1. PICO Presentation
By: amy fox rn
Cohp 450

2. 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?

3. Research Search Words Search Engines Results of search Autism
Behavioral Interventions
Applied Behavioral Interventions(ABA) Therapy
Speech and Language Development
Research Articles found using FLITE library database through Ferris State University
Two articles found related to my PICO question topic

4. 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), doi: /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), , doi: /

5. Rationale Articles chosen based on topic Limited resources
Chose 2 different types of interventions

6. 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
Theory
Type of Study
Design
Applied behavioral analysis (ABA) therapy would show improvements in speech and language in children with Autism Spectrum Disorder (ASD)
Quantitative study needed for meta- analysis
systematic reviews
Randomized control trials
Quantitative data

7. Multiple studies meeting criteria
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
Findings
Search Study
Multiple studies meeting criteria
Inadequate evidence
More research needed

8. Behavioral and Physiological Responses to Child-Directed Speech as Predictors of Communication Outcomes in Children With Autism Spectrum Disorders
Theory
Type of Study
Design
to determine if communication skills improve with Child- Directed Speech therapy in Autistic Children 12 months after initial therapy
Longitudinal Study
All boy study with re- evaluation 12 months after therapy initiated

9. Multiple studies screened to meet criteria Inadequate evidence
Behavioral and Physiological Responses to Child-Directed Speech as Predictors of Communication Outcomes in Children With Autism Spectrum Disorders (continued)
Methods
Findings
Search Study
Multiple studies screened to meet criteria
Inadequate evidence
More research needed

10. 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

11. Efficacy of Applied Behavioral Intervention in Preschool Children with Autism for improving Cognitive, Language, and Adaptive Behavior: A Systematic Review and Meta-analysis
Strengths
Quality
Credibility
Specific Target Group
Children ages 18months- 6years
All have Autism Spectrum Disorder or Pervasive Development Disorder
Inadequate Evidence
Broader outcomes needed for adequate evidence that ABA could be beneficial
Scholarly Journal

12. Behavioral and Physiological Responses to Child-Directed Speech as Predictors of Communication Outcomes in Children With Autism Spectrum Disorders.
Strengths
Quality
Credibility
Specific all boy target group
<24 months of age at entry
Re-evaluation 12 months after receiving therapy
Limited study due to small sample size
Scholarly journal
Peer reviewed

13. Relevant To Practice Communication 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

14. Barriers to Autism Care
Policy- not indicated
Resources- not everyone has access to specialized therapies
Values- Early intervention recommended

15. 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?

16. Conclusion Study 1 Study 2
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 2
Behavioral 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