Preschool Based JASPER Intervention in Minimally Verbal Children with Autism: Pilot RCT
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In this pilot study, we tested the effects of a novel intervention (JASPER, Joint Attention Symbolic Play Engagement and Regulation) on 3 to 5 year old, minimally verbal children with autism who were attending a non-public preschool. Participants were randomized to a control group (treatment as usual, 30 h of ABA-based therapy per week) or a treatment group (substitution of 30 min of JASPER treatment, twice weekly during their regular program). A baseline of 12 weeks in which no changes were noted in core deficits was followed by 12 weeks of intervention for children randomized to the JASPER treatment. Participants in the treatment group demonstrated greater play diversity on a standardized assessment. Effects also generalized to the classroom, where participants in the treatment group initiated more gestures and spent less time unengaged. These results provide further support that even brief, targeted interventions on joint attention and play can improve core deficits in minimally verbal children with ASD.
KeywordsAutism Minimally verbal Intervention
This study was supported by Organization for Autism Research grant 20072725. We appreciate the support of Elisabeth Laugeson, PhD in the UCLA/HELP Group Alliance, Barbara Firestone, PhD, staff of the Help Group Preschools, and especially the children, parents, and teachers who participated in the study. The study was partially supported by Autism Speaks grant 5666, NIH/NICHD 1 P50-HD-055784, and Department of Health and Human Services UA3MC11055.
- Billstedt, E., Gillberg, I. C., & Gillberg, C. (2007). Autism in adults: Symptom patterns and early childhood predictors. Use of the DISCO in a community sample followed from childhood. Journal of Child Psychology and. Psychiatry, 48(11), 1102–1110.Google Scholar
- Charman, T., Taylor, E., Drew, A., Cockerill, H., Brown, J., & Baird, G. (2005). Outcome at 7 years of children diagnosed with autism at age 2: Predictive validity of assessments conducted at 2 and 3 years of age and pattern of symptom change over time. Journal of Child Psychology and Psychiatry, 46(5), 500–513.PubMedCrossRefGoogle Scholar
- Kasari, C., Gulsrud, A., Freeman, S., Paparella, T., & Hellemann, G. (2012). Longitudinal follow-up of children with autism on joint attention and play. Journal of the American Academy of Child and Adolescent Psychiatry, 51(5), 487–495.Google Scholar
- Lord, C., Risi, S., Lambrecht, L., Cook, E. H, Jr, Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnositc observation schedule-generic: A standard measure of social and communication deficits associated with spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.PubMedCrossRefGoogle Scholar
- Mullen, E. (1997). Mullen scales of early learning. Circle Pines, MN: American Guidance Services.Google Scholar
- Mundy, P., Delgado, C., Block, J., Venezia, M., Hogan, A., & Seibert, J. (2003). Early Social Communication Scales (ESCS). Coral Gables: University of Miami.Google Scholar
- Mundy, P., Hogan, A., & Doelring, P. (1996). A preliminary manual for the abridged Early Social Communication Scales. Coral Gables, FL: University of Miami.Google Scholar
- Reynell, J. K. (1977). Reynell Developmental Language Scales. Windsor: NFER Publishing Co.Google Scholar
- Rutter, M., (1978). Diagnosis and definition of childhood autism. Journal of autism and childhood schizophrenia, 8(2).Google Scholar
- Wong, C. & Kasari, C. (2012). Play and joint attention of children with autism in the preschool special education classroom. Journal of Autism and Developmental Disorders, 1-10. doi 10.1007/s10803-012-1467-2.