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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 Baseline<br />

Description Intervention<br />

Criteria/Population Measures Outcomes<br />

Author:<br />

Intervention:<br />

Inclusion criteria: Percentage of time Percentage of<br />

Hartshorn et al., 30 minute movement • From a school <strong>for</strong> behavior observed time behavior<br />

2001<br />

sessions held twice a children with autism in session, mean ± observed in<br />

Country:<br />

US<br />

Practice<br />

setting:<br />

Academic<br />

Intervention<br />

week <strong>for</strong> two months • Control group matched SD:<br />

session, mean ±<br />

Controls matched on age on age and development Adaptive behavior: SD:<br />

and developmental level level with movement Stereotypical Adaptive<br />

Assessments:<br />

therapy group (from behaviors: behavior:<br />

Behavior coded in 10- same school)<br />

G1: 2.0 ± 0.5 Stereotypical<br />

second time sample units Exclusion criteria: G2: 3.0 ± 0.4 behaviors:<br />

setting:<br />

<strong>for</strong> 6 one-minute periods • See inclusion criteria<br />

School <strong>for</strong> children during the first 18 minutes Age, years (range):<br />

with autism of first and last sessions; G1: 5 (3-7)<br />

Enrollment controls observed during G2: NR<br />

period:<br />

two sessions two months Mental age:<br />

NR<br />

apart<br />

NR<br />

Funding: Groups:<br />

Gender:<br />

NIH, Johnson and G1: intervention NR<br />

Johnson G2: controls<br />

Race/ethnicity, %:*<br />

Author industry Provider:<br />

White:<br />

relationship • Sessions given by G1: 80<br />

disclosures: trained movement Hispanic:<br />

NR<br />

therapists.<br />

G1: 10<br />

Design: • Behaviors observed Black:<br />

Non randomized and coded by G1: 10<br />

controlled trial psychology graduate SES:<br />

students with prior Maternal education: NR<br />

training to 80% Household income:*<br />

reliability<br />

G1: “Middle SES”<br />

Measure of treatment Diagnostic approach:<br />

fidelity reported: No In Study/Referral<br />

Co-interventions held Diagnostic tool/method:<br />

stable during treatment: NR<br />

NR<br />

Diagnostic category:<br />

Concomitant therapies: See inclusion criteria<br />

NR<br />

Other characteristics:<br />

N at enrollment: NR<br />

G1: 38<br />

Wandering: G1: 2.0 ± 0.7<br />

G1: 14.0 ± 2.4 G2: 4.0 ± 1.2<br />

G2: 16.0 ± 2.8 G1/G2: P = NS<br />

Social skills: Wandering:<br />

Responding to touch G1: 10.0 ± 3.1<br />

negatively: G2: 15.0 ± 2.9<br />

G1: 5.0 ± 8 G1/G2: P < 0.05<br />

G2: 4.0 ± 0.9 Social skills:<br />

On-task passive: Responding to<br />

G1: 16.0 ± 4.3 touch negatively:<br />

G2: 15.0 ± 5.9 G1: 1.0 ± 2<br />

On-task active: G2: 3.0 ± 0.5<br />

G1: 77.0 ± 15.6 G1/G2: P < 0.01**<br />

G2: 9.0 ± 13.2 On-task passive:<br />

Eye contact: G1: 37.0 ± 116<br />

G1: 9.0 ± 2.5 G2: 19.0 ± 7.3<br />

G2: 11.0 ± 3.1 G1/G2: P <<br />

Social relatedness 0.001**<br />

toward teacher: On-task active:<br />

G1: 28.0 ± 9.3 G1: 76.0 ± 19.1<br />

G2: 25.0 ± 11.2 G2: 67.0 ± 16.3<br />

Resisting teacher: G1/G2: P = NS<br />

G1: 9.0 ± 1.7 Eye contact:<br />

G2: 12.0 ± 1.5 G1: 7.0 ± 1.9<br />

G2: 9.0 ± 2.4<br />

G1/G2: P = NS<br />

Social relatedness<br />

toward teacher:<br />

G2: 38<br />

G1: 25.0 ± 7.9<br />

N at follow-up:<br />

G2: 21.0 ± 8.3<br />

G1: 38<br />

G1/G2: P = NS<br />

G2: 38<br />

Resisting teacher:<br />

G1: 4.0 ± 1.5<br />

G2: 10.0 ± 1.3<br />

G1/G2: P < 0.05**<br />

Harms:<br />

NR<br />

Modifiers:<br />

NR<br />

Comments: *This measure <strong>for</strong> G2 is described as “similar” to G1 but otherwise not reported.<br />

**The p-values <strong>for</strong> three behaviors were different in the table (reported above) and the text: responding to touch negatively<br />

(text P < 0.005; table P < 0.01), on-task passive (text P < 0.05; table P < 0.001), and resisting teacher (text: P < 0.01; table: P<br />

< 0.05).<br />

C-396

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