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Randomized Controlled Trial for Early Intervention for Autism: A Pilot Study of the Autism 1-2-3 Project

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Abstract

We piloted a 2-week “Autism-1-2-3” early intervention for children with autism and their parents immediately after diagnosis that targeted at (1) eye contact, (2) gesture and (3) vocalization/words. Seventeen children were randomized into the Intervention (n = 9) and Control (n = 8) groups. Outcome measures included the Autism Diagnostic Observation Schedule, Ritvo-Freeman Real Life Rating Scale, Symbolic Play Test, and Parenting Stress Index. Children with autism improved in language/communication, reciprocal social interaction, and symbolic play. Parents perceived significant improvement in their children’s language, social interaction, and their own stress level. This intervention can serve as short-term training on communication and social interaction for children with autism, and reduce the stress of their parents during the long waiting time for public health services.

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References

  • Abidin, R. (1995). Parenting stress index: professional manual (3rd ed.). Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Aldred, C., Green, J., & Adams, C. (2004). A new social communication intervention for children with autism: Pilot randomised controlled treatment study suggesting effectiveness. Journal of Child Psychology and Psychiatry, 45(8), 1420–1430.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.) (Text Revision). Washington, DC: Author.

  • American Psychiatric Association. (2002). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Anderson, S., Avery, D., DiPietro, E., Edwards, G., & Christian, W. (1987). Intensitve home-based intervention with autistic children. Education and Treatment for Children, 10, 352–366.

    Google Scholar 

  • Buffington, D. M., Krantz, P. J., McClannahan, L. E., & Poulson, C. L. (1998). Procedures for teaching appropriate gestural communication skills to children with autism. Journal of Autism and Developmental Disorders, 28(6), 535–545.

    Article  PubMed  Google Scholar 

  • Charman, T., Baron-Cohen, S., Swettenham, J., Baird, G., Drew, A., & Cox, A. (2003). Predicting language outcome in infants with autism and pervasive developmental disorder. International Journal of Language and Communication Disorders, 38(3), 265–285.

    Article  PubMed  Google Scholar 

  • Downing, J., & Siegel Causey, E. (1988). Enhancing the non-symbolic communicative behaviour of children with multiple impairments. Language, Speech, and Hearing Services in Schools, 19, 338–348.

    Google Scholar 

  • Dunn, M. E., Burbine, T., Bowers, C. A., & Tantleff-Dunn, S. (2001). Moderators of stress in parents of children with autism. Community Mental Health Journal, 37(1), 39–52.

    Article  PubMed  Google Scholar 

  • Fenske, E., Zalenski, S., Krantz, P., & McClannahan, L. (1985). Age at intervention and treatment outcome for autistic children in a comprehensive intervention programme. Analysis and Intervention in Developmental Disabilities, 5, 49–58.

    Article  Google Scholar 

  • Francis, K. (2005). Autism interventions: A critical update. Developmental Medicine and Child Neurology, 47(7), 493–499.

    Article  PubMed  Google Scholar 

  • Freeman, B. J., Ritvo, E. R., Yokota, A., & Ritvo, A. (1986). A scale for rating symptoms of patients with the syndrome of autism in real life settings. Journal of the American Academy of Child Psychiatry, 25(1), 130–136.

    Article  PubMed  Google Scholar 

  • Griffiths, R. (1996). Griffiths mental development scales. Henley-on Thames: Test Agency.

    Google Scholar 

  • Harris, S. L., Handleman, J. S., Gordon, R., Kristoff, B., & Fuentes, F. (1991). Changes in cognitive and language functioning of preschool children with autism. Journal of Autism and Developmental Disorders, 21(3), 281–290.

    Article  PubMed  Google Scholar 

  • Harris, S. L., Handleman, J. S., Kristoff, B., Bass, L., & Gordon, R. (1990). Changes in language development among autistic and peer children in segregated and integrated preschool settings. Journal of Autism and Developmental Disorders, 20(1), 23–31.

    Article  PubMed  Google Scholar 

  • Heflin, J., & Simpson, R. (1998). Interventions for children with autism: Prudent choices in a world of exaggerated claims and empty promises. Part I: Intervention and treatment option review. Focus on Autism and Other developmental Disabilities, 13, 194–211.

    Article  Google Scholar 

  • Howlin, P. (2000). Autism and intellectual disability: Diagnostic and treatment issues. Journal of the Royal Society of Medicine, 93(7), 351–355.

    PubMed  Google Scholar 

  • Kasari, C., Freeman, S., & Paparella, T. (2006). Joint attention and symbolic play in young children with autism: A randomized controlled intervention study. Journal of Child Psychology and Psychiatry, 47(6), 611–620.

    Article  PubMed  Google Scholar 

  • Keen, D., Rodger, S., Doussin, K., & Braithwaite, M. (2007). A pilot study of the effects of a social-pragmatic intervention on the communication and symbolic play of children with autism. Autism, 11(1), 63–71.

    Article  PubMed  Google Scholar 

  • Keen, D., Sigafoos, J., & Woodyatt, G. (2001). Replacing prelinguistic behaviors with functional communication. Journal of Autism and Developmental Disorders, 31(4), 385–398.

    Article  PubMed  Google Scholar 

  • Kjelgaard, M. M., & Tager-Flusberg, H. (2001). An investigation of language impairment in autism: Implications for genetic subgroups. Language and cognitive processes, 16(2–3), 287–308.

    PubMed  Google Scholar 

  • Konstantareas, M. M., Homatidis, S., & Plowright, C. M. (1992). Assessing resources and stress in parents of severely dysfunctional children through the Clarke modification of Holroyd’s questionnaire on resources and stress. Journal of Autism and Developmental Disorders, 22(2), 217–234.

    Article  PubMed  Google Scholar 

  • Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(Pt 3), 172–183.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.

    Article  PubMed  Google Scholar 

  • Lord, C., & Schopler, E. (1989). The role of age at assessment, developmental level, and test in the stability of intelligence scores in young autistic children. Journal of Autism and Developmental Disorders, 19(4), 483–499.

    Article  PubMed  Google Scholar 

  • Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55(1), 3–9.

    Article  PubMed  Google Scholar 

  • Lowe, M., & Costello, A. (1988). Symbolic play test manual (2nd ed.). England, Berkshire: NFER-NELSON.

    Google Scholar 

  • Matson, J. L., Matson, M. L., & Rivet, T. T. (2007). Social-skills treatments for children with autism spectrum disorders: An overview. Behavior Modification, 31(5), 682–707.

    Article  PubMed  Google Scholar 

  • McConachie, H., & Robinson, G. (2006). What services do young children with autism spectrum disorder receive? Child: Care, Health and Development, 32(5), 553–557.

    Article  Google Scholar 

  • McConnell, S. R. (2002). Interventions to facilitate social interaction for young children with autism: Review of available research and recommendations for educational intervention and future research. Journal of Autism and Developmental Disorders, 32(5), 351–372.

    Article  PubMed  Google Scholar 

  • National Research Council. (2001). Educating children with autism. Committee on educational inteventions for children with autism. Commission on behavioural and social sscience and education. Washington, DC: National Academy Press.

    Google Scholar 

  • Piven, J., & Palmer, P. (1999). Psychiatric disorder and the broad autism phenotype: Evidence from a family study of multiple-incidence autism families. American Journal of Psychiatry, 156(4), 557–563.

    PubMed  Google Scholar 

  • Prizant, B., Wetherby, A., & Rydell, P. (2000). Communication intervention issues for children with autism spectrum disorders. In A. M. Wetherby & B. M. Prizant (Eds.), Autism spectrum disorders–a transactional developmental perspective. Baltimore: Paul H. Brookes.

    Google Scholar 

  • Reynell, J. (1969). Reynell developmental language scales. Windsor: NFER-NELSON.

    Google Scholar 

  • Rogers, S. J. (1996). Brief report: Early intervention in autism. Journal of Autism and Developmental Disorders, 26(2), 243–246.

    Article  PubMed  Google Scholar 

  • Schieve, L. A., Blumberg, S. J., Rice, C., Visser, S. N., & Boyle, C. (2007). The relationship between autism and parenting stress. Pediatrics, 119(Suppl 1), S114–S121.

    Article  PubMed  Google Scholar 

  • Schopler, E., Mesibov, G., & Hearsey, K. (1995). Learning and cognition in autism. In E. Schopler & G. B. Mesibov (Eds.), Structured teaching in the TEACCH system (pp. 243–268). New York: Plenum.

    Google Scholar 

  • Schopler, E., Reichler, R., & Renner, B. (1998). The childhood autism rating scale (CARS). Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Sigman, M., Ruskin, E., Arbeile, S., Corona, R., Dissanayake, C., Espinosa, M., et al. (1999). Continuity and change in the social competence of children with autism, Down syndrome, and developmental delays. Monographs of the Society for Research in Child Development, 64(1), 1–114.

    Article  PubMed  Google Scholar 

  • Smith, T. (1999). Outcome of early intervention of children with autism. The Clinical Psychologist Science Practice, 6, 33–49.

    Article  Google Scholar 

  • Tager-Flusberg, H. (1981). On the nature of linguistic functioning in early infantile autism. Journal of Autism and Developmental Disorders, 11(1), 45–56.

    Article  PubMed  Google Scholar 

  • Tam, K., Chan, Y., & Wong, C. M. (2006). Validation of the parenting stress index among Chinese mothers in Hong Kong. Journal of Community Psychology, 22, 211–233.

    Article  Google Scholar 

  • Weiss, M. J. (2002). Harrdiness and social support as predictors of stress in mothers of typical children, children with autism, and children with mental retardation. Autism, 6(1), 115–130.

    Article  PubMed  Google Scholar 

  • Wong, V. C., & Hui, S. L. (2008). Brief report: Emerging services for children with autism spectrum disorders in Hong Kong (1960–2004). Journal of Autism and Developmental Disorders, 38(2), 383–389.

    Article  PubMed  Google Scholar 

  • Yirmiya, N., & Shaked, M. (2005). Psychiatric disorders in parents of children with autism: A meta-analysis. Journal of Child Psychology and Psychiatry, 46(1), 69–83.

    Article  PubMed  Google Scholar 

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Acknowledgments

We would like to thank the Autism Research Unit of the University of Toronto (Professor Wendy Roberts) and Shelley Mitchell (speech therapist) for their enthusiasm in teaching our DKCAC staff in early intervention for children with autism in 2006.

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Correspondence to Virginia C. N. Wong.

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Wong, V.C.N., Kwan, Q.K. Randomized Controlled Trial for Early Intervention for Autism: A Pilot Study of the Autism 1-2-3 Project. J Autism Dev Disord 40, 677–688 (2010). https://doi.org/10.1007/s10803-009-0916-z

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