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Do Children with autism ages 0-5 who are receiving behavioral intervention therapy have improved speech and language skills compared to those who have not received any intervention?
ResearchSearch Words
Autism
Behavioral Interventions
Applied Behavioral Interventions(ABA) Therapy
Speech and Language Development
Search Engines
Research Articles found using FLITE library database through Ferris State University
Results of search
Two articles found related to my PICO question topic
References
Speckley, M., Boyd, R. (2009). Efficacy of Applied Behavioral Intervention in Preschool Children with improving Cognitive Language, and Adaptive Behavior: A Systematic Review and Meta-analysis. The Journal of Pediatrics, 154(3), 338-344.
doi:10.1016/j.peds/.
Watson, L.R., Baranek, G.T., Roberts, J.E., David, F.J., & Perryman, T.Y.(2010). Behavioral and Physiological Responses to Child-Directed Speech as Predictors of Communication Outcomes
in Children with Autism Spectrum Disorders. Journal of Speech, Language and Hearing Research, 53(4), 1052-1064,
doi:10.1044/1092- 4388.
Efficacy of Applied Behavioral Intervention in Preschool Children with Autism for improving Cognitive, Language, and Adaptive Behavior: A Systematic Review and Meta-analysis
TheoryApplied behavioral analysis (ABA) therapy would show improvements in speech and language in children with Autism Spectrum Disorder (ASD)
Type of Study
Quantitative study needed for meta-analysis
Design
systematic reviews
Randomized control trials
Quantitative data
Efficacy of Applied Behavioral Intervention in Preschool Children with Autism for improving Cognitive, Language, and Adaptive Behavior: A Systematic Review and Meta-analysis (Continued)
Methods
Search StudyMultiple studies
meeting criteria
Findings
Inadequate evidence
More research needed
Behavioral and Physiological Responses to Child-Directed Speech as Predictors of Communication Outcomes in Children With Autism Spectrum Disorders
Theoryto determine if communication skills improve with Child-Directed Speech therapy in Autistic Children 12 months after initial therapy
Type of Study Longitudinal Study
Design
All boy study with re-evaluation 12 months after therapy initiated
Behavioral and Physiological Responses to Child-Directed Speech as Predictors of Communication Outcomes in Children With Autism Spectrum Disorders (continued)
Methods
Search Study
Multiple studies screened to meet criteria
Findings
Inadequate evidence
More research needed
Ethical Considerations
Study 1
Too much ABA therapy
Too little or no therapies at all
No access of Inability to receive ABA therapy
Study 2
Developmental improvement result of Child-Directed Speech Therapy or Normal Developmental Milestones
Efficacy of Applied Behavioral Intervention in Preschool Children with Autism for improving Cognitive, Language, and Adaptive Behavior: A Systematic Review and Meta-analysis
Strengths Specific Target Group
Children ages 18months-6years
All have Autism Spectrum Disorder or Pervasive Development Disorder
Quality Inadequate Evidence
Broader outcomes needed for adequate evidence that ABA could be beneficial
CredibilityScholarly Journal
Behavioral and Physiological Responses to Child-Directed Speech as Predictors of Communication Outcomes in Children With Autism Spectrum Disorders.
Strengths Specific all boy target
group
<24 months of age at entry
Re-evaluation 12 months after receiving therapy
Quality Limited study due to small
sample size
Credibility Scholarly journal
Peer reviewed
Relevant To PracticeCommunication
Scholarly journals
Medical conferences
Power point presentations
Individual and Professional level
Parents and families of Autistic Children
Teachers
All Medical Professionals
Implications-
Early Intervention is Recommended for nonverbal Autistic Children however not enough research is implicated in the studies presented in this presentation
Barriers to Autism Care
Policy- not indicated
Resources- not everyone has access to specialized therapies
Values- Early intervention recommended
Additional PICO QUESTIONS
Do children with autism ages 0-5 who are receiving behavioral intervention therapy have improved gross and fine motor skills that children who are not receiving any therapy?
Do children with autism ages 0-5 who are receiving behavioral intervention therapy have improved social skills than children who are not receiving any therapy?
Conclusion
Study 1
Efficacy of Applied Behavioral Intervention in Preschool Children with Autism for improving Cognitive, Language, and Adaptive Behavior: A Systematic Review and Meta-analysis
Meta-analysis did NOT show an improvement in speech and language
Study 2Behavioral and Physiological Responses to Child-Directed Speech as Predictors of Communication Outcomes in Children With Autism Spectrum Disorders.
Evidence suggests improvement in improved communication 12 months after initial therapy began
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