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Interventions Targeting Expressive Communication in Adults With Autism Spectrum Disorders: A Systematic Review.

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This systematic review found that interventions for expressive communication in adults with autism spectrum disorder (ASD) show positive effects, though variability exists. More high-quality research is needed to identify effective strategies for this population.

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Area of Science:

  • Neurodevelopmental Disorders
  • Communication Sciences

Background:

  • Autism spectrum disorder (ASD) significantly impacts social interaction and communication.
  • Expressive communication challenges are prevalent in autistic adults, affecting daily functioning.
  • Existing interventions for expressive communication in ASD require systematic evaluation.

Purpose of the Study:

  • To synthesize existing literature on interventions for expressive communication in adults with autism spectrum disorder.
  • To evaluate the effectiveness of these interventions using a systematic review methodology.
  • To identify promising interventions for future research and clinical application.

Main Methods:

  • A comprehensive literature search yielded 7,196 articles.
  • Inclusion criteria focused on experimental/quasi-experimental studies of adults (18+) with ASD targeting expressive communication.
  • Twenty-two studies (14 single-case, 8 group design) involving 256 participants were included.

Main Results:

  • Overall positive effects were observed across included studies, with significant variability.
  • Single-case designs demonstrated functional relations and medium to large effects, including maintenance and generalization.
  • Group designs showed a wide range of effect sizes, influenced by intervention and participant factors.

Conclusions:

  • Interventions for expressive communication in adults with ASD show potential but exhibit considerable variability.
  • There is a critical need for more rigorous, high-quality research in this area.
  • Specific interventions show promise for future study and implementation in clinical practice.