The Effects of Early Intervention on Social Communication Outcomes for Children with Autism Spectrum Disorder: A Meta-analysis

Fuller, Elizabeth; Kaiser, Ann P.

doi:10.1007/s10803-019-03927-z

Cited by 244 publications

(184 citation statements)

References 56 publications

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“…The role of SLT includes minimizing difficulties associated with communication and mental health. As such, speech and language therapists—working with adults and children (Fuller and Kaiser 2019)—have a professional duty to consider these potential negative implications.…”

Section: Discussionmentioning

confidence: 99%

Autistic adults’ views of their communication skills and needs

Cummins

Pellicano

Crane

2020

Intl J Lang & Comm Disor

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Background Autistic people require varying levels of support at different stages of their lives. Yet, the healthcare needs of autistic adults are largely unmet. Speech and language therapy (SLT) is one healthcare service that has an important role in supporting autistic people: both with initial diagnosis, and with the ongoing support needed to navigate different communicative challenges across the lifespan. Despite recommendations for such support, currently there is no clear SLT pathway for autistic adults, and a lack of established approaches to support autistic adults’ speech, language and communication needs. Aims To seek autistic adults’ views on (1) their communication skills and support needs; (2) the type of support SLT could offer; and (3) how such support could be provided. Methods & Procedures A total of 18 autistic adults were interviewed in their preferred mode of communication (e.g., face to face, phone call, text messaging, e‐mail), expressing their views on their communication skills and needs. Interview data were analysed using thematic analysis. Outcomes & Results Autistic adults presented complex views on communication, identifying the benefits of communication, while also emphasizing the significant negative impact that communication difficulties can have on their everyday lives. Identifying a range of internal (e.g., personal feelings) and external (e.g., the communication partner) factors, they highlighted the need for support at both individual levels (for specific life situations) and broader societal levels (to increase awareness and acceptance of communication difficulties). Conclusions & Implications Considering the negative impact that communication difficulties can have for autistic adults, a need for support was emphasized. Despite recognition of this need within current legislation (in the UK) and positive steps toward providing support, more needs to be done. As experts in supporting individuals with communication difficulties, speech and language therapists could play a pivotal role in providing support at an individual level, as well as increasing awareness of communication differences more widely.

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Section: Discussionmentioning

confidence: 99%

Autistic adults’ views of their communication skills and needs

Cummins

Pellicano

Crane

2020

Intl J Lang & Comm Disor

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“…Speci c interventions for young children with or at high likelihood for autism spectrum disorders (ASD) demonstrate powerful effects in reducing intellectual impairment, improving social communication and language development, and improving social skills, when initiated in early childhood (Fuller et al, 2020, Fuller & Kaiser, 2019, Hampton & Kaiser, 2016, Sandbank et al, 2020. However, many of these interventions are not implemented well within community settings due to technical aspects of the models, delivery intensity, and precision of intervention methods.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Delivering Parent-Implemented NDBI Interventions in Low Resource Regions: A Pilot Randomized Controlled Study

Rogers¹,

Stahmer²,

Talbott³

et al. 2020

Preprint

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Background: This implementation feasibility study was conducted to determine whether an evidence-based parent -implemented distance-learning intervention model for young children at high likelihood of having ASD could be implemented at fidelity by Part C community providers and by parents in low resource communities.Methods: The study used a community academic partnership model to adapt an evidence-based intervention tested in the current pilot trial involving randomization by agency in four states and enrollment of 35 coaches and 34 parent-family dyads. After baseline data were gathered, providers in the experimental group received up to 12 hours of training while control providers received six webinars on early development. Six months of intervention with children-families then followed, concluding with data collection. Regression analyses were used to model outcomes of the coach behaviors, the parent fidelity ratings, and child outcomes.Results: A block design model-building approach was used to test the null model followed by the inclusion of group as a predictor, and finally the inclusion of the planned covariates. Model fit was examined using changes in R2 and F-statistic. As hypothesized, results demonstrated significant gains in (1) experimental provider fidelity of implementation compared to the control group; and (2) experimental parent fidelity of implementation compared to the control group. There were no significant differences between groups in child developmental scores. Conclusions: Even though the experimental parent group averaged less than 30 minutes weekly with providers in the 6 months, both providers and parents demonstrated statistically significant gains with moderate effect sizes compared to control groups. Since child changes in parent mediated models are dependent upon the parents’ ability to deliver the intervention, and since parent delivery is dependent upon providers who are coaching the parents, these results demonstrated that two of these three links of the chain were positively affected by the experimental implementation model. However, lack of significant differences in child group gains suggests that further work is needed on this model. Factors to consider include amount of contact with the provider, amount of practice children experience, amount of contact both providers and parents spend on training materials, and motivational strategies for parents, among others. Trial registration: Registry of Efficacy and Effectiveness Studies: #4360, registered 1xx, October, 2020 – Retrospectively registered, http://

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“…Visual cues are better than verbal instruction for the children with autism. Several clinical studies from different parts of the world have proved the efficacy of ABA in children with autism [29].…”

Section: Applied Behavior Analysis (Aba)mentioning

confidence: 99%

Current consensus on clinical features, pathogenesis, diagnosis and management of autism spectrum disorder in children: A brief review

Panda

2019

Int J Pediatr Res

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Autism spectrum disorder (ASD) usually presents in early developmental period, in children less than five years usually with poor social relations, verbal and nonverbal communications and stereotypic and repetitive behavior. The prevalence of ASD is increasing rapidly; especially in urban community of developed as well as developing nations. Combined interaction of genetic and environmental factors has been proposed as the possible neuropathogenetic mechanism underlying ASD. Children with ASD have specific abnormalities in functional connectivity of brain and altered fecal microbiota. Children with Fragile X syndrome, Rett syndrome and Tuberous sclerosis often have autistic features.Interviewing the caregiver and observation of the child is the only definitive way to confirm the diagnosis of ASD. Recently DSM V criteria have combined under a single umbrella all the autistic disorders including Asperger syndrome and pervasive developmental disorder-not otherwise satisfied. Apart from DSM V criteria, Autism Diagnostic Observation Schedule (ADOS) and Childhood Autism Rating Scale (CARS) are also useful in diagnosis and evaluation of children with ASD. Autistic children are more likely to have hyperactivity, inattention, sleep abnormalities and epilepsy, as compared to general population. Applied behavioral analysis, sensory integration therapy and structured teaching are used in the management of autism spectrum disorder, along with atypical antipsychotics like Risperidone and Aripiprazole. Various complementary and alternative treatments like music therapy, oral probiotics and gluten free, casein free diet are currently under evaluation in various clinical studies.

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The Effects of Early Intervention on Social Communication Outcomes for Children with Autism Spectrum Disorder: A Meta-analysis

Cited by 244 publications

References 56 publications

Autistic adults’ views of their communication skills and needs

Autistic adults’ views of their communication skills and needs

Feasibility of Delivering Parent-Implemented NDBI Interventions in Low Resource Regions: A Pilot Randomized Controlled Study

Current consensus on clinical features, pathogenesis, diagnosis and management of autism spectrum disorder in children: A brief review

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The Effects of Early Intervention on Social Communication Outcomes for Children with Autism Spectrum Disorder: A Meta-analysis

Cited by 244 publications

References 56 publications

Autistic adults’ views of their communication skills and needs

Autistic adults’ views of their communication skills and needs

Feasibility of Delivering Parent-Implemented NDBI Interventions in Low Resource Regions:&nbsp;A Pilot Randomized Controlled Study

Current consensus on clinical features, pathogenesis, diagnosis and management of autism spectrum disorder in children: A brief review

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Feasibility of Delivering Parent-Implemented NDBI Interventions in Low Resource Regions: A Pilot Randomized Controlled Study