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School-Implemented Interventions for Preschool to High School Students with Autism: An Update on Recent Research

  • Autism Spectrum Disorders (ES Brodkin, Section Editor)
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Abstract

Purpose of Review

The purpose of this review is to provide an update on the recent research (2016–2021) that evaluates the effectiveness of school-implemented interventions for students with autism (3–21 years old) from preschool to high school.

Recent Findings

Overall, the recent literature demonstrated that there are EBPs that help students with autism acquire a variety of skills across domains (academic, social communication). Though many educators and peers were able to achieve high-fidelity implementation, there remains variable fidelity of intervention use in some studies.

Summary

Though there is some evidence that educators and peers can successfully implement interventions, there are additional focal areas that are missing from the literature that are needed in schools (e.g., mental health, vocational). Future research should leverage implementation science approaches to support the use of proven efficacious interventions in schools.

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Notes

  1. To respect the diversity and preferences of the autistic community, we are using identity-first language [2].

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. CDC. Autism and developmental disabilities monitoring (ADDM) network | CDC [Internet]. Centers for Disease Control and Prevention. 2020. Available from: https://www.cdc.gov/ncbddd/autism/addm.html

  2. Bottema-Beutel K, Kapp SK, Lester JN, Sasson NJ, Hand BN. Avoiding ableist language: suggestions for autism researchers. Autism in Adulthood. 2021;3(1):18–29. https://doi.org/10.1089/aut.2020.0014.

    Article  Google Scholar 

  3. Odom SL, Collet-Klingenberg L, Rogers SJ, Hatton DD. Evidence-based practices in interventions for children and youth with autism spectrum disorders. Prev Sch Fail. 2010;54(4):275–82. Available from:. https://doi.org/10.1080/10459881003785506.

    Article  Google Scholar 

  4. Steinbrenner JR, Hume K, Odom SL, Morin KL, Nowell SW, Tomaszewski B, et al. Children, youth, and young adults with autism [Internet]. Frank Porter Graham Child Development Institute: University of North Carolina; 2020. p. 143. https://files.eric.ed.gov/fulltext/ED609029.pdf

    Google Scholar 

  5. Brookman-Frazee L, Baker-Ericzén M, Stahmer A, Mandell D, Haine RA, Hough RL. Involvement of youths with autism spectrum disorders or intellectual disabilities in multiple public service systems. J Ment Health Res Intellect Disabil. 2009;1(2(3)):201–19. https://doi.org/10.1080/19315860902741542.

    Article  Google Scholar 

  6. Brookman-Frazee L, Stahmer AC. Effectiveness of a multi-level implementation strategy for ASD interventions: study protocol for two linked cluster randomized trials. Implement Sci. 2018;9(13(1)):66. https://doi.org/10.1186/s13012-018-0757-2.

    Article  Google Scholar 

  7. Hsiao Y-J, Sorensen Petersen S. Evidence-based practices provided in teacher education and in-service training programs for special education teachers of students with autism spectrum disorders. TESE. 2019;1(42(3)):193–208. https://doi.org/10.1177/0888406418758464.

    Article  Google Scholar 

  8. Mandell DS, Stahmer AC, Shin S, Xie M, Reisinger E, Marcus SC. The role of treatment fidelity on outcomes during a randomized field trial of an autism intervention. Autism. 2013;17(3):281–95. https://doi.org/10.1177/1362361312473666.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Locke J, Shih W, Kang-Yi CD, Caramanico J, Shingledecker T, Gibson J, et al. The impact of implementation support on the use of a social engagement intervention for children with autism in public schools. Autism. 2019;1(23(4)):834–45. https://doi.org/10.1177/1362361318787802.

    Article  Google Scholar 

  10. Pellecchia M, Connell JE, Beidas RS, Xie M, Marcus SC, Mandell DS. Dismantling the active ingredients of an intervention for children with autism. J Autism Dev Disord. 2015;1(45(9)):2917–27. https://doi.org/10.1007/s10803-015-2455-0.

    Article  Google Scholar 

  11. Cook BG, Cook SC. Unraveling evidence-based practices in special education. J Spec Educ. 2013;1(47(2)):71–82. https://doi.org/10.1177/0022466911420877.

    Article  Google Scholar 

  12. Carter EW, Gustafson JR, Sreckovic MA, Dykstra Steinbrenner JR, Pierce NP, Bord A, et al. Efficacy of peer support interventions in general education classrooms for high school students with autism spectrum disorder. RASE. 2017;1(38(4)):207–21. https://doi.org/10.1177/0741932516672067This article presents effective training of peers for autistic high school students to work on academic and social skills across multiple general education classes for a critical and understudied age group.

    Article  Google Scholar 

  13. Mancil GR, Lorah ER, Whitby PS. Effects of iPod touchTM technology as communication devices on peer social interactions across environments. ETADD. 2016;51(3):252–64 http://www.jstor.org/stable/24827522.

    Google Scholar 

  14. Radley KC, Hanglein J, Arak M. School-based social skills training for preschool-age children with autism spectrum disorder. Autism. 2016;1(20(8)):938–51. https://doi.org/10.1177/1362361315617361.

    Article  Google Scholar 

  15. Sreckovic MA, Hume K, Able H. Examining the efficacy of peer network interventions on the social interactions of high school students with autism spectrum disorder. J Autism Dev Disord. 2017;1(47(8)):2556–74. https://doi.org/10.1007/s10803-017-3171-8.

    Article  Google Scholar 

  16. Young H, Falco R, Hanita M. Randomized, controlled trial of a comprehensive program for young students with autism spectrum disorder. J Autism Dev Disord. 2016 Feb;46(2):544–60. https://doi.org/10.1007/s10803-015-2597-0.

    Article  PubMed  Google Scholar 

  17. Azad GF, Marcus SC, Sheridan SM, Mandell DS. Partners in school: an innovative parent-teacher consultation model for children with autism spectrum disorder. J Educ Psychol Consult. 2018;28(4):460–86. https://doi.org/10.1080/10474412.2018.1431550This article presents a collaboration between parents and educators to implement interventions at home and school that shows promise to use across age ranges.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Individual with disabilities education act, 20 [Internet]. U.S.C. Sect. 1400. Available from: https://sites.ed.gov/idea/statute-chapter-33/subchapter-i/1400/

  19. Marsh A, Spagnol V, Grove R, Eapen V. Transition to school for children with autism spectrum disorder: a systematic review. World J Psychiatry. 2017;22(7(3)):184–96. https://doi.org/10.5498/wjp.v7.i3.184.

    Article  Google Scholar 

  20. Proctor EK, Landsverk J, Aarons G, Chambers D, Glisson C, Mittman B. Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Admin Pol Ment Health. 2009;11:24–34. https://doi.org/10.1007/s10488-008-0197-4.

    Article  Google Scholar 

  21. Sussman S, Valente TW, Rohrbach LA, Skara S, Ann Pentz M. Translation in the health professions: converting science into action. Eval Health Prof. 2006;1(29(1)):7–32. https://doi.org/10.1177/0163278705284441.

    Article  Google Scholar 

  22. Thiemann-Bourque K, Feldmiller S, Hoffman L, Johner S. Incorporating a peer-mediated approach into speech-generating device intervention: effects on communication of preschoolers with autism spectrum disorder. J Speech Lang Hear Res. 2018;61((8)):2045–61. https://doi.org/10.1044/2018_JSLHR-L-17-0424.22This article highlights the importance of training peers and students with autism on how to communicate with each other, demonstrating the importance of supportive learning environments for improving students’ outcomes.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Locke J, Shih W, Kretzmann M, Kasari C. Examining playground engagement between elementary school children with and without autism spectrum disorder. Autism. 2016;1(20(6)):653–62. https://doi.org/10.1177/1362361315599468.

    Article  Google Scholar 

  24. Brock ME, Dueker SA, Barczak MA. Brief report: improving social outcomes for students with autism at recess through peer-mediated pivotal response training. J Autism Dev Disord. 2018;1(48(6)):2224–30. https://doi.org/10.1007/s10803-017-3435-3.

    Article  Google Scholar 

  25. Shih W, Dean M, Kretzmann M, Locke J, Senturk D, Mandell DS, et al. Remaking recess intervention for improving peer interactions at school for children with autism spectrum disorder: multisite randomized trial. Sch Psychol Rev. 2019;48(2):133–44. https://doi.org/10.17105/SPR-2017-0113.V48-2.

    Article  Google Scholar 

  26. Brock ME, Dynia JM, Dueker SA, Barczak MA. Teacher-reported priorities and practices for students with autism: characterizing the research-to-practice gap. Focus Autism Other Dev Disabl. 2020;1(35(2)):67–78. https://doi.org/10.1177/1088357619881217.

    Article  Google Scholar 

  27. Oswald TM, Beck JS, Iosif A-M, McCauley JB, Gilhooly LJ, Matter JC, et al. Clinical and cognitive characteristics associated with mathematics problem solving in adolescents with autism spectrum disorder. Autism Res. 2016;9(4):480–90. https://doi.org/10.1002/aur.1524.

    Article  PubMed  Google Scholar 

  28. Pellecchia M, Marcus SC, Spaulding C, Seidman M, Xie M, Rump K, et al. Randomized trial of a computer-assisted intervention for children with autism in schools. J Am Acad Child Adolesc Psychiatry. 2020;59(3):373–80 https://linkinghub.elsevier.com/retrieve/pii/S0890856719302588.

    Article  Google Scholar 

  29. Root JR, Henning B, Jimenez B. Building the early number sense of kindergarteners with autism: a replication study. RASE. 2020;1(41(6)):378–88. https://doi.org/10.1177/0741932519873121.

    Article  Google Scholar 

  30. Henry AR, Solari EJ. Targeting oral language and listening comprehension development for students with autism spectrum disorder: a school-based pilot study. J Autism Dev Disord. 2020;1(50(10)):3763–76. https://doi.org/10.1007/s10803-020-04434-2.

    Article  Google Scholar 

  31. Jimenez BA, Kemmery M. Building the early numeracy skills of students with moderate intellectual disability. Education and Training in Autism and Developmental Disabilities. 2013;48(4):479–90 http://www.jstor.org/stable/24232505.

    Google Scholar 

  32. Azad G, Mandell DS. Concerns of parents and teachers of children with autism in elementary school. Autism. 2016;1(20(4)):435–41. https://doi.org/10.1177/1362361315588199.

    Article  Google Scholar 

  33. Lopata C, Thomeer ML, Rodgers JD, Donnelly JP, McDonald CA, Volker MA, et al. Cluster randomized trial of a school intervention for children with autism spectrum disorder. J Clin Child Adolesc Psychol. 2019;48(6):922–33. https://doi.org/10.1080/15374416.2018.1520121.

    Article  PubMed  Google Scholar 

  34. Rios K, Aleman-Tovar J, Burke MM. Special education experiences and stress among Latina mothers of children with autism spectrum disorder (ASD). RASD. 2020;73:101534 https://www.sciencedirect.com/science/article/pii/S1750946720300246.

    Google Scholar 

  35. Burke MM, Magaña S, Garcia M, Mello MP. Brief report: the feasibility and effectiveness of an advocacy program for Latino families of children with autism spectrum disorder. J Autism Dev Disord. 2016;1(46(7)):2532–8. https://doi.org/10.1007/s10803-016-2765-x.

    Article  Google Scholar 

  36. Chang Y-C, Laugeson EA, Gantman A, Ellingsen R, Frankel F, Dillon AR. Predicting treatment success in social skills training for adolescents with autism spectrum disorders: the UCLA program for the education and enrichment of relational skills. Autism. 2014;1(18(4)):467–70. https://doi.org/10.1177/1362361313478995.

    Article  Google Scholar 

  37. McIntyre NS, Solari EJ, Grimm RP, LE EL, Gonzales J, Mundy PC. A comprehensive examination of reading heterogeneity in students with high functioning autism: distinct reading profiles and their relation to autism symptom severity. J Autism Dev Disord. 2017;1(47(4)):1086–101. https://doi.org/10.1007/s10803-017-3029-0.

    Article  Google Scholar 

  38. Solis M, Reutebuch CK, Falcomata T, Steinle PK, Miller VL, Vaughn S. Vocabulary and main idea reading intervention using text choice to improve content knowledge and reading comprehension of adolescents with autism spectrum disorder. Behav Modif. 2021;1(45(1)):66–98. https://doi.org/10.1177/0145445519853781.

    Article  Google Scholar 

  39. Watkins L, O’Reilly M, Ledbetter-Cho K, Lang R, Sigafoos J, Kuhn M, et al. A meta-analysis of school-based social interaction interventions for adolescents with autism spectrum disorder. Rev J Autism Dev Disord. 2017;1(4(4)):277–93. https://doi.org/10.1007/s40489-017-0113-5.

    Article  Google Scholar 

  40. Chang Y-C, Locke J. A systematic review of peer-mediated interventions for children with autism spectrum disorder. RASD. 2016;27:1–10 https://www.sciencedirect.com/science/article/pii/S1750946716300320.

    Google Scholar 

  41. Roberts GJ, Mize M, Reutebuch CK, Falcomata T, Capin P, Steelman BL. Effects of a self-management with peer training intervention on academic engagement for high school students with autism spectrum disorder. J Behav Educ. 2019;1(28(4)):456–78. https://doi.org/10.1007/s10864-018-09317-2.

    Article  Google Scholar 

  42. Cook BG, Cook L, Landrum TJ. Moving research into practice: can we make dissemination stick? Except Child. 2013;1(79(3)):163–80. https://doi.org/10.1177/001440291307900203.

    Article  Google Scholar 

  43. Odom SL, Cox AW, Brock ME. Implementation science, professional development, and autism spectrum disorders. Except Child. 2013;1(79(3)):233–51. https://doi.org/10.1177/001440291307900207.

    Article  Google Scholar 

  44. Jones DR, Mandell DS. To address racial disparities in autism research, we must think globally, act locally. Autism. 2020;1(24(7)):1587–9. https://doi.org/10.1177/1362361320948313.

    Article  Google Scholar 

  45. West EA, Travers JC, Kemper TD, Liberty LM, Cote DL, McCollow MM, et al. Racial and ethnic diversity of participants in research supporting evidence-based practices for learners with autism spectrum disorder. J Spec Educ. 2016;1(50(3)):151–63. https://doi.org/10.1177/0022466916632495.

    Article  Google Scholar 

  46. Simonoff E, Pickles A, Charman T, Chandler S, Loucas T, Baird G. Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. JAACAP. 2008;47(8):921–9 https://linkinghub.elsevier.com/retrieve/pii/S0890856708600593.

    Google Scholar 

  47. Davis TE, Hess JA, Moree BN, Fodstad JC, Dempsey T, Jenkins WS, et al. Anxiety symptoms across the lifespan in people diagnosed with autistic disorder. RASD. 2011;5(1):112–8 https://www.sciencedirect.com/science/article/pii/S1750946710000243.

    Google Scholar 

  48. Tamm L, Duncan A, Vaughn A, McDade R, Estell N, Birnschein A, et al. Academic needs in middle school: perspectives of parents and youth with autism. J Autism Dev Disord. 2020;1(50(9)):3126–39. https://doi.org/10.1007/s10803-019-03995-1.

    Article  Google Scholar 

  49. Reaven J, Reyes N, Pickard K, Tanda T, Morris MA. Addressing the needs of diverse youth with ASD and anxiety in public schools: stakeholder input on adaptations of clinic-based facing your fears. Sch Ment Heal. 2020;12(2):308–22. https://doi.org/10.1007/s12310-019-09351-z.

    Article  Google Scholar 

  50. Wyman J, Claro A. The UCLA PEERS school-based program: treatment outcomes for improving social functioning in adolescents and young adults with autism spectrum disorder and those with cognitive deficits. J Autism Dev Disord. 2020;1(50(6)):1907–20. https://doi.org/10.1007/s10803-019-03943-z.

    Article  Google Scholar 

  51. White SW, Smith IC, Miyazaki Y, Conner CM, Capriola-Hall NN. Improving transition to adulthood for students with autism: a randomized controlled trial of STEPS. J Clin Child Adolesc Psychol. 2021;50(2):187–201. https://doi.org/10.1080/15374416.2019.1669157.

    Article  PubMed  Google Scholar 

  52. Crank JE, Sandbank M, Dunham K, Crowley S, Bottema-Beutel K, Feldman J, et al. Understanding the effects of naturalistic developmental behavioral interventions: a project aim meta-analysis. Autism Res. 2021;14(4):817–34. https://doi.org/10.1002/aur.2471.

    Article  PubMed  Google Scholar 

  53. Frost KM, Russell K, Ingersoll B. Using qualitative content analysis to understand the active ingredients of a parent-mediated naturalistic developmental behavioral intervention. Autism. 2021;12:13623613211003748. https://doi.org/10.1177/13623613211003747.

    Article  Google Scholar 

  54. Wilson KP, Landa RJ. Barriers to educator implementation of a classroom-based intervention for preschoolers with autism spectrum disorder. Front Educ. 2021;4. https://doi.org/10.3389/feduc.2019.00027/full.

  55. Bremer E, Lloyd M. School-based fundamental-motor-skill intervention for children with autism-like characteristics: an exploratory study. APAQ. 2016;33(1):66–88 http://journals.humankinetics.com/view/journals/apaq/33/1/article-p66.xml.

    Article  Google Scholar 

  56. Kasari C, Dean M, Kretzmann M, Shih W, Orlich F, Whitney R, et al. Children with autism spectrum disorder and social skills groups at school: a randomized trial comparing intervention approach and peer composition. J Child Psychol Psychiatry. 2016;57(2):171–9. https://doi.org/10.1111/jcpp.12460.

    Article  PubMed  Google Scholar 

  57. Shogren KA, Burke KM, Antosh A, Wehmeyer ML, LaPlante T, Shaw LA, et al. Impact of the self-determined learning model of instruction on self-determination and goal attainment in adolescents with intellectual disability. JDPS. 2019;1(30(1)):22–34. https://doi.org/10.1177/1044207318792178.

    Article  Google Scholar 

  58. Smith E, Toms P, Constantin A, Johnson H, Harding E, Brosnan M. Piloting a digitally-mediated social story intervention for autistic children led by teachers within naturalistic school settings. RASD. 2020;75:101533 https://www.sciencedirect.com/science/article/pii/S1750946720300234.

    Google Scholar 

  59. McAllister K, Sloan S. Designed by the pupils, for the pupils: an autism-friendly school. BJSE. 2016;43(4):330–57. https://doi.org/10.1111/1467-8578.12160.

    Article  Google Scholar 

  60. Kodak T, Cariveau T, LeBlanc BA, Mahon JJ, Carroll RA. Selection and implementation of skill acquisition programs by special education teachers and staff for students with autism spectrum disorder. Behav Modif. 2018;1(42(1)):58–83. https://doi.org/10.1177/0145445517692081.

    Article  Google Scholar 

  61. Hume K, Steinbrenner JR, Odom SL, Morin KL, Nowell SW, Tomaszewski B, et al. Evidence-based practices for children, youth, and young adults with autism: third generation review. J Autism Dev Disord. 2021. https://doi.org/10.1007/s10803-020-04844-2.

  62. Williams NJ, Frank HE, Frederick L, Beidas RS, Mandell DS, Aarons GA, et al. Organizational culture and climate profiles: relationships with fidelity to three evidence-based practices for autism in elementary schools. Implement Sci. 2019;14(1):1–14. https://doi.org/10.1186/s13012-019-0863-9.

    Article  Google Scholar 

  63. Stahmer AC, Rieth S, Lee E, Reisinger EM, Mandell DS, Connell JE. Training teachers to use evidence-based practices for autism: examining procedural implementation fidelity. Psychol Sch. 2015;52(2):181–95. https://doi.org/10.1002/pits.21815.

    Article  PubMed  Google Scholar 

  64. Locke J, Beidas RS, Marcus S, Stahmer A, Aarons GA, Lyon AR, et al. A mixed methods study of individual and organizational factors that affect implementation of interventions for children with autism in public schools. Implement Sci. 2016;11(1):1–9. https://doi.org/10.1186/s13012-016-0501-8.

    Article  Google Scholar 

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Funding

This manuscript was supported in part by the Institute of Education Sciences (grant nos: R324A200033 (Locke) and R305B170021 (Hugh)) and the Health Resources Services Administration Autism Intervention Network on Behavioral Health (grant no: UT3MC39436 (Locke, Ahlers)). The funders had no role in the design of this project, in the writing of the manuscript, and in the decision to submit this manuscript for publication.

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Correspondence to Maria L. Hugh.

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Hugh, M.L., Ahlers, K., Joshi, M. et al. School-Implemented Interventions for Preschool to High School Students with Autism: An Update on Recent Research. Curr Psychiatry Rep 23, 54 (2021). https://doi.org/10.1007/s11920-021-01266-4

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