Randomized Controlled Caregiver Mediated Joint Engagement Intervention for Toddlers with Autism

被引:440
作者
Kasari, Connie [1 ,2 ]
Gulsrud, Amanda C. [2 ]
Wong, Connie [3 ]
Kwon, Susan [2 ]
Locke, Jill [1 ]
机构
[1] Univ Calif Los Angeles, Div Psychol Studies Educ, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Ctr Autism Res & Treatment, Semel Inst Neurosci & Human Behav, Los Angeles, CA 90024 USA
[3] Cleveland State Univ, Div Early Childhood Special Educ Teacher Educ, Cleveland, OH 44115 USA
关键词
Joint engagement intervention; Joint attention; Autism; PRESCHOOL-CHILDREN; ATTENTION; LANGUAGE; PLAY; DISORDERS;
D O I
10.1007/s10803-010-0955-5
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
This study aimed to determine if a joint attention intervention would result in greater joint engagement between caregivers and toddlers with autism. The intervention consisted of 24 caregiver-mediated sessions with follow-up 1 year later. Compared to caregivers and toddlers randomized to the waitlist control group the immediate treatment (IT) group made significant improvements in targeted areas of joint engagement. The IT group demonstrated significant improvements with medium to large effect sizes in their responsiveness to joint attention and their diversity of functional play acts after the intervention with maintenance of these skills 1 year post-intervention. These are among the first randomized controlled data to suggest that short-term parent-mediated interventions can have important effects on core impairments in toddlers with autism. Clinical Trials #: NCT00065910.
引用
收藏
页码:1045 / 1056
页数:12
相关论文
共 26 条
[1]   The development of symbol-infused joint engagement [J].
Adamson, LB ;
Bakeman, R ;
Deckner, DF .
CHILD DEVELOPMENT, 2004, 75 (04) :1171-1187
[2]   A new social communication intervention for children with autism: pilot randomised controlled treatment study suggesting effectiveness [J].
Aldred, C ;
Green, J ;
Adams, C .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2004, 45 (08) :1420-1430
[3]  
[Anonymous], 1997, MULLEN SCALES EARLY
[4]   COORDINATING ATTENTION TO PEOPLE AND OBJECTS IN MOTHER-INFANT AND PEER-INFANT INTERACTION [J].
BAKEMAN, R ;
ADAMSON, LB .
CHILD DEVELOPMENT, 1984, 55 (04) :1278-1289
[5]   Predicting language outcome in infants with autism and pervasive developmental disorder [J].
Charman, T ;
Baron-Cohen, S ;
Swettenham, J ;
Baird, G ;
Drew, A ;
Cox, A .
INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS, 2003, 38 (03) :265-285
[6]   A pilot randomised control trial of a parent training intervention for pre-school children with autism - Preliminary findings and methodological challenges [J].
Drew, A ;
Baird, G ;
Baron-Cohen, S ;
Cox, A ;
Slonims, V ;
Wheelwright, S ;
Swettenham, J ;
Berry, B ;
Charman, T .
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 2002, 11 (06) :266-272
[7]   Multiple effects of joint attention intervention for children with autism [J].
Jones, Emily A. ;
Carr, Edward G. ;
Feeley, Kathleen M. .
BEHAVIOR MODIFICATION, 2006, 30 (06) :782-834
[8]   Joint attention and symbolic play in young children with autism: a randomized controlled intervention study [J].
Kasari, C ;
Freeman, S ;
Paparella, T .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2006, 47 (06) :611-620
[9]   AFFECTIVE SHARING IN THE CONTEXT OF JOINT ATTENTION INTERACTIONS OF NORMAL, AUTISTIC, AND MENTALLY-RETARDED CHILDREN [J].
KASARI, C ;
SIGMAN, M ;
MUNDY, P ;
YIRMIYA, N .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 1990, 20 (01) :87-100
[10]   Language outcome in autism: Randomized comparison of joint attention and play interventions [J].
Kasari, Connie ;
Paparella, Tanya ;
Freeman, Stephanny ;
Jahromi, Laudan B. .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2008, 76 (01) :125-137