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EmergingRandomised Controlled Trial

Feasibility and Initial Efficacy of an Adapted Telepractice Listening Comprehension Intervention for School-Aged Children with Autism.

Journal of autism and developmental disorders2023

Henry Alyssa R, Conner Carlin, Zajic Matthew C, Solari Emily J

What this study means for families

Researchers tested an online listening program called BVERS for 14 primary school children with autism over 11 weeks. Some families also received parent training. All parents were happy with how the program was delivered, and 8 out of 10 were pleased with their child's progress. Children improved their listening comprehension skills, but didn't show gains in storytelling or vocabulary. Both groups (with and without parent training) had similar results.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This randomized controlled trial examined the feasibility and initial efficacy of Building Vocabulary and Early Reading Strategies (BVERS), an 11-week telepractice listening comprehension intervention for 14 elementary-aged children with autism. Participants were randomly assigned to BVERS alone or BVERS with parent instruction. The intervention demonstrated feasibility with high parent satisfaction rates (100% satisfied with implementation, 80% satisfied with outcomes). Statistical analysis showed significant improvement in listening comprehension post-intervention, though no gains were observed in narrative retell or vocabulary skills.

No differences were found between the two intervention groups, suggesting similar effectiveness regardless of parent instructional component inclusion.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    The telepractice listening comprehension intervention was feasible to implement with 100% parent satisfaction with delivery

    Confidence: moderateRelevance: High - demonstrates viability of remote service delivery for autism interventions
  • 2

    Significant improvement in listening comprehension skills following the 11-week intervention

    Confidence: limitedRelevance: Moderate - shows potential benefit for specific language skill development
  • 3

    No significant improvements in narrative retell or vocabulary skills

    Confidence: limitedRelevance: Moderate - suggests intervention specificity and need for broader language targets
  • 4

    No differences between BVERS alone and BVERS with parent component groups

    Confidence: limitedRelevance: Low - may inform resource allocation decisions for intervention delivery

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Results suggest telepractice delivery of listening comprehension interventions is feasible for autistic children. However, the small sample and limited gains beyond listening comprehension indicate need for larger trials and broader outcome assessment before clinical implementation recommendations.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Very small sample size (n=14) limits generalizability. Short-term follow-up only. Limited outcome measures assessed. Lack of control group receiving no intervention. Statistical power concerns given sample size may affect reliability of null findings for vocabulary and narrative skills.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

This study evaluates the feasibility and initial efficacy of an 11-week listening comprehension intervention, Building Vocabulary and Early Reading Strategies (BVERS) that was delivered remotely to 14 elementary-aged children with autism spectrum disorder. Children were randomly assigned to one of two groups: BVERS only, or BVERS with a parent instructional component (BVERS + PC). Results indicate that the intervention was feasible to implement. All parents were satisfied with intervention implementation, and 8 of 10 stated that they were satisfied with their child's outcomes following the intervention.

Results of a Wilcoxon signed-rank test showed growth in listening comprehension following the intervention, but no growth in narrative retell or vocabulary. There were no group differences in change scores from pre- to post-test.

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Evidence Grade

Emerging

emerging

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Type
Randomised Controlled Trial
Journal
Journal of autism and developmental disorders
Year
2023
PMID
35181846
DOI
10.1007/s10803-022-05474-6

MeSH Terms

HumansChildAgedComprehensionAutistic DisorderAutism Spectrum DisorderFeasibility StudiesAuditory PerceptionVocabularyReading