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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<br />

Study<br />

Inclusion/Exclusion<br />

Description Intervention<br />

Criteria/Population<br />

Nagaraj et al.,<br />

Seizures:<br />

2006 (continued)<br />

G1: 5 (26.3)<br />

G2: 3 (15)<br />

Family structure, n (%):<br />

Nuclear:<br />

G1: 13 (68.4)<br />

G2: 15 (75)<br />

Joint:<br />

G1: 6 (31.6)<br />

G2: 5 (25)<br />

Comments: *(orolingual=2, left lower limb=1)<br />

Author:<br />

Sams et al., 2006<br />

Country:<br />

US<br />

Practice<br />

setting:<br />

Special treatment<br />

center, community<br />

college, hospital<br />

Intervention<br />

setting:<br />

School<br />

Enrollment<br />

period:<br />

NR<br />

Funding:<br />

NR<br />

Author industry<br />

relationship<br />

disclosures:<br />

NR<br />

Design:<br />

Prospective case<br />

series<br />

Intervention:<br />

Occupational therapy with<br />

and without animals<br />

focused on facilitating<br />

sensory integration,<br />

language use, sensory<br />

skills and motor skills<br />

Frequency: two sessions<br />

per week, one lasting 26.3<br />

± 6.0 minutes, and one<br />

lasting 28.5 ± 5.3 minutes<br />

incorporating animals<br />

<strong>Children</strong> ranged between<br />

2-12 sessions of each<br />

type over 15 weeks<br />

Assessments:<br />

Observers recorded<br />

instances of social<br />

interaction and language<br />

use on a behavioral rating<br />

<strong>for</strong>m at each session<br />

Groups:<br />

G1: occupational therapy<br />

Ga: standard sessions<br />

Gb: animal sessions<br />

Provider:<br />

• Occupational therapists<br />

• Trained research<br />

assistants (senior<br />

undergraduate<br />

occupational therapy<br />

field study students)<br />

Measure of treatment<br />

fidelity reported:<br />

No<br />

Co-interventions held<br />

stable during treatment:<br />

NR<br />

Concomitant therapies:<br />

NR<br />

N at enrollment:<br />

G1: 22<br />

N at follow-up:<br />

G1: 22<br />

Inclusion criteria:<br />

• School age<br />

• Participating in schoolbased<br />

program (occupational<br />

therapy services<br />

through public schools)<br />

• Primary diagnosis of<br />

autism<br />

Exclusion criteria:<br />

• See inclusion criteria<br />

Age, years ± SD (range):<br />

9.6 ± 1.7 (7-13)<br />

Mental age:<br />

NR<br />

Gender:<br />

NR<br />

Race/ethnicity:<br />

NR<br />

SES:<br />

Maternal education: NR<br />

Household income: NR<br />

Diagnostic approach:<br />

Referral<br />

Diagnostic tool/method:<br />

NR<br />

Diagnostic category, n<br />

(%):<br />

<strong>Autism</strong>: 22 (100)<br />

Cerebral palsy: 2 (9)<br />

Other characteristics:<br />

NR<br />

C-293<br />

Baseline<br />

Measures Outcomes<br />

NR Social skills:<br />

Social interactions<br />

per minute, mean<br />

± SD:<br />

G1a: 0.17 ± 0.09<br />

G1b: 0.27 ± 0.10<br />

G1a/G1b: P <<br />

0.01 (ES = 1.0)<br />

Communication/<br />

language:<br />

Uses of language<br />

per minute, mean<br />

± SD:<br />

G1a: 0.98 ± 0.72<br />

G1b: 1.27 ± 1.10<br />

G1a/G1b: P <<br />

0.05 (ES = 0.31)<br />

Harms:<br />

NR<br />

Modifiers:<br />

NR

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