The effect of caregiver-delivered social-communication interventions on skill generalization and maintenance in ASD

Hong, Ee Rea; Neely, Leslie; Gerow, Stephanie; Gann, Candace J.

doi:10.1016/j.ridd.2018.01.006

Cited by 24 publications

(11 citation statements)

References 66 publications

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“…Overall, in line with reviews of single‐subject design interventions [Hong, Kawaminami, et al, ; Hong, Neely, et al, ; Neely et al, ], these findings do not support the widely cited lack of generalisation associated with autism. Instead, the results suggest that young autistic children are able to generalise to contexts differing in person, setting and/or activity.…”

Section: Discussionmentioning

confidence: 57%

“…Several existing reviews of this literature have systematically investigated generalisation effects across a variety of intervention approaches (e.g. parent‐mediated interventions, tablet‐based interventions) [Hong et al, ; Hong, Neely, Gerow, & Gann, ; Neely et al, ; Schlosser & Lee, ]. In three such reviews, pooled effect sizes suggested target behaviours were, on average, more frequent in generalisation contexts after intervention relative to pre‐intervention and, on average, were as frequent in generalisation contexts as in the intervention contexts post‐intervention.…”

Section: Introductionmentioning

confidence: 99%

“…In three such reviews, pooled effect sizes suggested target behaviours were, on average, more frequent in generalisation contexts after intervention relative to pre‐intervention and, on average, were as frequent in generalisation contexts as in the intervention contexts post‐intervention. However, there was large variation across and within individual studies and sample sizes were small [Hong, Kawaminami, et al, ; Hong, Neely, et al, ; Neely et al, ]. This variation within and across studies has been highlighted by several other reviews [Jung & Sainato, ; Kabashi & Kaczmarek, ; Neely, Garcia, Bankston, & Green, ; Shukla‐Mehta, Miller, & Callahan, ; van der Meer & Rispoli, ; Whalon, Conroy, Martinez, & Werch, ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Beyond intervention into daily life: A systematic review of generalisation following social communication interventions for young children with autism

et al. 2020

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Researchers have generally considered autistic individuals to have difficulties generalising learned skills across novel contexts. Successful generalisation is necessary for an intervention to have benefits in everyday life beyond the original learning environment. We conducted a systematic review of randomised controlled trials of early social communication interventions for children with autism in order to explore generalisation and its measurement. We identified nine RCTs that provided evidence of initial target learning and measured generalisation, of which eight demonstrated at least some successful generalisation across people, settings, and/or activities. The findings did not support the widely reported generalisation ‘difficulties’ associated with autism. However, generalisation was not consistent across all skills within studies, and one study found no generalisation despite evidence for initial target learning within the intervention context. In general, there are few methodologically sound social communication intervention studies exploring generalisation in autism and no consensus on how it should be measured. In particular, failure to demonstrate initial learning of target skills within the intervention setting and an absence of formal mediation analyses of the hypothesised mechanisms limit current research. We outline a framework within which measurement of generalisation can be considered for use in future trials. To maximise the effectiveness of interventions, the field needs to gain a better understanding of the nature of generalisation among autistic individuals and what additional strategies may further enhance learning. Autism Res 2020, 13: 506–522. © 2020 The Authors. Autism Research published by International Society for Autism Research published by Wiley Periodicals, Inc. Lay Summary It is generally considered that autistic individuals experience difficulties applying things they have learned in one context into different settings (e.g. from school to home). This is important to consider for intervention studies. Our review does not support a complete lack of generalisation but instead suggests that after early social communication intervention, autistic children can transfer some skills to new contexts. Overall, there is limited research in this area and further work is needed.

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Section: Discussionmentioning

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Beyond intervention into daily life: A systematic review of generalisation following social communication interventions for young children with autism

et al. 2020

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“…In most of the caregiver-implemented research, research teams test strategies in one developmental domain of interest. Research syntheses have paid particular attention to communication (Akamoglu & Meadan, 2018), social-communication skills (Hong et al, 2018), and behavioral supports (Dunlap & Fox, 2012). However, community-based EIs work across developmental domains, particularly in systems using a primary service provider approach (Shelden & Rush, 2013).…”

Section: The Research-to-practice Dividementioning

confidence: 99%

Mind the Gap: Strategies to Bridge the Research-to-Practice Divide in Early Intervention Caregiver Coaching Practices

Romano

Schnurr

2020

Topics in Early Childhood Special Education

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While caregiver coaching approaches in early intervention have a comprehensive literature base, the field continues to experience a research-to-practice gap in the implementation of capacity-building coaching approaches. We examined the caregiver coaching divide and identified strategies for researchers and Part C programs to bridge the gap so that all families benefit from a capacity-building approach during this critical developmental period of the child’s life. Using available evidence and implementation science frameworks, we suggest five actionable strategies for research and practice teams.

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“…This service should not be confused with telehealth caregiver guidance. Although caregiver guidance is an important component of an effective ABA program, which supports treatment consistency, generalization, and outcomes (Hong et al, 2018 ; Postorino et al, 2017 ), it does not replace direct services led by a BT. Just as caregivers may be involved during in-person direct sessions, they also may be involved in telehealth direct sessions.…”

mentioning

confidence: 99%

Effectiveness of Telehealth Direct Therapy for Individuals with Autism Spectrum Disorder

Nohelty

Bradford

Hirschfeld

et al. 2021

Behav Analysis Practice

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The field of applied behavior analysis (ABA) has utilized telehealth for clinical supervision and caregiver guidance with research supporting the use of both modalities. Research demonstrating effectiveness is crucial, as behavior analysts must ensure the services they provide are effective in order to be ethical. With the increased need for patients to access more services via telehealth, due to the novel coronavirus (COVID-19) pandemic, the current study evaluated the efficacy of telehealth direct therapy to teach new skills to individuals with autism spectrum disorder (ASD). This study examined the utility of natural environment teaching and discrete trial training strategies provided over a videoconferencing platform to teach new skills directly to seven individuals with varying ASD severity levels. The targeted skills were taught solely through telehealth direct therapy with varying levels of caregiver support across participants and included skills in the language, adaptive, and social domains. In a multiple baseline design, all seven participants demonstrated mastery and maintenance for all targets; in addition, generalization to family members was assessed for some targets. The evidence suggests that telehealth is a modality that is effective and can be considered for all patients when assessing the appropriate location of treatment.Keywords telehealth direct therapy . discrete trial training . natural environment teaching . generalization

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The effect of caregiver-delivered social-communication interventions on skill generalization and maintenance in ASD

Cited by 24 publications

References 66 publications

Beyond intervention into daily life: A systematic review of generalisation following social communication interventions for young children with autism

Beyond intervention into daily life: A systematic review of generalisation following social communication interventions for young children with autism

Mind the Gap: Strategies to Bridge the Research-to-Practice Divide in Early Intervention Caregiver Coaching Practices

Effectiveness of Telehealth Direct Therapy for Individuals with Autism Spectrum Disorder

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