Rapporten - SBU

Table 3.2.5 Early intervention (communication, interaction and play).
Author
Year
Reference
Country
Aldred et al
2004
[5]
United
Kingdom
Study design
Aim
Design
Pilot RCT; stratifi-
cation for age and
autism severity;
unselected consecutive
clinician or
self-referrals
Aim
To test a new the-
oretically based
communication
intervention aimed
to increase the
quality of parental
adaptation and communication
against
routine care alone
Population
characteristics
Diagnosis
Clinical and ADI-Rverified
diagnosis of
autistic disorder; ADOS
one point below cut-off
accepted (in 4 cases)
No of participants
28
Gender
25 boys, 3 girls
Age
2 years–5 years,
and 11 months
IQ
No severe global
developmental delay
Other
No severe environ-
mental deprivation in
infancy. 1st language
English. No diagnosed
hearing or visual impairment.
No chronic illness
in parents. Evidence of
some desire to interact
with adult
166 Autismspektrumtillstånd – diAgnostik och insAtser,
KAPITEL 3 • sysTEmATIsK LITTErATurövErsIKT – insAtser vid Ast
167
vårdens orgAnisAtion och pAtientens delAktighet
Intervention Follow up period
Drop-out rate
I: A social communication
intervention
manualised, staged to
reflect the early prelinguistic
skills. Initial
series of parental
psycho-educational
workshops + monthly
treatment sessions
for parents and child
for 6 months + less
frequent maintenance
sessions for 6 months.
Videotape of parent
child play is reviewed.
Parents asked to prac-
tice 30 minutes daily
alone with child +
routine speech and
language therapy.
n=14
C: Routine speech
and language therapy.
n=14
Assessments
Baseline and after
12 months
Drop-outs
No drop-outs
Main results Study quality
Comments
Behaviour/observation
ADOS-G:
Mean baseline total score:
I: 16.1 (SD 4.5)
C: 15.6 (SD 4.9)
Mean follow-up total score:
I: 11.8 (SD 6.4)
C: 16.1 (SD 4.4)
Improvement (=lower score) I>C
(p C (p C (p