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Therapies for Children With Autism Spectrum Disorders

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Checklist scores decreased by 8.4 <strong>for</strong> the intervention group and decreased by 1.8 <strong>for</strong> the control<br />

group (p=0.054).<br />

Fifty-four children were assessed 12 months after intervention ceased, 198 with children who<br />

had received the center and home based treatment maintaining cognitive gains compared with<br />

children receiving center-based intervention only (p=0.007). Behavioral improvements seen in<br />

the center+home based intervention group were not maintained a year later. <strong>Children</strong> from<br />

families experiencing greater parent-reported stress saw greater improvements in IQ at the 12month<br />

followup than children from lower-stress families.<br />

Case series 191,193 evaluating the effects of a variety of ABA-based methods used within a<br />

teaching context in center-based classrooms were consistent with group design studies,<br />

measuring improvements in social and communication behaviors.<br />

Computer-Based Educational Approaches<br />

Computer-based programs use technology to deliver behaviorally-based teaching in areas<br />

such as language acquisition and reading skills.<br />

Content of the literature. We identified thee papers evaluating computer-based intervention<br />

programs delivered in school settings. 189,190,200 All studies in this section were poor quality.<br />

Summary of the literature. Two randomized controlled trials 189,200 and one prospective case<br />

series 190 of computer-based academic interventions were included in this review. One<br />

randomized controlled trial compared a computer and teacher-led vocabulary acquisition<br />

program using behaviorally based teaching strategies like positive rein<strong>for</strong>cement, 189 with seven<br />

children ages 3 to 6 years in each group. The computer program paralleled the teacher led<br />

approach with the addition of features such as color, animation and music. <strong>Children</strong> recalled<br />

more nouns after exposure to the computer, program, (mean=4.43, 74 percent) compared with<br />

teacher presentation (mean= 2.43, 41 percent), (p < .01) and were more attentive to the computer<br />

than to the teacher (mean= 97 percent vs. 67 percent), p

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