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Published on: April 22, 2015
First Step to Success: Applications to Preschoolers at Risk of Developing Autism Spectrum Disorders
Andy J Frey1, Jason W Small2, Edward G Feil2
1University of Louisville.
Insights
Early behavioral intervention, such as the First Step to Success program, significantly improved outcomes for preschool children at risk for Autism Spectrum Disorder (ASD). The program proved feasible and acceptable for this population.
Area of Science:
- Developmental Psychology
- Pediatric Behavioral Health
- Autism Spectrum Disorder Research
Background:
- Autism Spectrum Disorder (ASD) in preschoolers is often undiagnosed, yet behavioral issues may lead to intervention referrals.
- The efficacy of early behavioral interventions for children at risk for ASD requires further investigation.
Purpose of the Study:
- To evaluate the effectiveness of the "First Step to Success" program for preschool children identified as at risk for Autism Spectrum Disorder (ASD).
Main Methods:
- A subsample of 34 preschool children at risk for ASD was analyzed from a larger randomized controlled trial (N=126).
- Outcome measures assessed improvements in behavioral and symptom severity.
- Process and fidelity measures evaluated program feasibility and social acceptability.
Main Results:
- Children at risk for ASD showed significant improvements in seven out of 11 outcome measures.
- Responder analyses indicated positive effects based on symptom severity.
- The "First Step to Success" program demonstrated feasibility and social acceptability.
Conclusions:
- The "First Step to Success" program is a potentially beneficial early intervention for preschool children at risk of developing ASD.
- Findings support the feasibility and acceptability of this intervention for at-risk preschoolers.
- Further research is warranted to explore the long-term impact of such interventions.
Abstract:
Preschool children with Autism Spectrum Disorder (ASD) may not always be recognized as such during their early years, but some of their behavioral problems may nonetheless prompt a referral for behavioral intervention. Whether such an intervention brings any benefit has not been well studied. We identified a subsample of 34 preschool children at risk for autism spectrum disorder from a large randomized controlled trial (N = 126) of the First Step to Success program. Children at risk of developing ASD demonstrated significant improvements on seven of 11 outcome measures and on a responder analyses based on symptom severity. Process and fidelity measures also suggested that First Step was both feasible and socially acceptable. Implications for early intervention for children at risk of developing ASD are discussed.
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