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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 />

Stahmer & Measure of treatment Diagnosis confirmed in<br />

Ingersoll, fidelity reported: study using standardized<br />

2009 (continued) No<br />

assessments including:<br />

CARS<br />

GARS<br />

Stahmer &<br />

Ingersoll,<br />

2009 (continued)<br />

Co-interventions held<br />

stable during treatment:<br />

NR<br />

Concomitant therapies,<br />

n (%):<br />

Gluten/casein-free diets: 4<br />

(20)<br />

Individual occupational<br />

therapy: 2 (10)<br />

Individual speech therapy:<br />

1 (5)<br />

10 hours a week of<br />

discrete trial training: 1 (5)<br />

3 hours a week of<br />

naturalistic intervention: 1<br />

(5)<br />

N at enrollment:<br />

G1: 20<br />

N at follow-up:<br />

G1: 20<br />

Diagnostic category, %:<br />

<strong>Autism</strong>: 55<br />

PDD-NOS: 45<br />

Other characteristics:<br />

NR<br />

C-347<br />

Baseline<br />

Measures Outcomes<br />

Single signs or Severely delayed<br />

PECS: 0<br />

range: 0 (0)<br />

Combinations with Mildly delayed<br />

augmentative range: 6 (38)<br />

system: 0<br />

Borderline range:<br />

Single spoken 5 (31)<br />

words: 35<br />

Average range: 5<br />

Phrases: 15 (31)<br />

Commenting/sharin 4 of 15 (27)<br />

g: 0<br />

moved to normal<br />

range<br />

Adaptive behavior:<br />

VABS Daily Living<br />

Skills, mean ± SD:<br />

G1: 16, 71.2 ± 8.9<br />

Reported functional<br />

play skills, n (%):<br />

No functional play: 7<br />

(35)<br />

Cause/effect play: 3<br />

(15)<br />

Relational play: 7<br />

(35)<br />

Simple pretend play:<br />

3 (15)<br />

Complex pretend<br />

play: 0 (0)<br />

Motor skills:<br />

VABS Motor Skills,<br />

n, mean ± SD:<br />

G1: 16, 88.9 ± 12.5<br />

Educational/<br />

cognitive/ academic<br />

attainment:<br />

BSID-II, n, mean ±<br />

SD:<br />

G1: 19, 67.2 ± 14.7<br />

IQ score (BSID-II), n<br />

(%):<br />

G1:<br />

below 70<br />

(significantly<br />

delayed range):<br />

11 (58)<br />

70-84 (mildly<br />

delayed range):<br />

6 (32)<br />

85-115 (normally<br />

developing range):<br />

2 (11)<br />

BSID-II nonverbal<br />

mental age, mean,<br />

rate of development<br />

Reported<br />

functional<br />

communication<br />

skills, n (%):<br />

No functional<br />

communication<br />

system: 2 (10)<br />

Single signs or<br />

PECS: 2 (10)<br />

Combinations with<br />

augmentative<br />

system: 4 (20)*<br />

Single spoken<br />

words: 4 (20)*<br />

Phrases: 3 (15)<br />

Commenting/shari<br />

ng: 9 (45)<br />

P < 0.01<br />

Adaptive<br />

behavior:<br />

VABS Daily Living<br />

Skills, n, mean ±<br />

SD:<br />

G1: 16, 72.8 ± 9.4<br />

P = NS<br />

Reported<br />

functional play<br />

skills, n (%):<br />

No functional<br />

play: 0 (0)<br />

Cause/effect play:<br />

0 (0)<br />

Relational play: 7<br />

(35)<br />

Simple pretend<br />

play: 5 (25)<br />

Complex pretend<br />

play: 8 (40)<br />

P

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