Impact of severity of autism and intervention time‐input on child outcomes: comparison across several early interventions

In this article, written by Phil Reed and Lisa Osborne, both from Swansea University, the impact of severity of autism, and the time‐input of the treatment programme, on the outcome effectiveness for four early interventions for individuals on the autism spectrum was explored. The four interventions studied were applied behaviour analysis (ABA), special nursery, an adapted portage intervention, and a local authority approach. Sixty‐six children (aged from two years six months to four years) were studied over nine months, in terms of their intellectual, educational and adaptive behavioural functioning. Children undergoing the ABA approach demonstrated greater gains in functioning (especially in educational functioning). There were differences in the way that autism severity and intervention time‐input impacted on the different early intervention programmes. For special nursery, portage and local authority approaches, the gains made by the children were inversely related to the severity of their autism and directly related to time‐input. In contrast, the converse was true for the ABA approach. These data are discussed with respect to their implications for choosing an intervention strategy for a child on the autism spectrum.     

北京市孤独症儿童早期干预中家长参与情况及其影响因素

本研究采用自编问卷调查北京市孤独症儿童早期干预中家长的参与态度和行为,并初步探讨其可能的影响因素。研究调查了三所有代表性的孤独症康复中心和一所医院的47名家长,结果表明,在孤独症儿童的早期干预中,家长参与态度较积极(M=3.77),但行为频率较低(M=1.75),参与效能感也比较低(M=1.81)。很多因素影响着家长的孤独症知识水平,但影响家长参与的因素较少;只有家长学历、家庭收入和孩子是否参与过ABA(应用行为分析)这三个因素。     

Inclusion Means Everyone! The Role of the Early Childhood Educator when Including Young Children with Autism in the Classroom

The impact of the emphasis on inclusion in special education has resulted in a higher frequency of young children with autism being included in early childhood programs with typically developing peers. Many early childhood educators have risen to face the challenge, and this has resulted in enhanced learning for young children with autism in the regular classroom. This article focuses on the multiple roles of early childhood educators as they work with the diverse needs of young children with autism in their classrooms.     

Interventions and Adaptations for Children with Autism Spectrum Disorder in Inclusive Early Childhood Settings

The inclusive education of children with disabilities is considered best practice, yet many early childhood educators feel unprepared to deliver appropriate instruction for children with disabilities and often require supports to successfully meet the children’s unique needs. Young children experiencing autism spectrum disorder are being diagnosed at a young age and they are commonly receiving their education within inclusive early childhood settings. This article presents two methods to meet the needs of children with autism spectrum disorder. First, early childhood educators can provide interventions tailored to the children’s learning needs. Second, educators can adapt the environment, materials, activity, instruction, and assistance they provide so that each child is appropriately supported, while still being encouraged to succeed as independently as possible. This article summarizes research-based interventions and adaptations that early childhood educators can implement within inclusive settings to meet the diverse needs of young children with autism spectrum disorder and presents a case study to describe how these practices can support young children with autism spectrum disorder within inclusive settings.     

Professional guidance: maternal negotiation of primary school placement for children diagnosed with autism

This article explores the different forms of professional guidance negotiated by mothers as they search for a primary school placement for their child diagnosed with autism. The intensely contested terrain of whether segregated or ‘regular’ classrooms would be ‘better’ for the child shapes the contours of both professional guidance and maternal decision-making. Interviews with 22 women whose children were about to start primary school in Sydney, Australia, allows an exploration of the ways women engage with or reject professional guidance, offered by paediatricians, psychologists, early intervention professionals, and education providers. Mothers frequently received conflicting professional guidance, and felt conflicted about their schooling decisions, especially when students are labelled ‘borderline’. Overall, recent suggestions of a democratisation of autism expertise are not supported by this research, which underlines the need to analyse both the agency of mothers and the power differentials that continue to exist between families and experts.     

Early Intervention Practices for Children With Autism: Descriptions From Community Providers

Across the country, states are reporting increases in the number of children with autism enrolled in the education system. Although a few specific treatment methods have been established as efficacious for some children with autism in controlled settings, research examining the translation of these treatments into early intervention programs has been minimal. The current study examined provider self-reports of the use of interventions in community settings through focus groups. Providers report the use of both evidence-based and non-evidence-based techniques and indicate that they often combine and modify these techniques based on child, personal, and external factors. Few providers had a clear understanding of evidence-based practice, and all providers reported concerns about adequate training. Implications for early intervention research are discussed.     

Does speed matter? A comparison of the effectiveness of fluency and discrete trial training for teaching noun labels to children with autism

This study used an alternating‐treatment design to compare the efficacy of discrete trial training (DTT) with fluency training (FT) for the acquisition, stimulus generalization, and retention of noun labels in children with autism. Four elementary‐age students diagnosed with autism were taught to expressively label nouns using a DTT format and a FT format. A between‐treatments comparison of the total number of nouns retained at 6 weeks post intervention was also conducted to compare retention. The results of this study showed that FT was superior to DTT in all of these areas. © 2010 Wiley Periodicals, Inc.     

Reinforcing the Empty Fortress: an examination of recent research into the treatment of autism

Infantile autism was first diagnosed by Kanner, when he described a group of children as having “autistic disturbances of affective contact”. His 12 characteristics of autism are still influential today. There is little agreement among professionals of an aetiology for autism or of an appropriate treatment. Different schools of thought have dominated autistic research in the past, although behaviour modification has become more influential during the last 20 years and it is arguably the most effective form of intervention. The different approaches towards an aetiology and subsequent treatment for autism have all encountered problems. The existence of so many different approaches could be evidence for the lack of success in any one area. Behaviour modification is one approach which can claim consistent successes in terms of the treatment of autistic children. It may not be a permanent answer but, in the absence of further research, behaviour modification could provide the best method of alleviation for the symptoms of autism and can be put to good use in intervention programmes.     

Researching early intervention and young children's perspectives – developing and using a ‘listening to children approach’

This article, by Alice Paige‐Smith and Jonathan Rix, considers the current context of early intervention in England from the perspective and experiences of two families and in particular focuses on two young children identified as having Down syndrome. This case study research has emerged from previous research conducted by the authors, both of whom are Senior Lecturers at the Open University and have a wealth of experience across all phases of education. Their previous research involved interviews with parents of children diagnosed as having Down syndrome, which raised further questions about early intervention and the pedagogical relationship between the parent and the child, and recognised that ‘early intervention’ can be more than structured activities led by professionals. The research in this article, which has been funded by the British Academy, used ethnographic methodology to understand the process of early intervention with two young children with Down syndrome and their families. The methodology developed to include narrative first‐person observation of the child and photography. In addition to this a method of reflecting on the process of early intervention developed that included the researchers, the parent and the child. The development of this research methodology is considered in detail in this article.     

Inclusion of preschool children with autism in Sweden: attitudes and perceived efficacy of preschool teachers

This pilot study examined the relations among preschool teachers' attitudes towards the inclusion of children with autism and perceived self‐efficacy, as well as demographic characteristics such as teachers' work experience and educational background. The cohort consisted of 21 participants who had degrees in preschool education and worked with children with autism in general preschool/kindergarten settings in central Sweden. Data were collected using the Autism Attitude Scale for Teachers, the Teacher Efficacy Scale and a demographic survey. In general, findings revealed that preschool teachers held positive attitudes towards children with autism, and this was significantly related to the number of credits in special education taken during pre‐service education. However, teachers showed neutral attitudes towards the inclusion of children with autism into general preschool classrooms. No relations were found between teachers' perceived self‐efficacy and attitudes towards inclusion, although a relationship was found between participation in in‐service training and efficacy to make decisions. Implications concerning early childhood education professional development and supervision are discussed.     

Perspectives of students with autism on their participation in a peer-mediated intervention

The article describes research into the perspectives of students with autism regarding their participation as the target participants in a peer-mediated social communication intervention. Questionnaires were administered to four elementary-aged students with autism before and after their involvement in the intervention. The students' parents and teachers also completed questionnaires about the students' participation in the intervention. Through the use of these questionnaires, we gained an insight into students' experiences with the intervention, which elements of the intervention they found most enjoyable and most effective, and the perceived impacts of the intervention on their social communication behaviours. Qualitative and quantitative analyses of the questionnaire data revealed that all four students with autism enjoyed participating in the peer-mediated intervention sessions, felt that their social communication behaviours had improved as a result of their involvement, and would like to be involved in similar sessions in the future. Implications for parents and educators who support the social communication of children with autism are explored.     

The Effects of Oral Narrative Intervention on the Personal Narratives of Children with ASD and Severe Language Impairment: A Pilot Study

Abstract

The purpose of this pilot study was to examine and refine an oral narrative intervention addressing personal narratives of children with autism spectrum disorder (ASD) and severe language impairment. A multiple baseline across participants design investigated the effect of the intervention on the macrostructure of personal narratives. Three five–six year olds participated in a 1:1 intervention that targeted the where, who with, what and feelings of personal narrative. Intervention included macrostructure icons, pictures, modelling and participants telling the entire narrative. Participants received training with two or three narratives each session. The intervention was effective for all three participants. Two participants showed evidence of maintenance and generalisation across settings. The results show that children with autism and severe language impairment may benefit from oral narrative intervention targeting the macrostructure of personal narrative. These results are consistent with previous findings. Areas for future research include investigation of generalisation across people.     

Emergent literacy skills for five kindergartners with autism spectrum disorder: a pilot study

In typical development, emergent literacy skills predict successful reading abilities. Code‐related literacy skills may include letter knowledge, print concepts, early writing and early phonological awareness. Meaning‐related literacy skills may include lexical and grammatical ability, story retelling and comprehension. Children with ASD (autism spectrum disorder) show, on the most part, poor reading comprehension abilities, yet up to date, research regarding emergent literacy skills in ASD is limited. We conducted a study to investigate a naturalistic, standards‐based national literacy programme, for five kindergartners with ASD, of age 5‐8 years in their kindergarten setting. We implemented an ASD‐adapted intervention as an intensive group treatment over 6 weeks, with a pretest–posttest design to examine emergent literacy gains. The children with ASD demonstrated gains in both code‐related and meaning‐related skills following intervention. The clinical and theoretical implications are discussed regarding the importance of an intensive structured literacy intervention for children with ASD before entering school.     

Seriation, Conservation, and Theory of Mind Abilities in Individuals with Autism, Individuals with Mental Retardation, and Normally Developing Children

Seriation, conservation, and theory of mind abilities were examined in individuals with autism ( N = 16), mental retardation ( N = 16), and in normally developing children ( N = 16). Seriation tasks included seriation of tubes, blocks, and flat squares. Conservation tasks included conservation of area, number, substance, quantity, and weight. Theory of mind tasks involved predicting false belief and understanding value and fact beliefs. Participants with autism performed better than participants with mental retardation on seriation, while no differences emerged between these groups on conservation and false belief. Individuals with autism performed less well than individuals with mental retardation on the value and fact belief tasks; however, when verbal ability was held as a covariant, the difference was no longer significant. Normally developing children performed better than the other two groups on all tasks. These results suggest that autism does not involve a specific impairment in theory of mind and that theory of mind deficits are not unique to autism.     

A comparison of parent and professional perceptions of children with autism spectrum disorder in Portugal

Improving early intervention in Portugal for children with autism spectrum disorder (ASD) requires parents and professionals to collaborate in assessing and planning intervention programmes. This article analyses parental and professional assessments of children with ASD, in the dimensions of social communication, repetitive behaviours and restricted interests, and sensory processing. The study presents contrasting perspectives from professionals and parents from a range of socio‐academic backgrounds. The sample consists of 136 Portuguese children (aged three to six years old) with ASD and involves children, parents and professionals from across the country. All children, at the time, were in preschool and receiving early special education intervention. Parents and professionals used the Assessment Scale for Children with ASD to complete the assessments. The results show that parents rate children's development and learning more positively compared to professionals; and that this difference is more significant in the field of social communication. Further, parents with higher academic qualifications showed statistically significant differences in comparison with professionals in the social communication dimension. These findings are discussed in relation to the literature and some suggestions are made regarding certain practices related to intervention in early childhood.     

Video self-modelling as an intervention for remediating dysgraphia in children with autism spectrum disorders

Abstract

A severe deficit in handwriting is known as dysgraphia, a problem frequently associated with autism spectrum disorder (ASD). Video self-modelling (VSM) has been proven effective for children with ASD in the strengthening of social skills, verbalizations, and daily living skills. Because VSM has demonstrated success in the acquisition of many types of skills, it may prove similarly effective for remediating dysgraphia in children with ASD. Utilizing a single-subject design with three 7–8 year old children diagnosed with ASD, this study examined VSM as a treatment for improving handwriting legibility and proficiency. All participants’ legibility data showed a large effect sizes and high Percentages of non-overlapping data from baseline to treatment and maintenance phases, indicating that VSM is an effective treatment for improving and maintaining handwriting legibility in children with ASD. Results are discussed in terms of applicability of VSM as an intervention with academic skills deficits in children with ASD.     

基于VOSviewer的国内外自闭症音乐治疗可视化研究

本研究运用VOSviewer可视化分析软件,以中国知网和Web of Science数据库近35年发表的240余篇关于自闭症群体音乐治疗的相关文献为研究对象,对自闭症群体音乐治疗的研究热点进行分析概括.结果发现:国内外研究的干预目标均集中于自闭症的核心症状如社交沟通、刻板行为方面;研究对象主要是自闭症儿童或青少年;在研...     

音乐治疗干预自闭症儿童的原理和方法

作为一种新兴的自闭症干预方法,音乐治疗对自闭症儿童的生理、心理、社会行为等方面有着独特的作用。在使用音乐对自闭症儿童进行干预时,应根据自闭症儿童的类型和心理、行为特征来选择不同性质的音乐,采取不同的干预方法。为保证治疗效果,在使用音乐治疗对自闭症儿童进行干预时应制定科学的流程,做到干预前进行评估,干预中进行监控,干预后进行总结。     

美国循证实践在自闭症谱系障碍儿童干预中的应用及其对我国的启示

国际趋势表明自闭症谱系障碍儿童干预方法的有效性需循证实践来检验。美国自闭症干预方法的循证实践过程经历了研究文献筛选、建立证据强度分类系统、干预次级分类系统三个阶段,循证实践结果将当前的自闭症干预方法划分为已经证实有效的方法、正在形成有效的方法、尚未证实的方法。我国自闭症教育研究者及临床工作者应遵循循证实践,科学选择干预方法。