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 .
CONTEXT : Early intensive behavioral and developmental interventions for young children with autism spectrum disorders ( ASDs ) may enhance developmental outcomes .
OBJECTIVE : To systematic ally review evidence regarding such interventions for children aged 12 and younger with ASDs .
A new social communication intervention for children with autism: pilot randomised controlled treatment study suggesting effectiveness.
BACKGROUND Psychosocial treatments are the mainstay of management of autism in the UK but there is a notable lack of a systematic evidence base for their effectiveness . R and omised controlled trial ( RCT ) studies in this area have been rare but are essential because of the developmental heterogeneity of the disorder . We aim ed to test a new theoretically based social communication intervention targeting parental communication in a r and omised design against routine care alone . METHODS The intervention was given in addition to existing care and involved regular monthly therapist contact for 6 months with a further 6 months of 2-monthly consolidation sessions . It aim ed to educate parents and train them in adapted communication tailored to their child 's individual competencies . Twenty-eight children with autism were r and omised between this treatment and routine care alone , stratified for age and baseline severity . Outcome was measured at 12 months from commencement of intervention , using st and ardised instruments . RESULTS All cases studied met full Autism Diagnostic Interview ( ADI ) criteria for classical autism . Treatment and controls had similar routine care during the study period and there were no study dropouts after treatment had started . The active treatment group showed significant improvement compared with controls on the primary outcome measure -- Autism Diagnostic Observation Schedule ( ADOS ) total score , particularly in reciprocal social interaction-- and on secondary measures of expressive language , communicative initiation and parent-child interaction . Suggestive but non-significant results were found in Vinel and Adaptive Behaviour Scales ( Communication Sub-domain ) and ADOS stereotyped and restricted behaviour domain . CONCLUSIONS A R and omised Treatment Trial design of this kind in classical autism is feasible and acceptable to patients . This pilot study suggests significant additional treatment benefits following a targeted ( but relatively non-intensive ) dyadic social communication treatment , when compared with routine care . The study needs replication on larger and independent sample s. It should encourage further RCT design s in this area
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 .
CONTEXT : Early intensive behavioral and developmental interventions for young children with autism spectrum disorders ( ASDs ) may enhance developmental outcomes .
OBJECTIVE : To systematic ally review evidence regarding such interventions for children aged 12 and younger with ASDs .