Toddlers at Elevated Likelihood for Autism: Exploring Sensory and Language Treatment Predictors

Author:

Jatkar Alapika1ORCID,Garrido Dunia2,Zheng Shuting3,Silverman Greyson4,Elsayed Heba45,Huguely Davis Paige1,Lee Helen6,Crais Elizabeth R.4,Sideris John6,Turner-Brown Lauren7,Baranek Grace T.6ORCID,Watson Linda R.4,Grzadzinski Rebecca1

Affiliation:

1. The University of North Carolina at Chapel Hill, Carolina Institute for Developmental Disabilities, Chapel Hill, NC, USA

2. The University of Granada, Mind, Brain, and Behaviors Research Center, Granada, Spain

3. The University of California at San Francisco, San Francisco, CA, USA

4. The University of North Carolina at Chapel Hill, Division of Speech and Hearing Sciences, Chapel Hill, NC, USA

5. Alexandria University, Phoniatrics Unit, Otolaryngology Department, Egypt

6. The University of Southern California, Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Los Angeles, CA, USA

7. The University of North Carolina at Chapel Hill, Department of Psychiatry, Chapel Hill, NC, USA

Abstract

Baseline child characteristics may predict treatment outcomes in children with or at elevated likelihood of developing autism (EL-ASD). Little is known about the role of child sensory and language features on treatment outcome. Participants were randomly assigned to a parent-mediated intervention or control condition. Analyses explored the relationship between baseline child sensory and language characteristics and changes in ASD symptoms over approximately 9 months. Higher baseline sensory hyporeactivity was significantly related to less improvement in social communication (SC) for the treatment group only. More baseline atypical vocalizations were significantly related to less improvement on SC across treatment and control groups. This work provides an initial framework to encourage the tailoring of interventions for EL-ASD children, suggesting sensory reactivity and atypical vocalizations may be useful behaviors to consider in treatment planning.

Funder

national institutes of health

Institute of Education Sciences, U.S. Department of Education

NICHD

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health

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