Therapies for Children With Autism Spectrum Disorders

Evidence Table. Therapies for children with ASD (continued)
Study
Inclusion/ Exclusion Baseline
Description Intervention
Criteria/ Population Measures Outcomes
Author:
Intervention:
Inclusion criteria: Overall ratings: Overall ratings:
Cotugno, Social competency and G1:
WMS score, mean: WMS score, 9
2009
social skills training and • Families self-referred to G1a: 121.4 months, mean:
Country: intervention program, MGH/Youth Care G1b: 120.5 G1a: 138.3
US
1 hour weekly group • Between the ages of 7 G2a: 159.0 G1b: 136.4
Practice sessions for 30 weeks, and 11
G2b: 187.0 G2a: 163.6
setting:
employing a peer-based, • Received a prior Social Skills: G2b: 181.4
Academic group model within a diagnosis on the autism WMS, teacher G1a/BL: P < 0.05
Intervention stage-based cognitive- spectrum meeting DSM- preferred social G1b/BL: P < 0.01
setting:
behavioral framework IV criteria, confirmed by behavior subscale, G2a/BL: P = NS
Clinic
using group therapy, neuropsychological mean:
G2b/BL: P = NS
Enrollment cognitive-behavioral, and evaluation by
G1a: 46.2
Social skills:
period:
skill instruction
professionals with no G2b: 44.5
WMS, teacher
NR
Control group: matched connection to the G2a: 59.6
preferred social
Funding: sample of non-ASD program
G2b: 69.4
behavior sub-
NR
children not receiving • Obtained a Full Scale or WMS, peer- scale, 9 months,
Author industry treatment
Verbal Scale IQ on the preferred social mean:
relationship Assessments:
WISC-IV within the behavior subscale, G1a: 52.7
disclosures: WMS completed by average range (80-119) mean:
G1b: 48.8
NR
teachers; SCDS
or higher
G1a: 43.8
G2a: 60.4
Design: completed by parents, six • Demonstrated no G1b: 44.0
G2b: 65.2
Prospective cohort items selected from scale, significant language or G2a: 60.8
G1a/BL: P < 0.05
series
two items each
communication deficits G2b: 74.0
G1b/BL: P < 0.05
addressing stress/anxiety • Participated in at least a SCDS, participants G2a/BL: P = NS
management, joint partial inclusion program with scores of 1 or 2 G2b/BL: P = NS
attention, and
in a regular education
on joint attention WMS, peerflexibility/transitions
curriculum
questions, n (%):* preferred social
Groups:
G2:
G1a: 12 (60) behavior sub-
G1: social competency
o Randomly selected from
G1b: 11 (69) scale, 9 months,
and social skills training
two local public schools
Adaptive behavior: mean:
and intervention program to match the ages and WMS, school G1a: 50.9
G2: non-ASD controls
grades of the
adjustment behavior G1b: 47.0
Ga: younger children
intervention groups subscale, mean: G2a: 63.2
(ages 7.0-8.2)
o No prior diagnosis of
G1a: 31.4
G2b: 72.4
Gb: older children (ages
ASD
G1b: 32.0
G1a/BL: P < 0.05
10.0-11.0)
o Had never been
G2a: 40.6
G1b/BL: P < 0.05
Provider:
referred to nor ever
G2b: 43.6
G2a/BL: P = NS
Licensed group clinician
received any special
SCDS, participants G2b/BL: P = NS
Measure of treatment
education services with scores of 1 or 2 SCDS, 9 months,
fidelity reported:
o Receiving no current on flexibility/ transi- participants with
No
psychological or schooltions questions, n scores of 1 or 2
Co-interventions held
based services (i.e.
(%):*
on joint attention
stable during treatment:
individual, group
G1a: 17 (85) questions, n (%):*
NR
therapy, or counseling)
G1b: 11 (69) G1a: 7 (35)
Concomitant therapies:
o Had no prior contact
G1b: 4 (25)
NR
with MGH/Youth Care
N at enrollment:
Exclusion criteria:
G1a: 10
• See inclusion criteria
G1b: 8
Age, range (years):
G2a: 5
G1a: 7.0-8.2
G2b: 5
G1b: 10.0-11.0
G2a: 7-8
G2b: 10-11
Cotugno, N at follow-up:
Mental age:
Commonly Adaptive
2009
G1a: 10
G1: See inclusion criteria occurring co- behavior:
(continued) G1b: 8
G2: NR
morbidities: WMS, school
G2a: 5
Gender:
SCDS, participants adjustment
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