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"Hume, Kara"
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Evidence-Based Practices for Children, Youth, and Young Adults with Autism Spectrum Disorder: A Comprehensive Review
2015
The purpose of this study was to identify evidenced-based, focused intervention practices for children and youth with autism spectrum disorder. This study was an extension and elaboration of a previous evidence-based practice review reported by Odom et al. (Prev Sch Fail 54:275–282,
2010b
, doi:
10.1080/10459881003785506
). In the current study, a computer search initially yielded 29,105 articles, and the subsequent screening and evaluation process found 456 studies to meet inclusion and methodological criteria. From this set of research studies, the authors found 27 focused intervention practices that met the criteria for evidence-based practice (EBP). Six new EBPs were identified in this review, and one EBP from the previous review was removed. The authors discuss implications for current practices and future research.
Journal Article
Educational Interventions for Children and Youth with Autism: A 40-Year Perspective
by
Kraemer, Bonnie R.
,
Sam, Ann M.
,
Hall, Laura J.
in
Adolescent
,
Autism
,
Autism Spectrum Disorder - diagnosis
2021
Commemorating the 40 th anniversary of the Diagnostic and Statistical Manual (DSM) III, the purpose of this commentary is to describe school-based and school-relevant interventions and instructional approaches for children and youth with autism that have been developed and employed during that time period. The commentary begins with a brief description of foundational research that provides an historical context. Research themes shaped by science, ethics, social policy, and the changes in the DSM provide an organization for describing the evolution of intervention and instructional practices over the four previous decades. The commentary concludes with a discussion of school-contextual variables that influence implementation and the promise of the “iSciences” for closing the research to practice gap in the future.
Journal Article
Increasing Independence in Autism Spectrum Disorders: A Review of Three Focused Interventions
by
Loftin, Rachel
,
Hume, Kara
,
Lantz, Johanna
in
Activities of Daily Living - psychology
,
Adults
,
Alternative approaches
2009
The features of autism that inhibit the independent demonstration of skills, as well as three effective interventions for increasing independence, are explored in this review article. Independent performance may prove difficult for individuals with autism spectrum disorders (ASD) due to the core deficits of the disability, as well as executive function deficits that impact initiation and generalization. These difficulties, coupled with intervention strategies that encourage over-reliance on adult support, contribute to poor long term outcomes for adults with ASD in employment, housing, and relationship development. Self-monitoring, video modeling, and individual work systems each emphasize a shift in stimulus control from continuous adult management to an alternative stimulus and have proven successful in addressing executive function deficits and increasing independence.
Journal Article
Spanish Adaptation of the TEACCH Fidelity Form
by
Sánchez-Raya, Araceli
,
Reina, Carmen Corpas
,
Hume, Kara A.
in
Access to Education
,
Adaptation
,
At Risk Students
2025
The growing prevalence of students with autism spectrum disorder (ASD) poses a challenge for schools, requiring them to implement specific methodologies to respond to the difficulties these students encounter. The TEACCH system is one of the most widely used approaches to address the needs of students with ASD, although few studies have determined the effectiveness of all its components. To systematize research based on this model, a fidelity measure of the application of the methodology is key. Such a measure could provide data on the intensity of application and homogeneity with which the methodology is implemented in classrooms or schools. The aim of this paper is to offer the Spanish adaptation of a fidelity questionnaire, the TEACCH Fidelity Measure (Hume et al., 2011), a fundamental tool for assessing the effectiveness of this methodology in future research.
Journal Article
Assessing Quality of Program Environments for Children and Youth with Autism: Autism Program Environment Rating Scale (APERS)
by
Sideris, John
,
Shaw, Evelyn
,
Odom, Samuel L
in
Autism
,
Autism Spectrum Disorders
,
Autistic children
2018
The purpose of this study was to examine the psychometric properties of the Autism Program Environment Rating Scale (APERS), an instrument designed to assess quality of program environments for students with autism spectrum disorder. Data sets from two samples of public school programs that provided services to children and youth with autism spectrum disorder were utilized. Cronbach alpha analyses indicated high coefficients of internal consistency for the total APERS and moderate levels for item domains for the first data set, which was replicated with the second data set. A factor analysis of the first data set indicated that all domain scores loaded on one main factor, in alignment with the conceptual model, with this finding being replicated in the second data set. Also, the APERS was sensitive to changes resulting from a professional development program designed to promote program quality.
Journal Article
Brief Report: Concurrent Validity of Autism Symptom Severity Measures
by
Reszka, Stephanie S.
,
Boyd, Brian A.
,
Hume, Kara A.
in
Autism
,
Autism Spectrum Disorders
,
Autistic children
2014
The autism spectrum disorder (ASD) diagnostic classifications, according to the DSM-5, include a severity rating. Several screening and/or diagnostic measures, such as the autism diagnostic and observation schedule (ADOS), Childhood Autism Rating Scale (CARS) and social responsiveness scale (SRS) (teacher and parent versions), include an assessment of symptom severity. The purpose of this study was to examine whether symptom severity and/or diagnostic status of preschool-aged children with ASD (N = 201) were similarly categorized on these measures. For half of the sample, children were similarly classified across the four measures, and scores on most measures were correlated, with the exception of the ADOS and SRS-P. While the ADOS, CARS, and SRS are reliable and valid measures, there is some disagreement between measures with regard to child classification and the categorization of autism symptom severity.
Journal Article
Stability of Literacy Profiles of Adolescents With Autism Spectrum Disorder and Associations With Stakeholder Perceptions of Appropriate High School Support Needs
by
Tomaszewski, Brianne
,
McIntyre, Nancy S.
,
Hume, Kara A.
in
Academic Ability
,
Academic Achievement
,
Academic discourse
2021
Purpose For many individuals with autism spectrum disorder (ASD), postsecondary outcomes are poor. This may be due to insufficient academic supports, particularly with regard to literacy skills, during high school. More information is needed about skill profiles so that we can better differentiate support for students with varying social, communication, cognitive, and academic proficiency levels. This study was designed to (a) identify unique literacy profiles of high school students with ASD, (b) assess profile stability over time, (c) identify predictors of profile membership, and (d) analyze stakeholder reports of required school support intensity. Method Participants were a diverse sample of high school students with ASD, 14-21 years old (
= 544), their parents, and their teachers who participated in a randomized controlled trial of a comprehensive treatment model for high school students with ASD. Standardized measures were administered to assess nonverbal IQ, autism symptomatology, language/adaptive communication, reading comprehension, academic knowledge, and parent/teacher report of school support needs intensity. Latent transition analysis was conducted to examine sample heterogeneity and to explore the stability of the profiles. Associations between profiles and reports of support intensity were examined. Results Four literacy profiles were identified that were stable over 2 years: Emergent Literacy/Comprehensive Support, Low Literacy/Intensive Support, Average Literacy/Moderate Support, and Average Literacy/Limited Support
Parent and teacher reports of school support intensity generally aligned with the profiles. Conclusions These analyses provide insight into the diverse literacy and support needs in ASD. Implications for practice and the role of speech-language pathologists in assessment and intervention are discussed. Supplemental Material https://doi.org/10.23641/asha.13495119.
Journal Article
Ecological Features of Preschools and the Social Engagement of Children With Autism
by
Reszka, Stephanie S.
,
Hume, Kara A.
,
Odom, Samuel L.
in
Autism
,
Autism Diagnostic Observation Schedule
,
Behavior
2012
One way to support the social engagement of children with autism spectrum disorders (ASD) is by identifying features of natural environments that increase the likelihood of social interaction. This descriptive study was an examination of the (a) social engagement of 68 preschoolers with ASD in classrooms, (b) ecological features of classrooms that promoted social engagement, and (c) relationships between social engagement and ecological features using the Code for Active Student Participation and Engagement–Revised, an ecobehavioral observational system. Overall, children without ASD were most likely to be socially engaged with peers in the Books and Food/Snack classroom areas, when participating in book or large motor behaviors, in small groups with peers or large groups with an adult, and during child-initiated activities. Implications for practice and future research are highlighted.
Journal Article
Evidence-Based Practices for Children, Youth, and Young Adults with Autism: Third Generation Review
2021
This systematic review describes a set of practices that have evidence of positive effects with autistic children and youth. This is the third iteration of a review of the intervention literature (Odom et al. in J Autism Dev Disorders 40(4):425–436, 2010a; Prevent School Fail 54(4):275–282, 2010b; Wong et al. in
https://autismpdc.fpg.unc.edu/sites/autismpdc.fpg.unc.edu/files/imce/documents/2014-EBP-Report.pdf
; J Autism Dev Disorders 45(7):1951–1966, 2015), extending coverage to articles published between 1990 and 2017. A search initially yielded 31,779 articles, and the subsequent screening and evaluation process found 567 studies to include. Combined with the previous review, 972 articles were synthesized, from which the authors found 28 focused intervention practices that met the criteria for evidence-based practice (EBP). Former EBPs were recategorized and some manualized interventions were distinguished as meeting EBP criteria. The authors discuss implications for current practices and future research.
Journal Article