of one-to-one exchanges between a child and a therapist taking place in a pared-down environment. It aims to rehabilitate psychophysiological abilities at the roots of social communication through structured sequences of “social play.” Cognitive and socio-emotional skills and general development were evaluated with the Social Cognitive Evaluation Battery scale and the Brunet–Lézine Scale—Revised, respectively, before and after 9 months of intervention in 32 children with ASD and ID. Autistic symptomatology was evaluated with the Behavior Summarized Evaluation—Revised scale at five time-points in a subset of 14 children, both in individual and group settings. Statistically significant post-intervention improvements were found in cognitive and socio-emotional skills. All but one child showed improvements in at least one social domain, and 78% of children gained one level in at least four social domains. Twenty-nine children improved in cognitive domains, with 66% of children improving in at least three cognitive domains. Autistic symptomatology evaluated in one-to-one settings significantly decreased with therapy; this reduction was observed in more than 85% of children. In group settings, autistic symptomatology also decreased in more than 60% of children. Global developmental age significantly increased by 3.8 months. The TIPA-T, including EDT in particular, improves socio-emotional skills of most children with ASD and reduces autistic symptomatology, yet with heterogeneous outcomes profiles, in line with the strong heterogeneity of profiles observed in ASD. At the group level, this study highlights the benefits of the TIPA-T for children with severe autism and associated ID. Assessment of autistic core symptoms showed an improvement of social interaction, both in one-to-one and group evaluations, demonstrating the generalizability of the skills learned during the EDT.

scholarly journals Parents’ Perceptions of Early Interventions and Related Services for Children with Autism Spectrum Disorder in Saudi Arabia

2016 ◽  
Vol 9 (10) ◽  
pp. 128 ◽  
Author(s):  
Faihan Alotaibi ◽  
Nabil Almalki
Keyword(s):  
Autism Spectrum Disorder ◽  
Saudi Arabia ◽  
Early Intervention ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Early Interventions ◽  
Related Services ◽  
Children With Asd ◽  
The Government

<p class="apa">The present study sought to examine parents’ perceptions of early interventions and related services for children with autism spectrum disorder (ASD) in Saudi Arabia. In this study a survey was distributed to a sample of 80 parents with children who have ASD. Parents also were asked open-ended questions to enable them to provide suggestions. The findings indicate that parents have varying perceptions of early interventions and related services. However, they seem to agree that these services are important in assisting their children. Accordingly, parents have suggested that the government needs to increase these services by providing more centers for children with ASD in Saudi Arabia, providing more specialists to deal with children with ASD, promoting inclusion in regular schools and providing more information on early intervention.</p>

scholarly journals LA ACTUACION SANITARIA EN ATENCIÓN TEMPRANA PARA PERSONAS CON TRASTORNO DE ESPECTRO AUTISTA (TEA): UNA EXPERIENCIA EN ANDALUCÍA

2017 ◽  
Vol 7 (1) ◽  
pp. 463
Author(s):  
Mª Araceli Sánchez Raya
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorders ◽  
Early Intervention ◽  
Early Detection ◽  
Functional Recovery ◽  
Developmental Disorders ◽  
Autism Spectrum ◽  
Theoretical Interest ◽  
Children With Asd ◽  
Spectrum Disorders

Abstract.It is undeniable the importance of early detection in all developmental disorders, in children with ASD as well, for an early intervention in children and their families. An early intervention is a very important predictor in their functional recovery. That, put together with the growing incidence and prevalence of this kind of disorders, makes of our study field a matter of an increasing scientific and theoretical interest. In the current paper we deal with earlydetection, evaluation and intervention in children between 0 and 6 years with autism spectrum disorders in andalusian health care system.Resumen.Es innegable la importancia que tiene la detección precoz de cualquier trastorno del desarrollo –y por ende del TEA- para la intervención temprana con los menores y sus familias. Una intervención temprana constituye un importante predictor en la recuperación funcional de estos menores, y esto unido a la creciente incidencia y prevalencia de estos trastornos, hace de nuestro objeto de estudio un tema creciente de gran interés científico y teórico. En la presente comunicación abordamos el circuito de detección, evaluación e intervención temprana en niñas y niños de 0 a 6 años con trastorno del espectro autista en la sanidad andaluza.

Case-control study of the low intensive autism-specific early behavioral intervention A-FFIP: Outcome after one year

2020 ◽  
Vol 48 (2) ◽  
pp. 103-112 ◽  
Author(s):  
Janina Kitzerow ◽  
Karoline Teufel ◽  
Katrin Jensen ◽  
Christian Wilker ◽  
Christine M. Freitag
Keyword(s):  
Early Intervention ◽  
Cognitive Development ◽  
Case Control Study ◽  
Autism Spectrum ◽  
Case Control ◽  
Control Group ◽  
Children With Asd ◽  
Autistic Symptoms ◽  
One Year ◽  
Control Study

Abstract. Abstracts: Objective: In current international research, early intervention in children with autism-spectrum disorder (ASD) focuses on naturalistic developmental behavioral interventions (NDBI). The manualized Frankfurt Early Intervention Program for preschool-aged children with ASD (A-FFIP) implements NDBI principles within a low-intensity approach of 2 h intervention/week. The present case-control study established effect sizes of change in autistic symptoms, comorbid behavioral problems as well as IQ after one year. Methodology: An intervention group (N = 20; age: 3.4–7.9 years) and a treatment-as-usual control group (N = 20; age: 3.2–7.3 years) of children with ASD were matched for developmental and chronological age. The outcome measures used were the ADOS severity score, the Child Behavior Checklist, and cognitive development. Results: After one year, the A-FFIP group showed a trend towards greater improvement in autistic symptoms (η2 = .087 [95 %-CI: .000–.159]) and significantly greater improvements in cognitive development (η2 = .206 [CI: .012–.252]) and global psychopathology (η2 = .144 [CI: .001–.205]) compared to the control group. Conclusion: The efficacy of A-FFIP should be established in a larger, sufficiently powered, randomized controlled study.

scholarly journals Examining US Public Early Intervention for Toddlers With Autism: Characterizing Services and Readiness for Evidence-Based Practice Implementation

2021 ◽  
Vol 12 ◽  
Author(s):  
Aritz Aranbarri ◽  
Aubyn C. Stahmer ◽  
Meagan R. Talbott ◽  
Marykate E. Miller ◽  
Amy Drahota ◽  
...  
Keyword(s):  
Early Intervention ◽  
Service Delivery ◽  
Autism Spectrum ◽  
Evidence Based ◽  
Publicly Funded ◽  
Implementation Climate ◽  
High Quality ◽  
Children With Asd ◽  
The Us ◽  
Early Intervention System

As the rates of Autism Spectrum Disorder (ASD) increase and early screening efforts intensify, more toddlers with high likelihood of ASD are entering the United States' (US') publicly funded early intervention system. Early intervention service delivery for toddlers with ASD varies greatly based on state resources and regulations. Research recommends beginning ASD-specific evidence-based practices (EBP), especially caregiver-implemented intervention, as early as possible to facilitate the development of social-communication skills and general learning. Translating EBP into practice has been challenging, especially in low-resourced areas. The main goal of this study was to obtain a more comprehensive understanding of public early intervention system structure, service delivery practices, and factors influencing EBP use for children with ASD in the US. Participants (N = 133) included 8 early intervention state coordinators in 7 states, 29 agency administrators in those states, 57 early intervention providers from those agencies, and 39 caregivers of children with ASD receiving services from those providers. Online surveys gathered stakeholder and caregiver perspectives on early intervention services as well as organizational factors related to EBP implementation climate and culture. Stakeholders identified key intervention needs for young children with ASD. In general, both agency administrators and direct providers reported feeling somewhat effective or very effective in addressing most needs of children with ASD. They reported the most difficulty addressing eating, sleeping, family stress, and stereotyped behaviors. Data indicate that children from families with higher income received significantly higher service intensity. While administrators and providers reported high rates of high-quality caregiver coaching (&gt;60%), caregivers reported low rates (23%). Direct providers with more favorable attitudes toward EBP had greater EBP use. In turn, provider attitudes toward EBP were significantly associated with implementation leadership and culture at their agency. Results suggest that publicly funded early intervention programs in the US require additional resources and training for providers and leaders to support improved implementation climate and attitudes toward ASD EBPs. Results also suggest that more state system support is needed to increase use of ASD-specific EBP use, including high-quality caregiver coaching, to better serve toddlers with ASD. Recommendations for implementation strategies are addressed.

scholarly journals Evaluation of low-intensity therapy and parent training for young children with autism based on the early start Denver model

2021 ◽  
Author(s):  
◽  
Hannah Waddington
Keyword(s):  
Early Intervention ◽  
Young Children ◽  
Parent Training ◽  
Child Outcomes ◽  
Autism Spectrum ◽  
Behavioural Intervention ◽  
Early Start ◽  
Early Start Denver Model ◽  
Low Intensity ◽  
Children With Asd

<p>Autism spectrum disorder (ASD) is a pervasive developmental disorder that is characterised by deficits in social communication and restricted and repetitive behaviours, interests and activities. Recent developments in identification techniques mean that many children can be reliably diagnosed with ASD before the age of 2. Early identification creates the opportunity for early intervention. In fact, some research suggests that the earlier a child with ASD receives intervention, the greater the progress he or she is likely to make. Naturalistic developmental behavioural interventions are a relatively recent method of early intervention for children with ASD, which combine elements of previous intervention approaches (behavioural, naturalistic behavioural, and developmental/relationship-focused intervention). One such naturalistic developmental behavioural intervention is the early start Denver model (ESDM), which is designed for children with or at risk for ASD between the ages of 12 and 60 months (5 years). Research suggests that ESDM intervention may improve a range of child outcomes when delivered for at least 15 hours per week over at least 10 months. However, many families may not be able to access or afford such intensive intervention. Therefore, the two studies in this thesis evaluated the effectiveness of two ESDM delivery approaches that required relatively few hours of professional input per week. Specifically, low-intensity therapist delivered ESDM intervention, and ESDM parent training.  Study 1 used a multiple probe across participants design to evaluate the effectiveness of 3 hours per week of home-based ESDM therapy for 12 weeks for improving imitation, communication, and engagement for four young children with ASD. It also examined whether children showed increases in these outcomes with their mothers following the intervention. The results of this study suggest that, following the intervention, all four children increased their imitation skills and their engagement with the therapist. In addition three of the children had more functional utterances and one child increased his use of intentional vocalisations. These results were maintained four weeks after intervention and generalised to a lesser degree to each child’s mother. This suggests that low-intensity therapist delivered ESDM intervention may improve outcomes for children with ASD.  The results of Studies 1 and 2 suggest that both low-intensity therapist delivered ESDM intervention and ESDM parent training may be promising intervention approaches for young children with ASD. This is particularly encouraging as both approaches involved relatively few hours of professional input per week. In theory, this could increase the number of families who are able to access such intervention. More research is needed to identify the most effective low-intensity ESDM intervention method, or combination of methods.</p>

Approaches of Early Detection of Autism Spectrum Disorders

2022 ◽  
pp. 1-20
Author(s):  
Elpis Papaefstathiou
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorders ◽  
Early Intervention ◽  
Early Detection ◽  
Health Care Professionals ◽  
Autism Spectrum ◽  
Final Part ◽  
Children With Asd ◽  
Spectrum Disorders

Due to the heterogeneity of ASD population, many difficulties emerge when it comes to diagnosis of the disorder and even more difficulties regarding early detection. Specifically, early detection enables diagnosis to be made before the span of 24-30 months, the age where the official diagnosis is usually made. As it is known, earlier diagnosis is very crucial as children with ASD can benefit more from programs of early intervention. Taking all these into account, a brief review of the most popular approaches for early detection of ASD would be elaborated in order to raise awareness to health care professionals, clinicians, and parents. Moreover, in this chapter, the pros and the cons of each approach would be elaborated, and in the final part, some recommendations would be made concerning the process of early detection.

Enhancing Sexual Awareness in Children With Autism Spectrum Disorder

2020 ◽  
pp. 79-98
Author(s):  
Stefanos Plexousakis ◽  
Maria Georgiadi ◽  
Constantinos Halkiopoulos ◽  
Evgenia Gkintoni ◽  
Elias Kourkoutas ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Case Report ◽  
Early Intervention ◽  
Sex Education ◽  
Educational Program ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Social Deficits ◽  
Children With Asd ◽  
The Family

Autism spectrum disorder (ASD) involves difficulties in communication, relationships, and social interactions. Social deficits, in conjunction with sensory issues, can provoke several difficulties regarding the capacity of a child to be engaged in a relationship. The present study is a case report that outlines the implementation of a sex educational program, aiming at increasing participant awareness and the ability to improve/establish relationships. Findings also revealed the need for early intervention on issues regarding sex education and the involvement of the family of children with ASD.

The Secret Agent Society Social-Emotional Skills Program for Children With a High-Functioning Autism Spectrum Disorder

2016 ◽  
Vol 32 (1) ◽  
pp. 55-70 ◽  
Author(s):  
Kate Sofronoff ◽  
Jenni Silva ◽  
Renae Beaumont
Keyword(s):  
Social Skills ◽  
Self Efficacy ◽  
High Functioning Autism ◽  
Child Anxiety ◽  
Autism Spectrum ◽  
Post Intervention ◽  
High Functioning ◽  
Emotional Skills ◽  
Secret Agent

This study evaluated a parent-delivered social and emotional skills intervention—the Secret Agent Society (SAS) for children with high-functioning autism spectrum disorders (HF-ASD). The study was a pre–post follow-up design with an 8-week baseline period and 6-week follow-up period. Participants were 38 parents and 41 children recruited from regional/rural Queensland and metropolitan Brisbane, Australia. Child participants completed measures of social skills and emotion management, and parents completed measures related to child behavioral problems, parent self-efficacy, child anxiety, and parent emotional distress at pre-intervention, post intervention, and 6-week follow-up. Analyses of outcomes were conducted with a series of repeated-measures MANOVAs and one-way ANOVAs at post intervention and 6-week follow-up. There were significant improvements in child social skills reported by parents with gains maintained at 6-week follow-up with large effect sizes. Parent self-efficacy, child behavior, and child anxiety levels also improved significantly. In addition, outcomes from the SAS self-directed program were compared with the original clinic-based program conducted by Beaumont and Sofronoff. Results indicated greater changes in social skills outcomes in the clinic-based program and no difference between groups on emotional management strategies. The limitations of the study and clinical implications are discussed.

scholarly journals Does Hydrotherapy Impact Behaviours Related to Mental Health and Well-Being for Children with Autism Spectrum Disorder? A Randomised Crossover-Controlled Pilot Trial

2020 ◽  
Vol 17 (2) ◽  
pp. 558
Author(s):  
Whitney Mills ◽  
Nicholas Kondakis ◽  
Robin Orr ◽  
Michael Warburton ◽  
Nikki Milne
Keyword(s):  
Mental Health ◽  
Autism Spectrum Disorder ◽  
Pilot Trial ◽  
Well Being ◽  
Autism Spectrum ◽  
Large Effect Size ◽  
Post Intervention ◽  
Children With Asd ◽  
Health And Well Being ◽  
Group 1

Background: Children diagnosed with Autism Spectrum Disorder (ASD) are less physically active than typically developing children due to reduced socialisation and delayed gross-motor skills, negatively impacting social, emotional and physical well-being. This study aimed to determine whether hydrotherapy influences behaviours which impact mental health and well-being in children with ASD. Methods: A within-subjects, randomised crossover-controlled pilot trial was used over 8 weeks. Children aged 6–12 years and diagnosed with ASD (n = 8) were randomly allocated to Group 1 (n = 4) or Group 2 (n = 4). All children participated in hydrotherapy intervention from either weeks 1 to 4 or weeks 5 to 8. The Child Behaviour Checklist (CBCL) measured behaviour changes impacting mental health and well-being, administered at weeks 0, 4 and 8. Results: No observable differences were found in CBCL subscales between Group 1 or 2 at baseline (week 0). Paired-samples t-tests revealed significant improvements post-intervention: Anxious/Depressed subdomain (p = 0.02) and the Internalising Problems Domain Summary (p = 0.026), with large effect size (d = 1.03 and d = 1.06 respectively). Thought Problems (p = 0.03) and Attention Problems (p = 0.01) both significantly improved post-intervention. The Total Problems score significantly improved post-intervention (p = 0.018) with a large effect size (d = 1.04). Conclusion: Hydrotherapy may enhance behaviours impacting mental health and well-being of children with ASD and could be considered a beneficial therapy option.

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