Grace W Gengoux, Katherine Paszek, Maria Estefania Millan, Jared Gong, Rebecca Goodman, Sasha Guillory, Gina Baldi, Robin Libove, Jennifer M Phillips, Antonio Y Hardan
{"title":"Randomized Controlled Trial of Developmental Reciprocity Treatment in Young Children with Autism.","authors":"Grace W Gengoux, Katherine Paszek, Maria Estefania Millan, Jared Gong, Rebecca Goodman, Sasha Guillory, Gina Baldi, Robin Libove, Jennifer M Phillips, Antonio Y Hardan","doi":"10.1007/s10803-025-06904-x","DOIUrl":null,"url":null,"abstract":"<p><p>Developmental social pragmatic interventions for autism spectrum disorder (ASD) focus on development of strong interpersonal relationships by encouraging social communication during joint play routines. The goal of the current investigation was to conduct a randomized controlled 24-week pilot trial to examine the efficacy of a Developmental Reciprocity Treatment package (DRT-P), a developmentally-based intervention that includes both parent training and direct treatment with the child, compared to a delayed treatment group (DTG). Thirty-seven children aged 2-5 years with ASD and language delay were randomized. 83% of parents in DRT-P met fidelity of implementation criteria by 24 weeks. Controlling for fidelity, participants in DRT-P showed significantly greater improvement on the Social Responsiveness Scale Total Score (F = 5.00; p = 0.034) and the Clinical Global Impressions Improvement scale; however no significant group differences were observed on the Brief Observation of Social Communication Change, Vineland Adaptive Behavior Scales, or the MacArthur-Bates Communicative Development Inventories. Findings suggest DRT is a promising intervention for improving some aspects of social functioning in young children with ASD. Future research exploring how behavioral and developmental interventions can be optimally combined to target core social difficulties along with adaptive and functional communication skills is expected to be beneficial.</p>","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Autism and Developmental Disorders","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s10803-025-06904-x","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
Developmental social pragmatic interventions for autism spectrum disorder (ASD) focus on development of strong interpersonal relationships by encouraging social communication during joint play routines. The goal of the current investigation was to conduct a randomized controlled 24-week pilot trial to examine the efficacy of a Developmental Reciprocity Treatment package (DRT-P), a developmentally-based intervention that includes both parent training and direct treatment with the child, compared to a delayed treatment group (DTG). Thirty-seven children aged 2-5 years with ASD and language delay were randomized. 83% of parents in DRT-P met fidelity of implementation criteria by 24 weeks. Controlling for fidelity, participants in DRT-P showed significantly greater improvement on the Social Responsiveness Scale Total Score (F = 5.00; p = 0.034) and the Clinical Global Impressions Improvement scale; however no significant group differences were observed on the Brief Observation of Social Communication Change, Vineland Adaptive Behavior Scales, or the MacArthur-Bates Communicative Development Inventories. Findings suggest DRT is a promising intervention for improving some aspects of social functioning in young children with ASD. Future research exploring how behavioral and developmental interventions can be optimally combined to target core social difficulties along with adaptive and functional communication skills is expected to be beneficial.
期刊介绍:
The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.