Journal Article

A Pilot Randomized Clinical Trial of an Enhanced Pivotal Response Treatment Approach for Young Children with Autism: The PRISM Model

German, Tamsin C., Tagavi, Daina M., Ko, Jordan A., Vernon, Ty W., Horowitz, Erin J., Holden, Anahita N., Bradshaw, Jessica, Barrett, Amy C., McGarry, Elizabeth S.

2019

Overview

The symptoms of autism spectrum disorder are conceptualized to alter the quality of parent–children interactions, exposure to social learning exchanges, and ultimately the course of child development. There is evidence that modifying the procedures of Pivotal Response Treatment (PRT) to explicitly target social motivation enhances child engagement and parent–child synchrony in moment-by-moment exchanges. However, it is unclear if these within session improvements ultimately yield favorable developmental outcomes over time. The current investigation presents feasibility, utility, and preliminary efficacy data of a pilot randomized clinical trial (RCT) of a Pivotal Response Intervention for Social Motivation (PRISM) model. Data on participant factors, treatment protocol acceptability, and outcome variance and effect size are highly favorable and support the pursuit of a future, large scale RCT.

• Publisher: Springer US,Springer,Springer Nature B.V
• Subject: Acceptability / Analysis / Applied Behavior Analysis / Autism / Autism Spectrum Disorders / Autistic children / Autistic Disorder - diagnosis / Autistic Disorder - psychology / Autistic Disorder - therapy / Behavioral Science and Psychology / Care and treatment / Child / Child and School Psychology / Child development / Child, Preschool / Children / Clinical research / Clinical trials / Early Intervention / Effect Size / Efficacy / Feasibility / Feasibility Studies / Feedback (Response) / Female / Fidelity / Generalization / Health aspects / Humans / Infant / Interpersonal Competence / Male / Motivation / Neurosciences / Original Paper / Outcomes of Treatment / Parent and child / Parent Participation / Parent School Relationship / Parent-Child Relations / Parents & parenting / Parents - psychology / Patient outcomes / Pediatrics / Pervasive Developmental Disorders / Pilot Projects / Psychological aspects / Psychological Patterns / Psychology / Public Health / Randomized Controlled Trials / Social Behavior / Social Development / Social discrimination learning / Social Environment / Social exchange theory / Social learning / Social motivation / Social Reinforcement / Social response / Synchrony / Time / Treatment Outcome / Young Children