Managing Repetitive Behaviours in Young Children with Autism Spectrum Disorder (ASD): Pilot Randomised Controlled Trial of a New Parent Group Intervention
Tóm tắt
Early intervention for autism spectrum disorder (ASD) tends to focus on enhancing social-communication skills. We report the acceptability, feasibility and impact on child functioning of a new 8 weeks parent-group intervention to manage restricted and repetitive behaviours (RRB) in young children with ASD aged 3–7 years. Forty-five families took part in the pilot RCT. A range of primary and secondary outcome measures were collected on four occasions (baseline, 10, 18 and 24 weeks) to capture both independent ratings and parent-reported changes in RRB. This pilot established that parents were willing to be recruited and randomised, and the format and content of the intervention was feasible. Fidelity of delivery was high, and attendance was 90 %. A fully powered trial is now planned.
Tài liệu tham khảo
Ahrens, E. N., Lerman, D. C., Kodak, T., Worsdell, A. S., & Keegan, C. (2011). Further evaluation of response interruption and redirection as treatment for stereotypy. Journal of Applied Behavior Analysis, 44, 95–108. doi:10.1901/jaba.2011.44-95.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). DC: Washington.
Arnold, L. E., et al. (2003). Parent-defined target symptoms respond to risperidone in RUPP autism study: Customer approach to clinical trials. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1443–1450. doi:10.1097/00004583-200312000-00011.
Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, P., & Charman, T. (2006). Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: The Special Needs and Autism Project (SNAP). Lancet, 368, 210–215. doi:10.1016/S0140-6736(06)69041-7.
Barber, A. B., Wetherby, A. M., & Chambers, N. W. (2012). Brief report: Repetitive behaviors in young children with autism spectrum disorder and developmentally similar peers: A follow up to Watt et al. (2008). Journal of Autism and Developmental Disorders, 42, 2006–2012.
Bishop, S. L., Richler, J., Cain, A. C., & Lord, C. (2007). Predictors of perceived negative impact in mothers of children with autism spectrum disorder. American Journal of Mental Retardation, 112, 450–461. doi:10.1352/0895-8017(2007).
Boyd, B. A., McDonough, S. G., Rupp, B., Khan, F., & Bodfish, J. W. (2011). Effects of a family-implemented treatment on the repetitive behaviors of children with autism. Journal of Autism and Developmental Disorders, 41, 1330–1341. doi:10.1007/s10803-010-1156-y.
Boyd, B. A., Rupp, B., & Bodfish, J. W. (2010). Direct observation of repetitive behaviors in autism. Unpublished manual: University of North Carolina at Chapel Hill.
Carter, A. S., Messinger, D. S., Stone, W. L., Celimli, S., Nahmias, A. S., & Yoder, P. (2011). A randomized controlled trial of Hanen’s ‘More Than Words’ in toddlers with early autism symptoms. Journal of Child Psychology and Psychiatry and Allied Disciplines, 52, 741–752. doi:10.1111/j.1469-7610.2011.02395.x.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum Associates.
Constantino, J. N., & Gruber, C. P. (2005). Social Responsiveness Scale (SRS). Los Angeles, CA: Western Psychological Services.
Cunningham, A. B., & Schreibman, L. (2008). Stereotypy in autism: The importance of function. Research in Autism Spectrum Disorders, 2, 469–479. doi:10.1016/j.rasd.2007.09.006.
Dunlap, G., Dyer, K., & Koegel, R. L. (1983). Autistic self-stimulation and intertrial interval duration. American Journal of Mental Deficiency, 88, 194–202.
Gordon, C. T. (2000). Commentary: Considerations on the pharmacological treatment of compulsions and stereotypies with serotonin reuptake inhibitors in pervasive developmental disorders. Journal of Autism and Developmental Disorders, 30, 437–438.
Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, H., et al. (2010). Parent-mediated communication-focused treatment in children with autism (PACT): A randomised controlled trial. The Lancet, 375(9732), 2152–2160. doi:10.1016/S0140-6736(10)60587-9. (eScholarID:81710).
Greenberg, J. S., Seltzer, M. M., Hong, J., & Orsmond, G. I. (2006). Bidirectional effects of expressed emotion and behavior problems and symptoms in adolescents and adults with autism. American Journal of Mental Retardation, 111, 229–249. doi:10.1352/0895-8017(2006).
Guy, W. (1976). Clinical global impression. In: ECDEU assessment manual for psychopharmacology, revised (pp. 218–222). Rockville, MD: National Institute of Mental Health.
Harrop, C., McConachie, H., Emsley, R., Leadbitter, K., & Green, J. (2014). Restricted and repetitive behaviors in autism spectrum disorders and typical development: Cross-sectional and longitudinal comparisons. Journal of Autism and Developmental Disorders, 44(5), 1207–1219.
Hine, J., & Wolery, M. (2006). Using point-of-view video modeling to teach play to preschoolers with autism. Topics in Early Childhood Special Education, 26(2), 83–93.
Honey, E., Leekam, S., McConachie, H., & Turner, M. (2007). Repetitive behaviour and play in typically developing children and children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(6), 1107–1115.
Honey, E., Rodgers, J., & McConachie, H. (2012). Measurement of restricted and repetitive behaviour in children with autism spectrum disorder: Selecting a questionnaire or interview. Research in Autism Spectrum Disorders, 6, 757–776. doi:10.1016/j.rasd.2011.10.011.
Julious, S. A. (2005). Sample size of 12 per group rule of thumb for a pilot study. Pharmaceutical Statistics, 4, 287–291.
Kuhn, D. E., Hardesty, S. L., & Sweeney, N. M. (2009). Assessment and treatment of excessive straightening and destructive behaviour in an adolescent diagnosed with autism. Journal of Applied Behavior Analysis, 42, 355–360. doi:10.1901/jaba.2009.42-355.
Lancaster, G. A., Dodd, S., & Williamson, P. R. (2004). Design and analysis of pilot studies: Recommendations for good practice. Journal of Evaluation in Clinical Practice, 10, 307–312. doi:10.1111/j.2002.384.doc.x.
Leekam, S. R., Nieto, C., Libby, S. J., Wing, L., & Gould, J. (2007a). Describing the sensory abnormalities of children and adults with autism. Journal of Autism and Developmental Disorders, 37, 894–910. doi:10.1007/s10803-006-0218-7.
Leekam, S. R., Prior, M. R., & Uljarevic, M. (2011). Restricted and repetitive behaviors in autism spectrum disorders: A review of research in the last decade. Psychological Bulletin, 137, 562–593. doi:10.1037/a0023341.
Leekam, S., Tandos, J., McConachie, H., Meins, E., Parkinson, K., Wright, C., et al. (2007b). Repetitive behaviours in typically developing 2-year-olds. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48, 1131–1138. doi:10.1111/j.1469-7610.2007.01778.x.
Lidstone, J., Uljarevic, M. (joint first authors), Sullivan, S., Rodgers, J., McConachie, H., Freeston, M., et al. (2014). Relations among restricted and repetitive behaviours, anxiety and sensory features in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 8(2), 82–92.
Lord, C., Rutter, M., DiLavore, P. C., et al. (2012). Autism diagnostic observation schedule, second edition: ADOS-2. Torrance: Western Psychological Services.
Magiati, I., Tay, X. W., & Howlin, P. (2014). Cognitive, language, social and behavioural outcomes in adults with autism spectrum disorders: A systematic review of longitudinal follow-up studies in adulthood. Clinical Psychology Review, 34, 73–86. doi:10.1016/j.cpr.2013.11.002.
McConachie, H., Parr, J., Glod, M., Hanratty, J., Livingstone, N., Oono, I. P., et al. (2015). Systematic review of tools to measure outcomes for young children with autism spectrum disorder. HTA Report (forthcoming).
Militerni, R., Bravaccio, C., Falco, C., Fico, C., & Palermo, M. T. (2002). Repetitive behaviors in autistic disorder. European Child and Adolescent Psychiatry, 11, 210–218. doi:10.1007/s00787-002-0279-x.
Miller, N., & Neuringer, A. (2000). Reinforcing variability in adolescents with autism. Journal of Applied Behavior Analysis, 33, 151–165. doi:10.1901/jaba.2000.33-151.
Mulligan, S., Healy, O., Lydon, S., Moran, L., & Foody, C. (2014). An analysis of treatment efficacy for stereotyped and repetitive behaviors in autism. Journal Autism Developmental Disorders, 1, 143–164.
Oono, I. P., Honey, E. J., & McConachie, H. (2013). Parent-mediated early intervention for young children with autism spectrum disorders (ASD). The Cochrane Database of Systematic Reviews, 4, CD009774. doi:10.1002/14651858.CD009774.pub2.
Parsons, S., & Mitchell, P. (2002). The potential of virtual reality in social skills training for people with autistic spectrum disorders. Journal of Intellectual Disability Research, 46, 430–443.
Rapp, J. T., & Vollmer, T. R. (2005). Stereotypy I: A review of behavioral assessment and treatment. Research in Developmental Disabilities, 26, 527–547. doi:10.1016/j.ridd.2004.11.005.
Ritchie, J., & Spencer, L. (1994). Qualitative data analysis for applied policy research. In A. Bryman & R. G. Burgess (Eds.), Analysing qualitative data (pp. 173–194). London: Routledge.
Rodgers, J., Glod, M., Connolly, B., & McConachie, H. (2012). The relationship between anxiety and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 42, 2404–2409. doi:10.1007/s10803-012-1531-y.
Shafi, D. (2009). How parents of young children with autism manage repetitive behaviour: An observational study. Unpublished Clin. Psy. D. thesis, Newcastle University.
Sofronoff, K., & Farbotko, M. (2002). The effectiveness of parent management training to increase self-efficacy in parents of children with Asperger syndrome. Autism: The International Journal of Research and Practice, 6, 271–286.
Sparrow, S. S., Cicchetti, V. D., & Balla, A. D. (2005). Vineland adaptive behavior scales (2nd ed.). Circle Pines, MN: American Guidance Service.
Swettenham, J. (1996). Can children with autism be taught to understand false belief using computers? Journal of Child Psychology and Psychiatry and Allied Disciplines, 37, 157–165.
Townsend, P., Phillimore, P., & Beattie, A. (1988). Health and deprivation: Inequality and the North. London: Croom Helm.
Turner, M. (1995). Repetitive behaviour and cognitive functioning in autism. Unpublished Ph.D. thesis, University of Cambridge, Cambridge.
Watt, N., Wetherby, A. M., Barber, A., & Morgan, L. (2008). Repetitive and stereotyped behaviors in children with autism spectrum disorders in the second year of life. Journal of Autism and Developmental Disorders, 38, 1518–1533. doi:10.1007/s10803-007-0532-8.
Wetherby, A., & Prizant, B. (2002). Communication and symbolic behavior scales developmental profile—First normed edition. Baltimore, MD: Paul H. Brookes.
Wing, L., Leekam, S. R., Libby, S. J., Gould, J., & Larcombe, M. (2002). The diagnostic interview for social and communication disorders: Background, inter-rater reliability and clinical use. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, 307–325.
World Health Organisation. (1992). International Classification of Diseases (ICD 10. Geneva: World Health Organisation.