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Therapies for Children With Autism Spectrum Disorders

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Evidence Table. <strong>Therapies</strong> <strong>for</strong> children with ASD (continued)<br />

Study<br />

Inclusion/ Exclusion<br />

Description Intervention<br />

Criteria/ Population<br />

intervention<br />

Diagnostic approach:<br />

In Study & Referral<br />

Golan et al.<br />

2010 (continued)<br />

Assessments:<br />

ADI-R, <strong>Children</strong>’s <strong>Autism</strong><br />

<strong>Spectrum</strong> Test (CAST),<br />

British Picture Vocabulary<br />

Scale (BPVS), emotional<br />

vocabulary, situationfacial<br />

expression<br />

matching (SEM) task<br />

Emotion recognition tasks<br />

were conducted on<br />

computer using<br />

PowerPoint beginning<br />

with Level 1 with 16<br />

questions at each level<br />

Groups:<br />

G1: ASD children given<br />

Transporters DVD<br />

intervention, at least 3<br />

episodes per day <strong>for</strong> 4<br />

weeks<br />

G2: ASD children with no<br />

intervention (standard<br />

school curriculum)<br />

G3: typically developing<br />

controls with no<br />

intervention<br />

Provider:<br />

Parental supervision<br />

during DVD viewing<br />

session<br />

Treatment manual<br />

followed: NR<br />

Defined protocol<br />

followed: yes<br />

Measure of treatment<br />

fidelity reported: yes<br />

Co-interventions held<br />

stable during treatment:<br />

NR<br />

Concomitant therapies,<br />

n (%):<br />

NR<br />

N at enrollment:<br />

G1: 20<br />

G2: 19<br />

G3: 18<br />

N at follow-up:<br />

Diagnostic tool/method:<br />

In-Study: ADI-R & CAST<br />

<strong>for</strong> G1; CAST <strong>for</strong> G2;<br />

CAST <strong>for</strong> G3<br />

Referral: G1 & G2<br />

diagnosed in specialist<br />

centers using American<br />

Psychiatric Association<br />

established criteria<br />

Diagnostic category, n<br />

(%):<br />

<strong>Autism</strong>:<br />

G1: 20 (51)<br />

G2: 19 (49)<br />

G3: 0<br />

Other characteristics:<br />

Days between<br />

assessments, mean ± SD<br />

(range)<br />

G1: 28.8 ± 3.3 (24–38)<br />

G2: 28.2 ± 3.8 (22–37)<br />

G3: 27.8 ± 1.4 (25–31)<br />

C-10<br />

Baseline<br />

Measures Outcomes<br />

SEM-Level 2: Group x time: P <<br />

(max = 16)<br />

G1: 9.80 ± 2.91<br />

0.001<br />

G2: 9.33 ± 2.91 SEM-Level 3:<br />

G3: 12.72 ± 2.30 (max = 16)<br />

G1: 13.30 ± 2.27<br />

SEM-Level 3: G2: 9.61 ± 2.83<br />

(max = 16) G3: 12.89 ± 1.78<br />

G1: 9.85 ± 2.43 Group: P < 0.001<br />

G2: 9.67 ± 2.77 Time: P < 0.001<br />

G3: 13.00 ± 2.28 Group x time: P <<br />

0.001<br />

G1 improved<br />

significantly from<br />

Time 1 to Time 2<br />

on all four tasks<br />

(P < 0.001)<br />

Harms:<br />

NR<br />

Modifiers:<br />

Positive<br />

correlation<br />

between verbal<br />

ability and<br />

improvement on<br />

the Level 2 SEM<br />

in G1 (r = 0.58, P<br />

< 0.01); positive<br />

correlation<br />

between verbal<br />

ability and<br />

improvement on<br />

the Emotional<br />

Vocabulary task in<br />

G3 (r = 0.57, P <<br />

0.02).<br />

No other<br />

significant<br />

correlations<br />

between age,<br />

verbal ability, time<br />

between two<br />

assessment<br />

meetings and<br />

improvement<br />

scores <strong>for</strong> each<br />

task.

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