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Therapies for Children With Autism Spectrum Disorders

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activities be<strong>for</strong>e bedtime and the use of bedtime routines also improved. Actigraphy data,<br />

available <strong>for</strong> 12 children, illustrated a decrease in sleep latency in nine children with difficulty<br />

initiating sleep (p=0.039); among all 12 children, time in bed also significantly improved<br />

(p=0.039). Parental stress did not change significantly with the workshops.<br />

KQ1. Effects of Treatment on Core and Commonly Associated Symptoms<br />

in <strong>Children</strong> <strong>With</strong> ASDs: Educational Interventions<br />

Most children with ASDs will receive some treatment in an educational setting. Educational<br />

interventions have focused both on traditional areas of academic progression/achievement, but<br />

also are often used to address core areas of social, cognitive, and behavioral vulnerability via<br />

classroom or specialized instruction. Educational approaches vary in scope from specific<br />

intervention techniques attempting to impart change in short periods of time to comprehensive<br />

intervention programs aimed at improving many areas of development.<br />

<strong>With</strong>in the context of this review we examine the available literature focusing on applications<br />

of the TEACCH program, broad-based early intervention center- or classroom-based instruction,<br />

and computer-based approaches to educational intervention. Table 14 summarizes critical<br />

aspects of studies of educational interventions addressing key question KQ1, and Table 15<br />

summarizes key outcomes of studies of good or fair quality.<br />

52

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