PICO Presentation

BY: AMY FOX RN

COHP 450

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.

Rationale Articles chosen based on topic

Limited resources

Chose 2 different types of interventions

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