Suivi qualitatif de l’évolution de 120 enfants porteurs de troubles du spectre autistique pris en charge par la méthode des 3i

Favrot-Meunier, Claire; Saint-Georges-Chaumet, Yann; Saint-Georges, Catherine

doi:10.1016/j.evopsy.2019.08.002

Cited by 2 publications

(3 citation statements)

References 36 publications

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“…This study analysing 90 children suggests that intensive individual interactive (3i) play therapy with parents and volunteers for 2 years may allow a significant reduction in ASD severity with improvements in interaction, communication, and repetitive behaviours. These results are in line with those obtained in previous studies [19,21] and should be confirmed in further studies. Assessment of parental and patient quality of life should be performed in future studies that should include a control group.…”

Section: Discussionsupporting

confidence: 93%

“…Improvement in communication and socialization scores in this study appears to also be consistent with another retrospective study on 120 children who received 2 years of 3i intervention [21]. This previous study used a homemade scale scoring some key-behaviors in 6 domains through written reports from supervision sessions; it showed a significant improvement in all the six explored domains (imitation, socioemotional regulation, gaze quality, nonverbal expression, verbal expression, and verbal comprehension) with a greater improvement in imitation and nonverbal communication.…”

Section: Effects Of 3i Intervention On Autism Symptomssupporting

confidence: 91%

“…These results suggest that the 3i intervention allowed improvement of relational skills that were initially very impaired in this population (mean developmental age according VABS socialization and communication scores was 12,8 months and 15,8 respectively, for a mean chronological age around 5 years). Another retrospective study was conducted on another sample of 120 patients and showed significant improvement of communication and imitation skills after 2 years of the 3i intervention based on psychologist observations through a qualitative approach [ 21 ]. Moreover, a national French survey conducted on parents of children managed by the 3i intervention reported improvement in terms of communication skills and interaction within the family [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Two-year follow-up of 90 children with autism spectrum disorder receiving intensive developmental play therapy (3i method)

Brefort¹,

Saint-Georges-Chaumet²,

Cohen

et al. 2022

BMC Pediatr

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Background The Intensive, Interactive, and Individual (3i) intervention approach aims to decrease the severity of autism spectrum disorder (ASD) using intensive developmental play therapy (3i). We performed a retrospective study of 90 children who were enrolled for 2 years in the 3i approach to assess changes and predictors of changes in ASD severity at follow-up (FU). Methods The ASD severity of all patients (N = 119) who began 3i intervention between 2013 and 2018 was systematically measured using the childhood autism rating scale (CARS) and autism diagnosis interview-revised (ADI-R). Among them, 90 patients (mean age 5.6 ± 3.7 years) had a second assessment at the 2 year FU. CARS and ADI-R scores after 2 years of 3i intervention were compared to baseline scores using paired student’s t-tests. We used multiple linear regression models to assess the weight of baseline variables (e.g., age, oral language, sex, treatment intensity) on changes at the 2 year FU. Results Mean CARS and ADI-R subscores (interaction, communication, repetitive behaviour) decreased significantly by 20, 41, 27.5 and 25%, respectively (effect sizes: d > 0.8). Moreover, 55 and 46.7% of participants switched to a lower category of ASD severity based on the CARS scale and ADI-R interview, respectively. Multiple linear models showed that (i) a higher treatment intensity (more than 30 h per week) was significantly associated with a greater decrease (improvement) in the ADI-R interaction score; (ii) patients categorized as verbal subjects at baseline were associated with a better outcome, as ascertained by the CARS, ADI-R interaction and ADI-R communication scores; and (iii) older patients were significantly associated with a greater decrease in the ADI-R interaction score. However, we found no impact of sex, severity of ASD or comorbidities at baseline. Conclusion This study performed on 90 children suggests that 3i therapy may allow for a significant reduction in ASD severity with improvements in interaction, communication, and repetitive behaviours. A study using a control group is required to assess the efficacy of 3i play therapy compared to other interventions.

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Section: Discussionsupporting

confidence: 93%

Section: Effects Of 3i Intervention On Autism Symptomssupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Two-year follow-up of 90 children with autism spectrum disorder receiving intensive developmental play therapy (3i method)

Brefort¹,

Saint-Georges-Chaumet²,

Cohen

et al. 2022

BMC Pediatr

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Évaluation des connaissances du réseau d’alerte de première ligne pour les troubles du spectre autistique dans une population nord-africaine (Tozeur, Tunisie)

Halima,

Saoussen

2023

rqpsy

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L’autisme est un handicap lourd. Le manque de données épidémiologiques en Tunisie a rendu difficiles les estimations. Dans la région de Tozeur, il n’y a pas de réseau valable de détection des TSA, ni de registre spécifique pour les autistes. Par cette étude, il a été essayé de dresser l’état des lieux dans la capacité des professionnels de première ligne (PPL) à détecter rapidement et précocement des TSA. Les résultats étaient comparables aux résultats des études réalisées dans les populations du Nigeria; Pakistan; et l’Arabie saoudite. En effet, le personnel de première ligne est peu formé dans le domaine, ce qui rend le diagnostic des TSA très tardif et la prise en charge inefficace. Ceci impose une formation continue du personnel de première ligne pour un diagnostic efficace et précoce. Ceci améliorera la qualité de vie des enfants avec TSA et leurs parents et diminuera les charges financières sur l’état pour la prise en charge des TSA.

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Suivi qualitatif de l’évolution de 120 enfants porteurs de troubles du spectre autistique pris en charge par la méthode des 3i

Cited by 2 publications

References 36 publications

Two-year follow-up of 90 children with autism spectrum disorder receiving intensive developmental play therapy (3i method)

Two-year follow-up of 90 children with autism spectrum disorder receiving intensive developmental play therapy (3i method)

Évaluation des connaissances du réseau d’alerte de première ligne pour les troubles du spectre autistique dans une population nord-africaine (Tozeur, Tunisie)

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