Pivotal response treatment for children with autism spectrum disorder: A systematic review of research quality

Cadogan, Sarah; McCrimmon, Adam W.

doi:10.3109/17518423.2013.845615

Cited by 23 publications

(21 citation statements)

References 47 publications

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“…ESDM incorporates a number of strategies that enhance motivation and positive affect that were derived from Pivotal Response Training (Cadogan & McCrimmon, 2013), such as the use of child-preferred activities and shared control over the materials and interaction. These strategies were identified as effective for improving motivation and accelerating skill acquisition.…”

Section: Key Features Of Early Intervention Related To Mechanisms mentioning

confidence: 99%

Potential neural mechanisms underlying the effectiveness of early intervention for children with autism spectrum disorder

Sullivan

Stone

Dawson

2014

Research in Developmental Disabilities

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Although evidence supports the efficacy of early intervention for improving outcomes for children with autism spectrum disorder (ASD), the mechanisms underlying their effectiveness remain poorly understood. This paper reviews the research literature on the neural bases of the early core deficits in ASD and proposes three key features of early intervention related to the neural mechanisms that may contribute to its effectiveness in improving deficit areas. These features include (1) the early onset of intensive intervention which capitalizes on the experience-expectant plasticity of the immature brain, (2) the use of treatment strategies that address core deficits in social motivation through an emphasis on positive social engagement and arousal modulation, and (3) promotion of complex neural networks and connectivity through thematic, multi-sensory and multi-domain teaching approaches. Understanding the mechanisms of effective early intervention will enable us to identify common or foundational active ingredients for promoting optimal outcomes in children with ASD.

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Section: Key Features Of Early Intervention Related To Mechanisms mentioning

confidence: 99%

Potential neural mechanisms underlying the effectiveness of early intervention for children with autism spectrum disorder

Sullivan

Stone

Dawson

2014

Research in Developmental Disabilities

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“…Pierce and Schreibman ( 1995 ), had no control condition (Baker-Ericzén et al ( 2007 ); Minjarez et al ( 2011 )), or did not incorporate all PRT techniques (Verschuur et al 2014 ). Cardogan and McCrimmon ( 2015 ) did a systematic review of the quality of the studies into PRT and recommended the researchers to compare different interventions, use longitudinal designs, describe methodologies more thoroughly and implement greater adherence to treatment fidelity and so enhance the quality of the studies and strengthen the conclusions.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Pivotal Response Treatment in Children with Autism Spectrum Disorders: A Non-randomized Study with a Blinded Outcome Measure

Duifhuis

Boer

Doornbos

et al. 2016

J Autism Dev Disord

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Purpose of this quasi-experimental trial was to investigate the effect of Pivotal response treatment (PRT) versus treatment as usual (TAU) on autism symptoms. Children with autism spectrum disorder (ASD), aged 3–8 years, received either PRT (n = 11) or TAU (n = 13). Primary outcome measure was the total score on the Autism Diagnostic Observation Schedule at pre- and posttreatment. Additionally, general problem behavior and parental stress levels were measured. Children in the PRT condition improved on the primary outcome measure compared to the TAU group with a small effect size [partial η2 = 0.22 (95 % CI 0.00–0.46)]. Neither group demonstrated significant changes in the secondary outcomes. This study suggests that PRT may improve autism symptoms in children with ASD over TAU.

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“…Future investigations could explore whether the association between maternal neural specialization and MS predict ASD severity in children because ASD severity could reflect a greater load on parenting abilities or greater need for adaptation on the part of the mother. As well, given the emphasis on parent–child interactive skills in interventions for ASD such as pivotal response therapy [Cadogan & McCrimmon, ; Duifhuis et al, ; Koegel, Koegel, & Brookman, ; Lei & Ventola, ], our findings could be relevant in unpacking treatment mechanisms and in predicting treatment outcome for young children with ASD.…”

Section: Discussionmentioning

confidence: 87%

Early processing (N170) of infant faces in mothers of children with autism spectrum disorder and its association with maternal sensitivity

Márquez

Nicolini

Crowley³

et al. 2019

Autism Research

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Individuals with autism spectrum disorder (ASD) exhibit impaired adult facial processing, as shown by the N170 eventrelated potential. However, few studies explore such processing in mothers of children with ASD, and none has assessed the early processing of infant faces in these women. Moreover, whether processing of infant facial expressions in mothers of children with ASD is related to their response to their child's needs (maternal sensitivity [MS]) remains unknown. This study explored the N170 related to infant faces in a group of mothers of children with ASD (MA) and a reference group of mothers of children without ASD. For both emotional (crying, smiling) and neutral expressions, the MA group exhibited larger amplitudes of N170 in the right hemisphere, while the reference group showed similar interhemispheric amplitudes. This lateralization effect within the MA group was not present for nonfaces and was stronger in the mothers with higher MS. We propose that mothers of ASD children use specialized perceptual resources to process infant faces, and this specialization is mediated by MS. Our findings suggest that having an ASD child modulates mothers' early neurophysiological responsiveness to infant cues. Whether this modulation represents a biological marker or a response given by experience remains to be explored. Autism Res 2019, 12: 744-758.Lay Summary: When mothers of children with autism spectrum disorder (ASD) see baby faces expressing emotions, they show a right-sided electrical response in the brain. This lateralization was stronger in mothers who were more sensitive to their children's needs. We conclude that having a child with ASD and being more attuned to their behavior generates a specialized pattern of brain activity when processing infant faces. Whether this pattern is biological or given by experience remains to be explored.

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Pivotal response treatment for children with autism spectrum disorder: A systematic review of research quality

Abstract: It is recommended that researchers compare interventions, use longitudinal designs, better describe their methodology and implement greater adherence to treatment fidelity to enhance research quality and strengthen conclusions.

Cited by 23 publications

References 47 publications

Potential neural mechanisms underlying the effectiveness of early intervention for children with autism spectrum disorder

Potential neural mechanisms underlying the effectiveness of early intervention for children with autism spectrum disorder

The Effect of Pivotal Response Treatment in Children with Autism Spectrum Disorders: A Non-randomized Study with a Blinded Outcome Measure

Early processing (N170) of infant faces in mothers of children with autism spectrum disorder and its association with maternal sensitivity

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