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Longitudinal Effects of Adaptive Interventions With a Speech-Generating Device in Minimally Verbal Children With ASD
- Source :
- Journal of Clinical Child & Adolescent Psychology. 45:442-456
- Publication Year :
- 2016
- Publisher :
- Informa UK Limited, 2016.
-
Abstract
- There are limited data on the effects of adaptive social communication interventions with a speech-generating device in autism. This study is the first to compare growth in communications outcomes among three adaptive interventions in school-age children with autism spectrum disorder (ASD) who are minimally verbal. Sixty-one children, ages 5-8 years, participated in a sequential, multiple-assignment randomized trial (SMART). All children received a developmental behavioral communication intervention: joint attention, symbolic play, engagement and regulation (JASP) with enhanced milieu teaching (EMT). The SMART included three 2-stage, 24-week adaptive interventions with different provisions of a speech-generating device (SGD) in the context of JASP+EMT. The first adaptive intervention, with no SGD, initially assigned JASP+EMT alone, then intensified JASP+EMT for slow responders. In the second adaptive intervention, slow responders to JASP+EMT were assigned JASP+EMT+SGD. The third adaptive intervention initially assigned JASP+EMT+SGD; then intensified JASP+EMT+SGD for slow responders. Analyses examined between-group differences in change in outcomes from baseline to Week 36. Verbal outcomes included spontaneous communicative utterances and novel words. Nonlinguistic communication outcomes included initiating joint attention and behavior regulation, and play. The adaptive intervention beginning with JASP+EMT+SGD was estimated as superior. There were significant (p
- Subjects :
- Male
medicine.medical_specialty
Joint attention
Autism Spectrum Disorder
Psychological intervention
Context (language use)
01 natural sciences
Article
law.invention
Communication Aids for Disabled
010104 statistics & probability
Physical medicine and rehabilitation
Randomized controlled trial
law
Intervention (counseling)
Developmental and Educational Psychology
medicine
Humans
Speech
Attention
0501 psychology and cognitive sciences
Longitudinal Studies
0101 mathematics
Child
Verbal Behavior
Communication
05 social sciences
medicine.disease
Speech-generating device
Clinical Psychology
Treatment Outcome
Child Development Disorders, Pervasive
Autism spectrum disorder
Child, Preschool
Autism
Female
Psychology
Social psychology
050104 developmental & child psychology
Subjects
Details
- ISSN :
- 15374424 and 15374416
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Child & Adolescent Psychology
- Accession number :
- edsair.doi.dedup.....ba36ef34810860fa9c8f3aeb3ded48fa