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Improvements in Social and Adaptive Functioning Following Short-Duration PRT Program: A Clinical Replication

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Abstract

Pivotal Response Treatment (PRT) is an empirically validated behavioral treatment for individuals with autism spectrum disorders (ASD). The purpose of the current study was to assess the efficacy of PRT for ten cognitively-able preschool-aged children with ASD in the context of a short-duration (4-month) treatment model. Most research on PRT used individual behavioral goals as outcome measures, but the current study utilized standardized assessments of broader-based social communication and adaptive skills. The children made substantial gains; however, magnitude and consistency of response across measures were variable. The results provide additional support for the efficacy of PRT as well as evidence for improvements in higher-order social communication and adaptive skill development within the context of a short-duration PRT model.

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References

  • Barlow, D. H., Nock, M. K., & Hersen, M. (2009). Single case experimental designs: Strategies for studying behavior change (3rd ed.). USA: Pearson.

    Google Scholar 

  • Bryson, S. E., Koegel, L. K., Koegel, R. L., Openden, D., Smith, I. M., & Nefdt, N. (2007). Large scale dissemination and community implementation of pivotal response treatment: Program description and preliminary data. Research and Practice for Persons with Severe Disabilities, 32, 142–153.

    Article  Google Scholar 

  • Constantino, J. N. (2012). Social responsiveness scale (2nd ed.). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Coolican, J., Smith, I. M., & Bryson, S. E. (2010). Brief parent training in pivotal response treatment for preschoolers with autism. Journal of Child Psychology and Psychiatry, 51, 1321–1330.

    Article  PubMed  Google Scholar 

  • Dawson, G., Jones, E. J., Merkle, K., Venema, K., Lowy, R., Faja, S., et al. (2012). Early behavioral intervention is associated with normalized brain activity in young children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1150–1159.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., et al. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658.

    Article  PubMed  Google Scholar 

  • Doggett, R. A., Krasno, A. M., Koegel, L. K., & Koegel, R. L. (2013). Acquisition of multiple questions in the context of social conversation in children with autism. Journal of Autism and Developmental Disorders, 43, 2015–2025.

  • Dunlap, G. (1984). The influence of task variation and maintenance tasks on the learning and affect of autistic children. Journal of Experimental Child Psychology, 37, 41–64.

    Article  PubMed  Google Scholar 

  • Dunlap, G., & Egel, A. L. (1982). Motivational techniques. Educating and Understanding Autistic Children, 106–126.

  • Dunlap, G., & Koegel, R. L. (1980). Motivating autistic children through stimulus variation. Journal of Applied Behavior Analysis, 13, 619–627.

    Article  PubMed  PubMed Central  Google Scholar 

  • Elliott, C. D. (2006). Differential ability scales—second edition (DAS-II). San Antonio: Psychological Corporation.

    Google Scholar 

  • Gotham, K., Risi, S., Dawson, G., Tager-Flusberg, H., Joseph, R., Carter, A., et al. (2008). A replication of the autism diagnostic observation schedule (ADOS) revised algorithms. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 642–651.

    Article  PubMed  PubMed Central  Google Scholar 

  • Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, P., et al. (2010). Parent-mediated communication-focused treatment in children with autism. Lancet, 19, 2152–2160.

    Article  Google Scholar 

  • Guy, W. (1976). Clinical global impression scale. The ECDEU assessment manual for psychopharmacology-revised. Volume DHEW Publ No ADM 76, 28–222.

  • Ilardi, S. S., & Craighead, W. E. (1994). The role of nonspecific factors in cognitive-behavior therapy for depression. Clinical Psychology: Science and Practice, 1, 138–155.

    Google Scholar 

  • Koegel, R. L., Camarata, S., Koegel, L. K., Ben-Tall, A., & Smith, A. E. (1998). Increasing speech intelligibility in children with autism. Journal of Autism and Developmental Disorders, 28, 241–251.

    Article  PubMed  Google Scholar 

  • Koegel, R. L., & Egel, A. L. (1979). Motivating autistic children. Journal of Abnormal Psychology, 88, 418.

    Article  PubMed  Google Scholar 

  • Koegel, R. L., & Frea, W. D. (1993). Treatment of social behavior in autism through the modification of pivotal social skills. Journal of Applied Behavior Analysis, 26, 369–377.

    Article  PubMed  PubMed Central  Google Scholar 

  • Koegel, R. L., & Koegel, L. K. (2006). Pivotal response treatments for autism: Communication, social, and academic development. Brookes Publishing Company. PO Box 10624, Baltimore, MD 21285.

  • Koegel, R. L., & Koegel, L. K. (2012). The PRT pocket guide: Pivotal response treatment for autism spectrum disorders. Brookes Publishing Company. PO Box 10624, Baltimore, MD 21285.

  • Koegel, R. L., Koegel, L. K., & Brookman, L. I. (2003). Empirically supported pivotal response interventions for children with autism. In A. E. Kazdin (Ed.), Evidence-based psychotherapies for children and adolescents: evidence-based psychotherapies for children and adolescents (pp. 341–357). Yale University School of Medicine & Child Study Center.

  • Koegel, R. K., Koegel, L. K., Green-Hopkins, I., & Barnes, C. C. (2010). Brief report: Question-asking and collateral language acquisition in children with autism. Journal of Autism and Developmental Disorders, 40, 509–515.

    Article  PubMed Central  Google Scholar 

  • Koegel, R. L., O’Dell, M. C., & Koegel, L. K. (1987). A natural language teaching paradigm for nonverbal autistic children. Journal of Autism and Developmental Disorders, 17, 187–200.

    Article  PubMed  Google Scholar 

  • Koegel, R. L., Schreibman, L., Good, A., Cerniglia, L., Murphy, C., & Koegel, L. K. (1989). How to teach pivotal behaviors to children with autism: A training manual. University of California, Graduate School of Education.

  • Laski, K. E., Charlop, M. H., & Schreibman, L. (1988). Training parents to use the natural language paradigm to increase their autistic children’s speech. Journal of Applied Behavior Analysis, 21, 391–400.

    Article  PubMed  PubMed Central  Google Scholar 

  • LeBlanc, L. A., Geiger, K. B., Sautter, R. A., & Sidener, T. M. (2007). Using the natural language paradigm (NLP) to increase vocalizations of older adults with cognitive impairments. Research in Developmental Disabilities, 28, 437–444.

    Article  PubMed  Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr, Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule—generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism diagnostic observation schedule-WPS edition. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Lovaas, O. I., et al. (1973). Some generalization and follow up measures on autistic children in behavior therapy. Journal of Applied Behavior Analysis, 6, 131–165.

    Article  PubMed  PubMed Central  Google Scholar 

  • Macmillan, D. L. (1971). The problem of motivation in the education of the mentally retarded. Exceptional Children, 37, 579–586.

    PubMed  Google Scholar 

  • Majnemer, A., Shevell, M. I., Rosenbaum, P., & Abrahamowicz, M. (2002). Early rehabilitation service utilization patterns in young children with developmental delays. Child: Care, Health and Development, 28, 29–37.

    Google Scholar 

  • Minjarez, M. B., Williams, S. E., Mercier, E. M., & Hardan, A. Y. (2011). Pivotal response group treatment program for parents of children with autism. Journal of Autism and Developmental Disorders, 41, 92–101.

    Article  PubMed  Google Scholar 

  • Rao, P. A., Beidel, D. C., & Murray, M. J. (2008). Social skills interventions for children with asperger’s syndrome or high-functioning autism: A review and recommendations. Journal of Autism and Developmental Disorders, 38, 353–361.

    Article  PubMed  Google Scholar 

  • Rogers, S. J., & Dawson, G. (2010). Early start Denver model for young children with autism: Promoting language, learning, and engagement. New York: Guilford Press.

  • Rutter, M., Bailey, A., & Lord, C. (2003a). SCQ: Social communication questionnaire. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Rutter, M., Le Couteur, A., & Lord, C. (2003b). Autism diagnostic interview-revised. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Sansosti, F. J., & Powell-Smith, K. A. (2006). High-functioning autism and asperger’s syndrome. Children’s needs III: Development, prevention, and intervention, 949–963.

  • Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: Second edition (Vineland II), survey interview form. Livonia: Pearson Assessments.

    Google Scholar 

  • Stahmer, A. C. (1995). Teaching symbolic play skills to children with autism using pivotal response training. Journal of Autism and Developmental Disorders, 25, 123–141.

    Article  PubMed  Google Scholar 

  • Steiner, A. M., Gengoux, G. W., Klin, A., & Chawarska, K. (2013). Pivotal response treatment for infants at-risk for autism spectrum disorders: A pilot study. Journal of Autism and Developmental Disorders, 43, 91–102.

    Article  PubMed  PubMed Central  Google Scholar 

  • Szatmari, P., Bartolucci, G., Bremner, R., Bond, S., & Rich, S. (1989). A follow-up study of high-functioning autistic children. Journal of Autism and Developmental Disorders, 19, 213–225.

    Article  PubMed  Google Scholar 

  • Tachibana, M., Kagitani-Shimono, K., Mohri, I., Yamamoto, T., Sanefuji, W., Nakamura, A., et al. (2013). Long-term administration of intranasal oxytocin is a safe and promising therapy for early adolescent boys with autism spectrum disorders. Journal of Child and Adolescent Psychopharmacology, 23, 123–127.

    Article  PubMed  Google Scholar 

  • Venter, A., Lord, C., & Schopler, E. (1992). A follow-up study of high-functioning autistic children. Journal of Child Psychology and Psychiatry, 33, 489–597.

    Article  PubMed  Google Scholar 

  • Vernon, T., Koegel, R. L., Dauterman, H., & Stolen, K. (2012). An early social engagement intervention for young children with autism and their parents. Journal of Autism and Developmental Disorders, 42, 2702–2717.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wiig, E. H., Secord, W., & Semel, E. M. (2004). CELF Preschool 2: Clinical evaluation of language fundamentals preschool. Pearson/PsychCorp.

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Acknowledgments

Funding for this study came from The Deitz Family, the Harris Professorship at the Yale Child Study Center given to Kevin Archer Pelphrey, Allied World, and Autism Science Foundation. We wish to thank the families of the children included in this study for their time and participation. We also wish to thank our colleagues Cara Keifer, Avery Voos, Jonathan Tirrell, and Cara Cordeaux for their contributions to the treatment work and clinical characterization of the sample.

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Correspondence to Pamela Ventola.

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Ventola, P., Friedman, H.E., Anderson, L.C. et al. Improvements in Social and Adaptive Functioning Following Short-Duration PRT Program: A Clinical Replication. J Autism Dev Disord 44, 2862–2870 (2014). https://doi.org/10.1007/s10803-014-2145-3

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