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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 Baseline<br />

Description Intervention<br />

Criteria/ Population Measures Outcomes<br />

analysts<br />

G2: 36.4 ± 5.9<br />

G1: 67.8 ± 10.1 MSEL fine motor<br />

Assessment:<br />

Maternal age, years ± SD: G2: 67.6 ± 6.4 score, 1 year,<br />

ADI-R, ADOS, MSEL, G1: 32.5 ± 5.4<br />

VABS daily living mean ± SD:<br />

VABS, changes in the G2: 33.7 ± 5<br />

score, mean ± SD: G1: 30 ± 13<br />

severity of stereotyped<br />

G1: 68.3 ± 6.9 G2: 35.9 ± 15.9<br />

behaviors.<br />

G2: 69.3 ± 5.9 G1/BL: P = NS<br />

Measure of treatment<br />

fidelity reported:<br />

No<br />

G2/BL: P = NS<br />

Itzchak et al., Co-interventions held<br />

VABS motor skills<br />

2009 (continued) stable during treatment:<br />

score, 1 year,<br />

NR<br />

mean ± SD:<br />

Concomitant therapies:<br />

G1: 75.6 ± 13.1<br />

NR<br />

G2: 80.9 ± 16.3<br />

N at enrollment:<br />

G1/BL: P < 0.001<br />

G1: 53<br />

G2/BL: P = NS<br />

G2: 15<br />

Adaptive<br />

N at follow-up:<br />

behavior:<br />

G1: 53<br />

VABS communi-<br />

G2: 15<br />

cation score, 1<br />

year, mean ± SD:<br />

G1: 72.3 ± 16.1<br />

G2: 82.2 ± 12.9<br />

G1/BL: P < 0.05<br />

G2/BL: P < 0.001<br />

VABS daily living<br />

score, 1 year,<br />

mean ± SD:<br />

G1: 69.2 ± 7.9<br />

G2: 75.4 ± 13.3<br />

G1/BL: P = NS<br />

G2/BL: P = NS<br />

Harms:<br />

NR<br />

Modifiers:<br />

There was a<br />

significant (time X<br />

group) interaction<br />

in the ADOS<br />

stereotyped<br />

behaviors score<br />

(P < 0.05); a significant<br />

decrease<br />

in stereotyped<br />

behavior and<br />

restricted interests<br />

was noted <strong>for</strong> G1<br />

(P < 0.000) but<br />

not <strong>for</strong> G2.<br />

Author:<br />

Intervention:<br />

Inclusion criteria: Problem behavior: Problem<br />

Akhondzadeh et Piracetam, titrated up to • Age 3-11 years ABC-C total score, behavior:<br />

al., 2008<br />

Country:<br />

800 mg/day (200 mg/day • Diagnosis of autism<br />

starting dose with 200 mg Exclusion criteria:<br />

mean ± SD:<br />

G1: 23.15 ± 5.80<br />

ABC-C total<br />

score, week 10,<br />

Iran<br />

Practice<br />

setting:<br />

Academic<br />

increments every 2 days)<br />

Risperidone, dosage by<br />

weight:<br />

• 10-40 kg: titrated up to<br />

• Previously received G2: 24.00 ± 8.25<br />

neuroleptics or any G1/G2: P = 0.70<br />

psychotropic drug<br />

treatment 6 months prior<br />

mean change ±<br />

SD:<br />

G1: -11.9 ± 3.79<br />

G2: -5.15 ± 3.04<br />

C-114

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