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Pivotal Response Treatment Parent Training for Autism: Findings from a 3-Month Follow-Up Evaluation

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Abstract

This study’s objective was to assess maintenance of treatment effects 3 months after completion of a 12-week Pivotal Response Treatment (PRT) parent education group. Families who completed the active treatment (N = 23) were followed for an additional 12 weeks to measure changes in language and cognitive skills. Results indicated a significant improvement in frequency of functional utterances, with maintenance at 3-month follow-up [F(2, 21): 5.9, p = .009]. Children also made significant gains on the Vineland Communication Domain Standard Score [F(2, 12):11.74, p = .001] and the Mullen Scales of Early Learning Composite score [F(1, 20) = 5.43, p = .03]. These results suggest that a brief PRT parent group intervention can lead to improvements in language and cognitive functioning that are maintained 12 weeks post treatment.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual for mental disorders, fourth edition text revision. Washington, DC: Author.

    Book  Google Scholar 

  • American Psychiatric Association. (2013). diagnostic and statistical manual for mental disorders (5th ed.). Washington, DC: Author.

    Google Scholar 

  • Baker-Ericzén, M. J., Stahmer, A. C., & Burns, A. (2007). Child demographics associated with outcomes in a community-based pivotal response training program. Journal of Positive Behavior Interventions, 9, 52–60.

    Article  Google Scholar 

  • Bishop, S. L., Guthrie, W., Coffing, M., & Lord, C. (2011). Convergent validity of the Mullen Scales of Early Learning and the differential ability scales in children with autism spectrum disorders. American Journal on Intellectual and Developmental Disabilities, 116(5), 331–343. doi:10.1352/1944-7558-116.5.331.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control. (2014). Prevalence of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network, 11 sites, United States, 2010. MMWR Surveillance Summaries, 63(2), 1–21.

    Google Scholar 

  • Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.

    Article  Google Scholar 

  • Constantino, J. N., & Gruber, C. P. (2005). Social responsiveness scale. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Coolican, J., Smith, I. M., & Bryson, S. E. (2010). Brief parent training in pivotal response treatment for preschoolers with autism. Journal of Child Psychology and Psychiatry and Allied Disciplines, 51(12), 1321–1330. doi:10.1111/j.1469-7610.2010.02326.x.

    Article  Google Scholar 

  • Dawson, G., & Burner, K. (2011). Behavioral interventions in children and adolescents with autism spectrum disorder: A review of recent findings. Current Opinion in Pediatrics, 23, 616–620.

    Article  PubMed  Google Scholar 

  • Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., & Varley, J. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125, 17–23.

    Article  Google Scholar 

  • Fenson, L., Marchman, V. A., Thal, D. J., Dale, P. S., Reznick, J. S., & Bates, E. (2007). MacArthur-Bates communicative development inventories. Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Hardan, A. Y., Gengoux, G. W., Berquist, K. L., Libove, R. A., Ardel, C. M., Phillips, J., & Minjarez, M. B. (2014). A randomized controlled trial of Pivotal Response Treatment Group for parents of children with autism. Journal of Child Psychology and Psychiatry and Allied Disciplines,. doi:10.1111/jcpp.12354.

    Google Scholar 

  • Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kanne, S. M., Gerber, A. J., Quirmbach, L. M., Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2011). The role of adaptive behavior in autism spectrum disorders: Implications for functional outcome. Journal of Autism and Developmental Disorders, 41, 1007–1018.

    Article  PubMed  Google Scholar 

  • Kasari, C., Gulsrud, A., Freeman, S., Paparella, T., & Hellemann, G. (2013). Longitudinal follow up of children with autism receiving targeting interventions on joint attention and play RH = targeted interventions on joint attention and play. Journal of the American Academy of Child and Adolescent Psychiatry, 51(5), 487–495. doi:10.1016/j.jaac.2012.02.019.Longitudinal.

    Article  Google Scholar 

  • Kasari, C., Kaiser, A., Goods, K., Nietfeld, J., Mathy, P., Landa, R., & Almirall, D. (2014). Communication interventions for minimally verbal children with autism: A sequential multiple assignment randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 53(6), 635–646.

    Article  PubMed Central  PubMed  Google Scholar 

  • Koegel, R. L., & Koegel, L. K. (2006). Pivotal Response Treatments for autism: Communication, social, and academic development. Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Koegel, R. L., & Koegel, L. K. (2012). The PRT pocket guide: Pivotal Response Treatment for autism spectrum disorders. Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Koegel, L. K., Koegel, R. L., Harrower, J. K., & Carter, C. M. (1999a). Pivotal response intervention I: Overview of approach. Research and Practice for Persons with Severe Disabilities, 24, 174–185.

    Article  Google Scholar 

  • Koegel, L. K., Koegel, R. L., Shoshan, Y., & McNerney, E. (1999b). Pivotal response intervention II: Preliminary long-term outcome data. Journal of the Association for Persons with Severe Handicaps, 24, 186–198.

    Article  Google Scholar 

  • Koegel, R. L., Schreibman, L., Good, A., Cerniglia, L., Murphy, C. & Koegel, L. K. (1989). How to teach pivotal behaviors to children with autism: A training manual. Santa Barbara, CA: University of California.

    Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H, Jr, Leventhal, B. L., DiLavore, P. C., & Rutter, M. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.

    Article  PubMed  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, 659–685.

    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, 3–9.

    Article  PubMed  Google Scholar 

  • Magiati, I., Moss, J., Charman, T., & Howlin, P. (2011). Patterns of change in children with autism spectrum disorders who received community based comprehensive interventions in their pre-school years: A seven year follow-up study. Research in Autism Spectrum Disorders, 5(3), 1016–1027.

    Article  Google Scholar 

  • Magiati, I., Tay, X. W., & Howlin, P. (2014). Cognitive, language, social and behavioural outcomes in adults with autism spectrum disorders: A systematic review of longitudinal follow-up studies in adulthood. Clinical Psychology Reviews, 34, 73–86.

    Article  Google Scholar 

  • Minjarez, M. B., Williams, S. E., Mercier, E. M., & Hardan, A. Y. (2011). Pivotal response group treatment program for parents of children with autism. Journal of Autism and Developmental Disorders, 41, 92–101.

    Article  PubMed  Google Scholar 

  • Mohammadzaheri, F., Koegel, L. K., Rezaee, M., & Rafiee, S. M. (2014). A randomized clinical trial comparison between Pivotal Response Treatment (PRT) and Structured Applied Behavior Analysis (ABA) intervention for children with autism. Journal of Autism and Developmental Disorders. doi:10.1007/s10803-014-2137-3.

    PubMed  Google Scholar 

  • Mullen, E. M. (1995). Mullen scales of early learning (AGS ed.). Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • National Autism Center. (2009). National standards report. Massachesetts: Randolph.

    Google Scholar 

  • Reichow, B., Barton, E. E., Boyd, B. A., & Hume, K. (2012). Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD). Cochrane Database of Systematic Reviews, 10, 1–60.

    Google Scholar 

  • Roberts, J., Williams, K., Carter, M., Evans, D., Parmenter, T., Silove, N., & Warren, A. (2011). A randomised controlled trial of two early intervention programs for young children with autism: Centre-based with parent program and home-based. Research in Autism Spectrum Disorders, 5, 1553–1566.

    Article  Google Scholar 

  • Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., & Dawson, G. (2012). Effects of a brief Early Start Denver Model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(10), 1052–1065. doi:10.1016/j.jaac.2012.08.003.

    Article  PubMed Central  PubMed  Google Scholar 

  • Schreibman, L., & Stahmer, A. C. (2014). A randomized trial comparison of the effects of verbal and pictorial naturalistic communication strategies on spoken language for young children with autism. Journal of Autism and Developmental Disorders, 44(5), 1244–1251. doi:10.1007/s10803-013-1972-y.

    Article  PubMed Central  PubMed  Google Scholar 

  • Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.

    Article  PubMed  Google Scholar 

  • Smith, T., Groen, A. D., & Wynn, J. W. (2000). Randomized trial of intensive early intervention for children with pervasive developmental disorder. American Journal of Mental Retardation, 105, 269–285.

    Article  PubMed  Google Scholar 

  • Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales (2nd ed.). San Antonio, TX: Pearson.

    Google Scholar 

  • Symon, J. B. (2005). Expanding interventions for children with autism. Journal of Positive Behavior Interventions, 7, 159–173.

    Article  Google Scholar 

  • Turner, L. M., & Stone, W. L. (2007). Variability in outcome for children with an ASD diagnosis at age two. Journal of Child Psychology and Psychiatry, 48, 793–802.

    Article  PubMed  Google Scholar 

  • Walton, K. M., & Ingersoll, B. R. (2013). Improving social skills in adolescents and adults with autism and severe to profound intellectual disability: A review of the literature. Journal of Autism and Developmental Disorders, 43, 594–615.

    Article  PubMed  Google Scholar 

  • Wynn, J. W., & Smith, T. (2003). Generalization between receptive and expressive language in young children with autism. Behavioral Interventions, 18(4), 245–266. doi:10.1002/bin.142.

    Article  Google Scholar 

  • Zimmerman, I. L., Steiner, V. G., & Pond, R. E. (2002). Preschool language scale (4th ed.). San Antonio, TX: The Psychological Corporation.

    Google Scholar 

Download references

Acknowledgments

This work was supported by an Autism Speaks Treatment Grant (#5773; PI: Hardan); the foundation was not involved in the trial. Data management was supported by the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, through grant UL1 RR025744. We would like to thank Robin Libove and Christina Ardel for their assistance with this research. We also would like to gratefully acknowledge the families for their participation.

Conflict of interest

The authors report no conflict of interest.

Ethical standards

This study was approved by the appropriate ethics committee and was performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All persons gave their informed consent prior to their inclusion in the study.

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Correspondence to Grace W. Gengoux.

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Gengoux, G.W., Berquist, K.L., Salzman, E. et al. Pivotal Response Treatment Parent Training for Autism: Findings from a 3-Month Follow-Up Evaluation. J Autism Dev Disord 45, 2889–2898 (2015). https://doi.org/10.1007/s10803-015-2452-3

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