Journal ArticleDOI
A Systematic Review of Early Intensive Intervention for Autism Spectrum Disorders
Zachary Warren,Melissa L McPheeters,Melissa L McPheeters,Nila A Sathe,Jennifer H. Foss-Feig,Allison Glasser,Jeremy Veenstra-VanderWeele +6 more
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TLDR
Studies of Lovaas-based approaches and early intensive behavioral intervention variants and the Early Start Denver Model resulted in some improvements in cognitive performance, language skills, and adaptive behavior skills in some young children with ASDs, although the literature is limited by methodologic concerns.Abstract:
CONTEXT: Early intensive behavioral and developmental interventions for young children with autism spectrum disorders (ASDs) may enhance developmental outcomes. OBJECTIVE: To systematically review evidence regarding such interventions for children aged 12 and younger with ASDs. METHODS: We searched Medline, PsycINFO, and ERIC (Education Resources Information Center) from 2000 to May 2010. Two reviewers independently assessed studies against predetermined inclusion/exclusion criteria. Two reviewers independently extracted data regarding participant and intervention characteristics, assessment techniques, and outcomes and assigned overall quality and strength-of-evidence ratings using predetermined criteria. RESULTS: Thirty-four unique studies met inclusion criteria. Seventeen studies were case series; 2 were randomized controlled trials. We rated 1 study as good quality, 10 as fair quality, and 23 as poor quality. The strength of the evidence overall ranged from insufficient to low. Studies of University of California Los Angeles/Lovaas–based interventions and variants reported clinically significant gains in language and cognitive skills in some children, as did 1 randomized controlled trial of an early intensive developmental intervention approach (the Early Start Denver Model). Specific parent-training approaches yielded gains in short-term language function and some challenging behaviors. Data suggest that subgroups of children displayed more prominent gains across studies, but participant characteristics associated with greater gains are not well understood. CONCLUSIONS: Studies of Lovaas-based approaches and early intensive behavioral intervention variants and the Early Start Denver Model resulted in some improvements in cognitive performance, language skills, and adaptive behavior skills in some young children with ASDs, although the literature is limited by methodologic concerns.read more
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Journal ArticleDOI
Parent and Family Impact of Autism Spectrum Disorders: A Review and Proposed Model for Intervention Evaluation
TL;DR: It cannot be assumed that even significant improvements in the diagnosed child will ameliorate the parent and family distress already present, especially as the time and expense of intervention can add further family disruption.
Journal ArticleDOI
Identification, Evaluation, and Management of Children With Autism Spectrum Disorder.
TL;DR: This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available to help the reader identify topic areas within the report.
Journal ArticleDOI
Early Intervention for Children With Autism Spectrum Disorder Under 3 Years of Age: Recommendations for Practice and Research
Lonnie Zwaigenbaum,Margaret L. Bauman,Roula Choueiri,Connie Kasari,Alice S. Carter,Doreen Granpeesheh,Zoe Mailloux,Susanne Smith Roley,Sheldon L. Wagner,Deborah Fein,Karen Pierce,Timothy Buie,Patricia A. Davis,Craig J. Newschaffer,Diana L. Robins,Amy M. Wetherby,Wendy L. Stone,Nurit Yirmiya,Annette Estes,Robin L Hansen,James C. McPartland,Marvin R. Natowicz +21 more
TL;DR: This article reviews current evidence for autism spectrum disorder interventions for children aged <3 years, based on peer-reviewed articles published up to December 2013 and identifies several comprehensive and targeted treatment models with evidence of clear benefits.
Journal ArticleDOI
Effects of a Brief Early Start Denver Model (ESDM)–Based Parent Intervention on Toddlers at Risk for Autism Spectrum Disorders: A Randomized Controlled Trial
Sally J. Rogers,Annette Estes,Catherine Lord,Laurie A. Vismara,Jamie Winter,Annette L. Fitzpatrick,Mengye Guo,Geraldine Dawson +7 more
TL;DR: Evidence that both younger child age at the start of intervention and a greater number of intervention hours were positively related to the degree of improvement in children's behavior for most variables has implications for clinical practice, service delivery, and public policy.
Journal ArticleDOI
Parent-Implemented Social Intervention for Toddlers With Autism: An RCT
Amy M. Wetherby,Whitney Guthrie,Juliann Woods,Christopher Schatschneider,Renee D. Holland,Lindee Morgan,Catherine Lord +6 more
TL;DR: The efficacy of a parent-implemented intervention using little professional time has potential for community viability, which is particularly important in light of the lack of main effects on child outcomes of most other parent-injury interventions.
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