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How Effective are Evidence-Based Practices for Autism Spectrum Disorder?

How Effective are Evidence-Based Practices for Autism Spectrum Disorder?

By | Blog

Children with autism spectrum disorder – or even a suspected diagnosis – can significantly benefit from early intervention by virtue of evidence-based practices (EBPs). According to The National Professional Development Center on Autism Spectrum Disorder, ‘An evidence-based practice is an instructional/intervention procedure or set of procedures for which researchers have provided an acceptable level of research that shows the practice produces positive outcomes for children, youth, and/or adults with ASD.’

Moreover, recent research by the Frank Porter Graham Child Development Institute, in association with the National Professional Development Center on ASD, identified 27 evidence-based practices. These interventions were found to be effective for children, supported via exhaustive scientific research and analysis. In our previous blog, we discussed the top seven evidence-based treatments effective for ASD as well as the integral role of ABA in autism treatment.

And now, let’s take a closer look at the next 20 evidence-based practices with demonstrated efficacy in the field of ASD therapy and treatment –

Visual Supports – Visual supports target numerous adaptive behavior skills, such as task engagement, transitions across activities, independent performance, and enhanced response chain length. Visual supports have also proven effective in augmenting skills across areas, like social initiation, the demonstration of play skills, and social interaction skills.

Time Delay – Time delay, effective for pre-schoolers to young adults (19-22 years) with ASD, can be used effectively to address communication, behavior, social, joint attention, play, school-readiness, cognitive, academic, adaptive, and motor skills.

Task Analysis – Task analysis (TA) entails breaking a chained or complex behavioral ability into smaller components to inculcate a skill. As per evidence-based studies, this intervention can be used to address social, joint attention, self-help, motor, communication, and academic skills.

Structured Play Groups – Structured play groups (SPG) are interventions that include small groups to teach a broad range of outcomes. This intervention is effective for elementary school-age learners between 6-11 years with autism.

Social Narratives – Social narratives are aimed at helping learners adjust to routine changes and adapt based on social as well as physical cues. Moreover, this EBP can also be used to teach specific social behaviors and skill sets.

Picture Exchange Communication System (PECS) – Primarily used to teach learners to communicate in a social context, during PECS, learners are initially taught to give a picture of a desired item to a communicative partner in exchange for the item.

Video Modeling – Video modeling (VM) is a method of instruction that utilizes display equipment and video recording in order to offer a visual model of the targeted skill or behavior.

Self-Management – As an intervention package that teaches children to independently regulate their behavior, self-management helps teach children to discriminate between inappropriate as well as appropriate behaviors. It also helps learners accurately record and monitor their own behaviors and reinforce themselves for behaving in a suitable manner.

Reinforcement – Mainly utilized to teach new skills while enhancing behavior, reinforcement helps establish the relationship between the learner’s behavior or use of skill as well as the consequence of the same.

Social Skills Training – The majority of social skills training intervention meetings include role-playing or practice, instruction on basic concepts, and feedback. This approach helps learners acquire as well as practice communication and social skills, thereby encouraging positive interactions with peers

Prompting – Prompting procedures include verbal, physical, or gestural assistance provided to children in order to help them acquire or engage in a targeted behavior or skill.

 Scripting – Scripting (SC) involves the presentation of a written and/or verbal description of a particular situation, serving as a model for the child. The primary basis of SC is to help learners on the autism spectrum anticipate what may occur during a given activity, thus improving their ability to participate in the same.

 Parent-Implemented Intervention – Parent-implemented intervention (PII) involves programs in which parents are tasked with carrying out some (or all) of the interventions with their child. In this approach, parents are trained by professionals to teach new skills in group formats or one-on-one in a community or home setting.

 Differential Reinforcement – Differential reinforcement of alternative, incompatible, or other behavior (DRA/I/O) aims to teach new skills. This approach helps lessen the incidence of undesirable behavior, such as tantrums, self-injury, stereotypic behavior, and aggression. 

 Naturalistic Intervention – Naturalistic intervention (NI) is a collection of practices based on applied behavior analysis (ABA) principles. These practices are designed to encourage specific target behaviors based on the child’s core interests by establishing more complex skills that are not only appropriate to the interaction but also naturally reinforcing.

 Modeling – Often combined with other strategies like reinforcement and prompting, modeling includes the demonstration of a desired target behavior, resulting in imitation and subsequent acquisition of the imitated behavior.

 Extinction – Extinction (EXT), a strategy based on applied behavior analysis (ABA), is used to reduce or eliminate challenging behavior. This intervention has been effective for pre-schoolers (3-5 years) to high school-age learners (15-18 years) on the autism spectrum.

 Exercise – Exercise (ECE) is a strategy that includes a rise in physical exertion as a means of increasing appropriate behavior or minimizing problem behaviors. This approach also helps improve physical fitness as well as motor skills.

 Discrete Trial Teaching – Discrete trial teaching (DTT) is characterized as a one-to-one instructional approach used to teach skills in a controlled, planned, as well as systematic manner.

 Functional Communication Training – Functional communication training (FCT) is a systematic practice that aims to replace subtle communicative acts or inappropriate behavior with more appropriate as well as effective communication skills and behaviors.

With the autism spectrum being so incredibly diverse, there is an ever-growing need for efficient treatment methods. And in this regard, intervention science continues to play a pivotal role in offering evidence that ascertains whether therapies and practices are effective in providing the best possible results.

And at Early Autism Services (EAS), our board-certified behavior analysts are thoroughly trained in applying evidence-based treatments for autism, evaluating treatment strategies, and effectively conducting behavioral assessments. So, if you’re ready to provide your little one with the best autism care in Bengaluru, contact us right away by requesting a free consultation.

 

Evidence-Based Practices & Treatments for Autism Spectrum Disorder (ASD)

Evidence-Based Practices & Treatments for Autism Spectrum Disorder (ASD)

By | Blog

Over the years, extensive research has indicated that individuals, as well as children diagnosed with ASD, benefit from early and appropriate interventions throughout the course of their lives. In this regard, children on the autism spectrum reap significant advantages through treatments that incorporate evidence-based approaches predominantly for targeting developmental skills. As parents and caregivers consider treatment methods for autism spectrum disorder, it is essential to recognize approaches that have proven or demonstrated efficacy.

So, what exactly are evidence-based practices and treatments for autism?

What is evidence bases practices in treating autism

Evidence-based practices (EBPs) are well-researched interventions that are shown to be safe as well as effective via scientific investigation. According to the National Professional Development Center on ASD, efficacy must be established through peer-reviewed research in scientific journals by virtue of accepted high-standard methodologies. Evidence-based practices or treatments for ASD are established on objective scientific evidence, including the demonstration of measurable results and thorough investigative studies. Here, research plays an integral role in terms of determining whether a treatment is actually effective and, in turn, enabling applied behavioral analysts to design and implement suitable strategies for treatment based on scientific research.

In contrast, non-evidence-based therapies or treatments have not been subjected to former scientific research and inquiry, and have no proof or solid foundation for their effectiveness.

For many parents of children on the autism spectrum, evidence-based therapies’ scientific validation can also grant an added sense of assurance and peace of mind regarding the high likelihood of favorable or positive outcomes.

Evidence-Based Practices for Children with Autism

27 evidence-based practices were identified by the Frank Porter Graham Child Development Institute in association with the National Professional Development Center on ASD.

Given below is an incredibly useful list for those willing to know more about scientifically-researched interventions with the highest rates of effectiveness. And for your reference, we have highlighted some of the most commonly used evidence-based autism therapies in order to help you make the right choice –

Cognitive Behavioral Intervention (CBI)

This evidenced-based practice is grounded on the belief that behavior is facilitated by cognitive processes. These interventions are mainly used with children displaying problematic behavior related to specific emotions or feelings, such as anger or anxiety. CBI helps address social, communication, behavior, and cognitive health outcomes, predominantly for elementary school-age learners (6-11 years) to high school-age learners (15-18 years) with autism.

Technology-Aided Instruction and Intervention

Technology, as the central feature of this intervention approach, is used intentionally to increase/maintain and improve daily living, work, productivity, recreation, and leisure capabilities of children with autism spectrum disorder. According to evidence-based studies, this intervention has been effective for pre-schoolers (3-5 years) to young adults (19-22 years) diagnosed with autism.

Antecedent-Based Interventions (ABI)

Antecedent-based interventions (ABI) entail various modifications made to the environment in an attempt to shape or change a child’s behavior. Some of the most common ABI procedures include enriching the environment in order to offer additional cues or access to more materials and incorporating the child’s choice in educational activities or materials. As per evidence-based studies, this intervention method has been effective for toddlers (0-2 years) to young adults (19-22 years) on the autism spectrum.

Functional Behavior Assessment (FBA)

This evidence-based practice is generally used to identify the causes of interfering behaviors: aggression towards others, self-injury, or destructive behaviors. It is typically followed by the creation as well as the implementation of a behavior package in order to address the interfering conduct described.

Peer-Mediated Instruction and Intervention

Peer-mediated instruction and intervention (PMII) is used to teach typically developing peers methods to interact with as well as help learners on the autism spectrum acquire new behavior and communication skills by increasing social opportunities within natural environments. With PMII, peers are methodically taught ways of engaging children with autism in social interactions in both learner-initiated as well as teacher-directed activities.

Response Interruption/Redirection

Response interruption/redirection includes the introduction of a comment, prompt, or other distractors when an interfering behavior occurs. These prompts are designed to divert the attention of the child away from the intrusive behavior and subsequently, lead to its reduction.

Pivotal Response Training

Pivotal response training (PRT) is a naturalistic intervention based on the principles of applied behavior analysis (ABA). Building on learner initiative as well as interests, PRT is particularly effective for the development of communication, play, language, and social behaviors for toddlers (0-2 years) to middle school-age learners (12-14 years) on the autism spectrum.

To summarise, some of the most commonly used evidence-based autism therapies 

  • Cognitive Behavioral Intervention (CBI)
  • Technology-Aided Instruction and Intervention
  • Antecedent-Based Interventions (ABI)
  • Functional Behavior Assessment (FBA)
  • Peer-Mediated Instruction and Intervention
  • Response Interruption/Redirection
  • Pivotal Response Training

The Integral Role of ABA in Autism Treatment 

As other potential and developing practices continue to be analyzed in empirical studies, some of them will undoubtedly be identified as evidence-based. In this regard, several EBPs draw directly from the science of Applied Behavior Analysis (ABA), which at its core, is used to enhance an individual’s quality of life.

According to Autism Speaks, more than 20 studies have demonstrated that long-term and intensive therapy using ABA principles plays a significant role in improving outcomes for several children with autism. The research finds key improvements in areas such as language development, social and intellectual functioning, as well as other skill sets integral to daily life.

High quality ABA programs, such as those offered by Early Autism Services (EAS), prioritize the values and individual goals of the child. Moreover, it also focuses on meaningful skill development and close collaborations with the little ones as well as their families. At Early Autism Services (EAS), our board-certified behavior analysts are proficient in implementing evidence-based treatments for autism, evaluating treatment strategies, and effectively conducting behavioral assessments. So, if you’re ready to provide your little one with the best autism care in Bengaluru, contact us right away by requesting a free consultation

Learning styles of children suffering from Autism Spectrum Disorder

Learning Styles of Children with Autism Spectrum Disorder (ASD)

By | Blog

Learning styles is characterized as a concept that describes the method through which individuals acquire information about their surroundings and environment. The main types of learning styles include auditory learning – listening to a live or pre-recorded lecture; visual learning – reading a textbook or picture book; and kinesthetic or hands-on’ learning pressing buttons on a remote to understand how the device operates.  

While every person has a unique style of learning, this factor plays an important role in influencing how they perform in an educational setting. However, since children diagnosed with autism spectrum disorder (ASD) have non-conforming educational and intellectual profiles, it is challenging for teachers, as well as parents or caregivers, to curate a curriculum that aligns with their abilities and to develop successful academic opportunities. As a result, the increasing incidence of autism diagnosis calls for building an improved understanding of students’ unique profiles and planning syllabi that are mindfully created by thoughtful consideration of learning styles and preferences.

Which Learning Style Does My Child Prefer?

As children on the autism spectrum primarily rely on one style of learning, it is important that you closely observe your little one’s predominant learning preference. For example, if your child mostly prefers to play with building blocks, push buttons and shapes to produce sounds or lights, open and close closets or drawers, and is constantly taking toys apart and placing them back together, these factors may indicate that he or she is a ‘hands-on’ or kinesthetic learner. On the other hand, if your child mainly learns by looking at picture books, watching TV (without or with sound), and carefully observing their surroundings, your little one is most likely a visual learner. Likewise, your child is mostly an auditory learner if he or she prefers listening to music and engaging in auditory stimulus more than consuming visually-interactive content and absorbing information by actively talking and interacting with those around them.

Let’s learn more about identifying the common learning styles of children with autism –

Visual

Visuals are appealing to children as it presents a complete picture in just a glance. Moreover, visual aids such as diagrams, flashcards, picture books, etc., can also be utilized as the beginning point for introducing the child to more challenging concepts in subjects like mathematics and science. This method of learning can help students better grasp abstract concepts, including complex feelings and emotions, as well.

Kinesthetic

Kinesthetic children learn best by touching and acquiring a tactile, hands-on experience. These learners tend to enjoy activities such as crafts, painting, playing with building blocks, and even taking toys apart so they can ultimately figure out how to put them back together again. Since hands-on learners learn best by practically engaging in an activity, they may often be observed going around the house or classroom to discover and explore things and objects with their hands.

Auditory

For students who mainly rely on their auditory abilities to grasp information, parents and teachers may observe that while these children may not always make a lot of eye contact, they are actively paying attention to what’s being said and will answer when asked a question or spoken to. Auditory learners are more inclined towards hearing information elucidated verbally and, in fact, learn better via listening and participating in conversations. Furthermore, they may also display an ardent interest in reading aloud, learning new languages, and listening to music.

Keeping these styles of learning in mind, it is also essential to note that students with ASD feel increasingly more comfortable in their general learning environment when their unique physiological, sociological, psychological, and environmental needs are adequately met. Accordingly, parents and teachers alike must develop an aptitude for carefully analyzing different ability profiles to create learning spaces that are more enriching, encouraging, and welcoming for children on the autism spectrum. These steps would not only help generate more successful academic experiences but also boost the child’s enthusiasm toward learning and intellectual development.  

Effectively Supporting Your Child’s Learning Style

Support your child's learning style if they have autism spectrum disorder

When parents, as well as teachers, recognize that every student possesses a unique set of needs and preferred learning styles, they are more equipped to develop a learning environment that is conducive to success. Researchers focused on exploring different learning styles have also found that high-risk students benefit most from instruction tailored and personalized according to their preferred learning style.

Therefore, it is important that teachers and parents identify the child’s preferred mode of learning as soon as they enter the school system or a home-based learning environment and establish efforts to adapt their methods based on the student’s strengths and abilities. This will certainly ensure that the child has the greatest chance for academic success!

You can also explore real-world experiences that augment your child’s learning and understanding. For example, if your child is highly interested in and passionate about wildlife, or animals in general, a great idea is to visit a petting zoo or an animal shelter. Through this, the child will gain a more holistic view and will also be able to develop a wider understanding of the world. In addition to helping your child retain more information, such experiences present your little one with meaningful insights in a way that sufficiently meets their individual learning style.

Remember that parents and teachers have a significant influence on children. And in this regard, early childhood therapies and programs, such as those offered by Early Autism Services (EAS), are uniquely optimized in a manner that supports and caters to your child’s strengths and requirements. For more information on this, feel free to get in touch with us by requesting a free consultation or speaking with our expert clinician (+91 8929153820) today!­­­­