Effect of Multidisciplinary Intervention on Clinical Outcomes of Children with Autism Spectrum Disorder in Mumbai, India.
Purpose: To analyse clinical outcomes in terms of functional changes in children with Autism Spectrum Disorder (ASD), before and after receiving a multidisciplinary developmental intervention programme. Methods: Structured goal-oriented multidisciplinary intervention, individualised to each child, w...
| Publicado en: | Disability, CBR & Inclusive Development Vol. 28; no. 2; pp. 95 - 117 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Asia Pacific Disability Rehabilitation Journal
Summer2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125354328&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125354328 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22115242 BGWU jtl: Disability, CBR & Inclusive Development issn: 22115242 maglogo: N pubinfo: dt: Summer2017 vid: 28 iid: 2 pid: 20475 pub: Asia Pacific Disability Rehabilitation Journal place: Jayanagar, Bangalore - 560011, <Blank> artinfo: ui: 125354328 125354328 125354328 10.5463/dcid.v28i2.508 125354328 ppf: 95 ppct: 22 formats: fmt: @attributes: type: P tig: atl: Effect of Multidisciplinary Intervention on Clinical Outcomes of Children with Autism Spectrum Disorder in Mumbai, India. aug: au: Dalwai, Samir H. Modak, Deepti Kanade Bondre, Ameya P. Ansari, Sajeda Siddiqui, Dania Gajria, Diksha affil: New Horizons Child Development Centre, Mumbai, India sug: subj: Autism Spectrum Disorder In Infancy and Childhood Children with Disabilities Education Functional Status Outcomes (Health Care) India Program Evaluation India Human India Multidisciplinary Care Team Pretest-Posttest Design Child Development Child Secondary Analysis Child, Preschool Occupational Therapy Speech Therapy Parents Education Treatment Duration Scales Descriptive Statistics Paired T-Tests Object Manipulation Visual Perception Adaptation, Psychological Quantitative Studies Male Female Income Home Environment Child: 6-12 years Child, Preschool: 2-5 years Male Female ab: Purpose: To analyse clinical outcomes in terms of functional changes in children with Autism Spectrum Disorder (ASD), before and after receiving a multidisciplinary developmental intervention programme. Methods: Structured goal-oriented multidisciplinary intervention, individualised to each child, was implemented through 5 child development centres in Mumbai, India, in 2014-2015. Secondary data analysis of 38 children diagnosed with ASD, in the age group of 2.1 - 6.1 years, was conducted. All children received occupational therapy and speech therapy, and parental counselling was also done. The average number of intervention sessions were 48-72 for occupational therapy (twice or thrice a week), 24-48 for speech therapy (once or twice a week) and 5-6 for parental counselling (once a month). Childhood Autism Rating Scale (CARS) and Vineland Social Maturity Scale (VSMS) were used for assessment, before and after intervention. Results: Mean positive difference in CARS total scores through paired t-test was 4.18 (p < 0.0001). Significant positive changes in functional ability were observed in most of the sub-scales (relating to people; object use; visual response; verbal and non-verbal communication; taste, smell and touch response and use; level and consistency of intellectual response and general impression). Paired t-test also showed significant positive changes on all VSMS sub-scales, except Socialisation. Conclusions: The model used in this multidisciplinary intervention, and adherence to its protocols, has the potential to improve functional ability (or the child's adaptation to his/her condition) in children with ASD, in a region with limited awareness of developmental disabilities. Limitations: Separate effects of factors outside the intervention could not be tested due to inadequate sample sizes for sub-analyses. Results also need to be validated by tests that do not depend on parental reporting (e.g., CARS and VSMS) but assess the performance of the child instead. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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