A Systematic Review of the Autism Research With Children Who Are Deaf or Hard of Hearing

Hansen, Sarah; Scott, Jessica

doi:10.1177/1525740117728475

Cited by 7 publications

(4 citation statements)

References 28 publications

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“…While previous studies have primarily focused on clinical features and challenges with diagnosis (Shield, 2014), with very few studies examining ASL acquisition or improvement (Scott & Dostal, 2019; Shield, 2014), no studies to date have examined potential modifications or adaptations to ABA intervention that may be required to meet the needs of DHH autistic children. The results of the current study support previous findings suggesting that adaptations and modifications to existing evidence‐based practices are needed to meet the unique needs of DHH autistic children (Hansen & Scott, 2018; Nelson & Bruce, 2019; Szarkowski et al., 2014). We utilized adapted behavior analytic procedures in collaboration with an ASL interpreter to improve language and communication skills for a young child with dual diagnoses of DHH and ASD.…”

Section: Discussionsupporting

confidence: 87%

“…For example, instruments to detect ASD in DHH children do not yet exist, and interventions that are tailored to meet the needs of this unique population have been rarely studied (Szarkowski et al., 2014). Given the complexity among this population, there is a pressing need for high‐quality research involving individuals with dual diagnoses of both ASD and DHH (Hansen & Scott, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Considerations for practitioners using applied behavior analysis therapy with autistic deaf/hard of hearing clients

Edmier,

Kazee,

Yosick

2023

Behavioral Interventions

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There is scarce research on adapting evidence‐based practices, such as Applied Behavior Analysis (ABA)‐based therapy, for Deaf/Hard of Hearing (DHH) children diagnosed with autism spectrum disorder (ASD). The current case involved delivering intensive ABA‐based intervention for improving communication skills to a 5‐year‐old child, Lilly, with dual diagnoses of DHH and ASD. Teaching procedures were modified to include consideration of deaf cultural norms, incorporation of American Sign Language (ASL)‐specific instructional procedures, and consultation with an ASL interpreter within all intervention sessions. Outcome data measured by the Verbal Behavior Milestones Assessment and Placement Program (VB‐MAPP) reflected rapid skill acquisition across multiple verbal operants within a 7‐month admission. Recommendations on how to deliver intensive ABA‐based intervention services to children with dual diagnoses of DHH and ASD are provided for further research and discussion. Utilizing modified behavior analytic procedures can provide increased access to needed services for this population.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Considerations for practitioners using applied behavior analysis therapy with autistic deaf/hard of hearing clients

Edmier,

Kazee,

Yosick

2023

Behavioral Interventions

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“…This is the first validation of a parent semi-structured interview to assess for ASD in a deaf population. Against a backdrop of limited research in this field (Hansen & Scott, 2018), this provides a very welcome addition for clinical practice. Our findings indicate that the ADI-R Deaf Adaptation is a valid measure for use in the deaf child population in the UK context, no matter what languages or communication methods they use.…”

Section: Discussionmentioning

confidence: 99%

Adapting and validating the Autism Diagnostic Interview - Revised for use with deaf children and young people

Wright

Phillips

Allgar

et al. 2021

Autism

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A Delphi consensus methodology was used to adapt the Autism Diagnostic Interview–Revised for the assessment of deaf children with suspected autism spectrum disorder. Each Autism Diagnostic Interview–Revised item was considered by a panel of nine international experts in terms of relevance and acceptability. Modifications were proposed and agreed by the expert panel for 45% of items. The pre-specified criterion for agreement between experts was set at 80% for each item. A first validation of the revised version, adapted for deaf children (Autism Diagnostic Interview–Revised Deaf Adaptation), was undertaken with a UK sample of 78 parents/carers of deaf children with autism spectrum disorder and 126 parents/carers with deaf children without autism spectrum disorder. When compared to National Institute for Health and Care Excellence guideline standard clinical assessments, the Autism Diagnostic Interview–Revised Deaf Adaptation diagnostic algorithm cut-off/threshold scores achieved a sensitivity of 89% (79%–96%) and specificity of 81% (70%–89%) for autism spectrum disorder. The alpha coefficients for each algorithm symptom domain ranged from 0.80 to 0.91, suggesting that the items had high internal consistency. Our findings indicate that the Autism Diagnostic Interview–Revised Deaf Adaptation is likely to be a useful measure for the assessment of deaf children with suspected autism spectrum disorder, although further research is needed. Lay abstract Autism assessment processes need to improve for deaf children as they are currently being diagnosed later than their hearing counterparts and misdiagnosis can occur. We took one of the most commonly used parent developmental interviews for autism spectrum disorder the Autism Diagnostic Interview–Revised and adapted it using international expert advice. Modifications were proposed and agreed by the expert panel for 45% of items; the remaining 55% of items were unchanged. We then tested the revised version, adapted for deaf children (Autism Diagnostic Interview–Revised Deaf Adaptation), in a UK sample of 78 parents/carers of deaf children with autism spectrum disorder and 126 parents/carers with deaf children without autism spectrum disorder. When compared to National Institute for Health and Care Excellence guideline standard clinical assessments, the Autism Diagnostic Interview–Revised Deaf Adaptation diagnostic algorithm threshold scores could identify those deaf children with a definite diagnosis (true autism spectrum disorder positives) well (sensitivity of 89% (79%–96%)) and those deaf children who did not have autism spectrum disorder (true autism spectrum disorder negatives) well (specificity of 81% (70%–89%)). Our findings indicate that the Autism Diagnostic Interview–Revised Deaf Adaptation is likely to prove a useful measure for the assessment of deaf children with suspected autism spectrum disorder and that further research would be helpful.

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“…There have been very few studies investigating ASD in deafness (Quinto-Pozo et al 2011 ; Hansen and Scott 2018 ). Studies of communication skills in deaf children with ASD have identified characteristics of their communication equivalent to those found in hearing children with ASD (Scawin 2003 ; Shield and Meier 2012 ; Szymanski et al 2012 ; Shield et al 2015 , 2016 , 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Signing with the Face: Emotional Expression in Narrative Production in Deaf Children with Autism Spectrum Disorder

Denmark

Atkinson

Campbell

et al. 2018

J Autism Dev Disord

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This study examined facial expressions produced during a British Sign Language (BSL) narrative task (Herman et al., International Journal of Language and Communication Disorders 49(3):343–353, 2014) by typically developing deaf children and deaf children with autism spectrum disorder. The children produced BSL versions of a video story in which two children are seen to enact a language-free scenario where one tricks the other. This task encourages elicitation of facial acts signalling intention and emotion, since the protagonists showed a range of such expressions during the events portrayed. Results showed that typically developing deaf children produced facial expressions which closely aligned with native adult signers’ BSL narrative versions of the task. Children with ASD produced fewer targeted expressions and showed qualitative differences in the facial actions that they produced.

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A Systematic Review of the Autism Research With Children Who Are Deaf or Hard of Hearing

Cited by 7 publications

References 28 publications

Considerations for practitioners using applied behavior analysis therapy with autistic deaf/hard of hearing clients

Considerations for practitioners using applied behavior analysis therapy with autistic deaf/hard of hearing clients

Adapting and validating the Autism Diagnostic Interview - Revised for use with deaf children and young people

Signing with the Face: Emotional Expression in Narrative Production in Deaf Children with Autism Spectrum Disorder

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