A Randomised Controlled Trial of an Information Communication Technology Delivered Intervention for Children with Autism Spectrum Disorder Living in Regional Australia

Parsons, Dave; Cordier, Reinie; Lee, Hoe; Falkmer, Torbjörn; Vaz, Sharmila

doi:10.1007/s10803-018-3734-3

Cited by 38 publications

(100 citation statements)

References 48 publications

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“…Younger MITA-exposed children showed three-fold improvement in language score at the end of the trial vs. the TaU group. This result is significantly better than reported in other trials (Dawson et al, 2010;Parsons et al, 2019). There could be several reasons for such a dramatic improvement reported herein:…”

Section: Potential Issues Associated With Use Of Tablet Computers Forcontrasting

confidence: 51%

“…More than half of responders reported that they have learned some language therapy techniques from MITA exercises (unpublished observations). Moreover, literature search revealed that even short-term parents' interventions administered early have been shown to have significant effects (Landa & Kalb, 2012;Parsons, Cordier, Lee, Falkmer, & Vaz, 2019) on children language acquisition, supporting the parents-learning-from-MITAexercises hypothesis.…”

Section: Language Improvement Mechanismsmentioning

confidence: 89%

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Imagination exercises improve language in younger but not in older children with autism suggesting a strong critical period

Vyshedskiy

Khokhlovich²,

Dunn³

et al. 2019

Preprint

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Imagination exercises administered by caregivers were investigated in a three-year-long observational trial of 3,540 children with autism aged 2-12 years. Tablet-based verbal and nonverbal exercises modeled on language therapy and emphasizing mental-juxtaposition-of-objects were organized into an application called Mental Imagery Therapy for Autism (MITA). MITA-exposed children were matched to the 'Treatment-as-Usual' participants (TaU, N=5,222) by age, language, sociability, cognitive awareness, and health at baseline. Both younger (2-5 years-of-age) and older children (5-12 YOA) in MITA and TaU groups improved their symptoms over time, but younger MITA-exposed children showed three-fold improvement in language score at the end of the trial vs. TaU group. There was no difference between MITA and TaU in the older children group, supporting Lenneberg's critical period hypothesis.

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Section: Potential Issues Associated With Use Of Tablet Computers Forcontrasting

confidence: 51%

Section: Language Improvement Mechanismsmentioning

confidence: 89%

Imagination exercises improve language in younger but not in older children with autism suggesting a strong critical period

Vyshedskiy

Khokhlovich²,

Dunn³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Communication-focused interventions was used in twenty one studies [15,21,26,31,46,50,51,54,55,66,67,75,76,82,91,[93][94][95]104]. Thirty-two studies used integrative programs [18,20,24,25,28,30,33,[35][36][37]40,52,58,60,62,63,71,74,[77][78][79]81,86,89,92,96,98,[100][101][102][103]107]. Also, thirty studies used social skills development interventions [16,17,…”

Section: Resultsmentioning

confidence: 99%

“…Three studies on social skills [18,20,89], three studies on emotional and communication skills [40,77,78], three studies on social behavior skills [58,60,98], two studies on daily living skills [24,37], and one study on social communication [103]. But, two studies reported that some of the expected outcomes created signi cant change [28,63], and in two studies, the intervention was not successful for changes [52,74].…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of behavioral interventions for autism spectrum disorder: A systematic review

Bashirian

Afshari

Jenabi

et al. 2020

Preprint

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Background: Autism Spectrum Disorder (ASD) is identified by a group of neurodevelopmental disorders. Given the importance and demand for behavioral interventions in autism disorder as well as the need for new intervention programs, a detailed evaluation of the outcomes of interventions for the ongoing impact of behavioral interventions for autism spectrum disorder is essential. In view of the importance of, and demand for, novel behavioural interventions in autism disorder, a comprehensive evaluation of the outcomes of interventions for the ongoing impact of behavioral interventions for autism spectrum disorder is necessary.Method: A systematic search of the electronic databases including PubMed, Embase, Scopus, Sciencedirect, ISI Web of Science, and Biomedcentral were conducted to find evidences for the effectiveness of behavioral interventions for autism spectrum disorders. The search strategy was based on exploring studies published in different global languages from the earliest to 2019 databases. In addition to the databases mentioned above, relevant studies were searched using forward and backward citation tracing.Results:In the present review, 48 randomized controlled trials (RCTs),and 44 quasi-experimental articles matched the defined evaluation criteria. Eighty-three out of 93 studies were conducted in high-income countries, the results of which raised the challenges associated with acceptability of conducting those studies in low- and middle-income countries. The majority of those studies (93.5%) were classified as having either low or medium quality. From those studies, 32 studies used integrative programs, and 30 studies used social skills development interventions.The majority of the studies were based on integrative programs designed to foster social skills development interventions. The results of the study showed that social skills development interventions were effective in changing the desired outcomes. The results showed that,regardless of the study design and the type of intervention used, the possibility for success of interventions were greater in changing the participants' social skills.Conclusions :There were inconsistent evidence on the effectiveness of interventions in providing changes in targeted outcomes. There is a need for further investigation in behavioral interventions for autism spectrum disorders. Further research is needed to understand the effectiveness of other interventions and finding a quality interventions to achieve more significant results.

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“…The sixth RCT study compared the communication rates and responses between a group that used an app based on speech-generating device and a usual care group 23. The seventh RCT, similar to the third RCT, studied TOBY tablet app; however, by measuring a wider range of behaviour targets, such as visual motor, imitation, communication, social skill, etc 24 Table 1. provides summarised information.…”

Section: Resultsmentioning

confidence: 99%

Mobile device applications and treatment of autism spectrum disorder: a systematic review and meta-analysis of effectiveness

et al. 2019

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ObjectiveThe current study was performed to assess the evidence for effects of therapeutic intervention with mobile device applications (apps) for individuals with autism spectrum disorder (ASD).DesignThe main methodology of the current study was systematic review with meta-analysis.SettingOnly randomised controlled trials (RCTs) for mobile device apps for individuals with ASD were considered for review in the current study.PatientsThe target population was individuals clinically diagnosed with ASD.InterventionsApplications that are operable on a smart (mobile) device and interactive with users.Main outcome measuresThe main outcomes were based on standardised mean differences in pretrial and post-trial scales in each control and intervention group.ResultsOut of a total of 1100 studies (after duplicate removal), 7 RCTs were selected for final analysis. Of the seven studies, two RCTs were further analysed for effects based on the visual and fine motor subscales of the Mullen Scales of Early Learning, which favoured the intervention groups (standardised mean difference (SMD)=0.41, 95% CI 0.03 to 0.80; SMD=0.41, 95% CI 0.03 to 0.80), without either having any heterogeneity (p>0.1) or publication bias.ConclusionsAlthough it is still early to draw a conclusion, available studies are showing promise for use of mobile device apps for treatment of individuals with ASD. More well-designed and large-scale studies focused on improving behavioural symptoms of ASD are warranted.PROSPERO registration numberCRD42019128362.

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A Randomised Controlled Trial of an Information Communication Technology Delivered Intervention for Children with Autism Spectrum Disorder Living in Regional Australia

Cited by 38 publications

References 48 publications

Imagination exercises improve language in younger but not in older children with autism suggesting a strong critical period

Imagination exercises improve language in younger but not in older children with autism suggesting a strong critical period

Effectiveness of behavioral interventions for autism spectrum disorder: A systematic review

Mobile device applications and treatment of autism spectrum disorder: a systematic review and meta-analysis of effectiveness

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