Journal of Health And Care
Volume 24, Issue 2 (Summer 2022)
JHC 2022, 24(2): 132-144 |
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Ethics code: IR.IAU.CTB.REC.1401.031
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Eftekhari S, Rezayi S, Shahriari Ahmadi M. The Effect of the Social-Communication Enhancement Package based on TEACCH and PECS Approach on the Daily Functions of Children with Autism Spectrum Disorder. JHC 2022; 24 (2) :132-144
URL: http://hcjournal.arums.ac.ir/article-1-1382-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1382-en.html
Department of Psychology and Exceptional Children, Allameh Tabataba'i University, Tehran, Iran
Abstract: (1637 Views)
Background & aim: One of the basic problems of children with autism spectrum disorder is the disruption in daily life functions. Therefore, the present study was conducted with the aim of determining the impact of social-communicative empowerment with the Tich and Pex approach on the daily functions of children with autism spectrum disorder.
Methods: The quasi-experimental research design was pretest-posttest and follow-up with the control group. The statistical population of this study included all boys with autism spectrum disorder aged 6 to 12 years in Tehran in the academic year 2021 from the special school for autism, by available sampling method, 40 autistic individuals were selected using the Gilliam Autism Diagnosis Scale (Gilliam, 1995) and were randomly divided into experimental (20) and control (20) groups. For the experimental group, 7 sessions of 45 minutes of communication-social empowerment program was implemented with the TEACCH and PECS approach. The research instruments included the Gilliam Autism Rating Scale (1995) and the Waisman- Activity of Daily Living Scale (W-ADL). The collected data were analyzed using the analysis of variance test with repeated measurements.
Results: The average scores of daily functions in the pre-test, post-test and follow-up phases were 17.650, 21.250 and 21.450 respectively in the experimental group and 17.550, 17.400 and 17.650 respectively in the control group. The results of variance analysis with repeated measurements showed that social-communication enhancement package based on TEACCH and PECS approach had a significant effect on improving daily functions in the post-test and follow-up stages (p<0.01).
Conclusion: The social-communication enhancement package based on TEACCH and PECS approach has been effective on the daily functions of children with autism spectrum disorder. Therefore, it is recommended that this educational program be considered as an effective intervention by the relevant centers and organizations to empower children with developmental disabilities, especially children with autism spectrum.
Methods: The quasi-experimental research design was pretest-posttest and follow-up with the control group. The statistical population of this study included all boys with autism spectrum disorder aged 6 to 12 years in Tehran in the academic year 2021 from the special school for autism, by available sampling method, 40 autistic individuals were selected using the Gilliam Autism Diagnosis Scale (Gilliam, 1995) and were randomly divided into experimental (20) and control (20) groups. For the experimental group, 7 sessions of 45 minutes of communication-social empowerment program was implemented with the TEACCH and PECS approach. The research instruments included the Gilliam Autism Rating Scale (1995) and the Waisman- Activity of Daily Living Scale (W-ADL). The collected data were analyzed using the analysis of variance test with repeated measurements.
Results: The average scores of daily functions in the pre-test, post-test and follow-up phases were 17.650, 21.250 and 21.450 respectively in the experimental group and 17.550, 17.400 and 17.650 respectively in the control group. The results of variance analysis with repeated measurements showed that social-communication enhancement package based on TEACCH and PECS approach had a significant effect on improving daily functions in the post-test and follow-up stages (p<0.01).
Conclusion: The social-communication enhancement package based on TEACCH and PECS approach has been effective on the daily functions of children with autism spectrum disorder. Therefore, it is recommended that this educational program be considered as an effective intervention by the relevant centers and organizations to empower children with developmental disabilities, especially children with autism spectrum.
Type of Study: quasi-experimental |
Subject:
Nursing care
Received: 2022/07/4 | Accepted: 2022/09/9 | Published: 2022/09/22
Received: 2022/07/4 | Accepted: 2022/09/9 | Published: 2022/09/22
References
1. Croall ID, Hoggard N, Hadjivassiliou M. Gluten and autism spectrum disorder. Nutrients. 2021;13(2):1-19. [DOI:10.3390/nu13020572] [PMID] [PMCID]
2. Feige E, Mattingly R, Pitts T, Smith AF. Autism spectrum disorder: investigating predictive adaptive behavior skill deficits in young children. Autism Research and Treatment. 2021;38(10):1-9. [DOI:10.1155/2021/8870461] [PMID] [PMCID]
3. Yates K, Le Couteur A. Diagnosing autism/autism spectrum disorders. Pediatrics and Child Health. 2016;26(12):513-18. [DOI:10.1016/j.paed.2016.08.004]
4. Shelton JF, Tancredi DJ, Hertz-Picciotto I. Independent and dependent contributions of advanced maternal and paternal ages to autism risk. Autism Research. 2010;3(1):30-39.
https://doi.org/10.1002/aur.135 [DOI:10.1002/aur.116] [PMID]
5. Larner O, Roberts J, Twiss J, Freeman L. A need for consistency in behavioral phenotyping for ASD: analysis of the valproic acid model. Autism Research and Treatment. 2021;37(10):1-10. [DOI:10.1155/2021/8863256] [PMID] [PMCID]
6. Hassannattaj F, Abbasali Taghipour Javan A, Pourfatemi F, Aram SS. Screening and epidemiology of autism spectrum disorder in 3 to 6 year-old children of kindergartens supervised by Mazandaran welfare organization. Journal of Child Mental Health. 2020;7(3):205-18 [Persian]. [DOI:10.52547/jcmh.7.3.17]
7. Boterberg S, Charman T, Marschik PB, Bölte S, Roeyers H. regression in autism spectrum disorder: a critical overview of retrospective findings and recommendations for future research. Neuroscience & Biobehavioral Reviews. 2019;102:24-55. [DOI:10.1016/j.neubiorev.2019.03.013] [PMID]
8. Matsumura N, Fujino H, Yamamoto T, Tanida Y, Ishii A, Tatsumi A, et al. Effectiveness of a parent training program for parents of adolescents with autism spectrum disorders: aiming to improve daily living skills. International Journal of Environmental Research and Public Health. 2022;19(4):2363. [DOI:10.3390/ijerph19042363] [PMID] [PMCID]
9. James S, Ziviani J, Boyd R. A systematic review of activities of daily living measures for children and adolescents with cerebral palsy. Developmental Medicine & Child Neurology. 2014;56(3):233-44. [DOI:10.1111/dmcn.12226] [PMID]
10. Marsack-Topolewski CN, Samuel PS, Tarraf W. Empirical evaluation of the association between daily living skills of adults with autism and parental caregiver burden. Plos One. 2021;16(1):1-18. [DOI:10.1371/journal.pone.0244844] [PMID] [PMCID]
11. Farley MA, McMahon WM, Fombonne E, Jenson WR, Miller J, Gardner M, et al. Twenty-year outcome for individuals with autism and average or near‐average cognitive abilities. Autism Research. 2009;2(2):109-18. [DOI:10.1002/aur.69] [PMID]
12. Duncan AW, Bishop SL. Understanding the gap between cognitive abilities and daily living skills in adolescents with autism spectrum disorders with average intelligence. Autism. 2015;19(1):64-72. [DOI:10.1177/1362361313510068] [PMID] [PMCID]
13. Chiang HM, Ni X, Lee YS. Life skills training for middle and high school students with autism. Journal of Autism and Developmental Disorders. 2017;47(4):1113-21. [DOI:10.1007/s10803-017-3028-1] [PMID]
14. Clarke EB, McCauley JB, Lord C. Post-high school daily living skills in autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry. 2021;60(8):978-85. [DOI:10.1016/j.jaac.2020.11.008] [PMID] [PMCID]
15. Narayanan UG, Fehlings D, Weir S, Knights S, Kiran S, Campbell K. Initial development and validation of the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD). Developmental Medicine and Child Neurology. 2006;48(10):804-12.
https://doi.org/10.1111/j.1469-8749.2006.tb01227.x [DOI:10.1017/S0012162206001745] [PMID]
16. Mlinac ME, Feng MC. Assessment of activities of daily living, self-care, and independence. Archives of Clinical Neuropsychology. 2016;31(6):506-16. [DOI:10.1093/arclin/acw049] [PMID]
17. Gardner S, Wolfe P. Use of video modeling and video prompting interventions for teaching daily living skills to individuals with autism spectrum disorders: a review. Research and Practice for Persons with Severe Disabilities. 2013;38(2):73-87. [DOI:10.2511/027494813807714555]
18. Aishworiya R, Valica T, Hagerman R, Restrepo B. An update on psychopharmacological treatment of autism spectrum disorder. Neurotherapeutics. 2022;19(1):248-62. [DOI:10.1007/s13311-022-01183-1] [PMID] [PMCID]
19. Schopler, E., Mesibov, G.B., Hearsey, K. Structured teaching in the TEACCH system. Learning and Cognition in Autism. Boston: Springer; 1995. [DOI:10.1007/978-1-4899-1286-2]
20. Virues-Ortega J, Julio FM, Pastor-Barriuso R. The TEACCH program for children and adults with autism: a meta-analysis of intervention studies. Clinical Psychology Review. 2013;33(8):940-53. [DOI:10.1016/j.cpr.2013.07.005] [PMID]
21. Zeng H, Liu S, Huang R, Zhou Y, Tang J, Xie J, et al. Effect of the TEACCH program on the rehabilitation of preschool children with autistic spectrum disorder: a randomized controlled trial. Journal of Psychiatric Research. 2021;138:420-27. [DOI:10.1016/j.jpsychires.2021.04.025] [PMID]
22. Sanz-Cervera P, Fernández-Andrés I, Pastor-Cerezuela G, Tárraga-Mínguez R. The effectiveness of TEACCH intervention in autism spectrum disorder: a review study. Papeles Del Psicólogo. 2018;39(1):40-50. [DOI:10.23923/pap.psicol2018.2851]
23. Mohammadi R, Narimani M, Abolghasemi A, Taklavi S. Comparison of the effectiveness of treatment and education for autistic and related communication handicapped children (TEACCH) and neurofeedback on the promotion of cognitive, social, and daily living activities in children with autistic spectrum disorders. Middle Eastern Journal of Disability Studies. 2019;9:1-9.[Persian].
24. Azizian A, Sharifi Daramadi P. Efficacy of Picture Exchange Communication System on emotion self-regulation of children with high-functioning autism. Middle Eastern Journal of Disability Studies. 2020;10:1-8 [Persian].
25. Zohoorian Z, Zeraatpishe M, Matin sadr N. Effectiveness of the picture exchange communication system in teaching english vocabulary in children with autism spectrum disorders: a single-subject study. Cogent Education. 2021;8(1):1-16. [DOI:10.1080/2331186X.2021.1892995]
26. Alsayedhassan BT, Lee J, Banda DR, Kim Y, Griffin-Shirley N. Practitioners' perceptions of the picture exchange communication system for children with autism. Disability and Rehabilitation. 2021;43(2):211-16. [DOI:10.1080/09638288.2019.1620878] [PMID]
27. Overcash A, Horton C, Bondy A. The picture exchange communication system. Applied Behavioral Analysis. 2010;3:21-24.
28. Alsayedhassan BT, Banda DR, Griffin-Shirley N. Training parents of children with autism to implement the picture exchange communication intervention. Clinical Archives of Communication Disorders. 2020;5(1):31-41. [DOI:10.21849/cacd.2019.00171]
29. Roser ME, Aslin RN, McKenzie R, Zahra D, Fiser J. Enhanced visual statistical learning in adults with autism. Neuropsychology. 2015;29(2):163-72. [DOI:10.1037/neu0000137] [PMID] [PMCID]
30. Stevenson RA, Toulmin JK, Youm A, Besney R, Schulz SE, Barense MD, and et al. Increases in the autistic trait of attention to detail are associated with decreased multisensory temporal adaptation. Scientific Reports. 2017;7(1):1-10. [DOI:10.1038/s41598-017-14632-1] [PMID] [PMCID]
31. Gall J, Borg W, Gall MD. Quantitative and qualitative research methods in educational sciences and psychology. Translated by Orizi HR & et al. Tehran: Shahid Beheshti University, Samat Publications; 2014.
32. Lecavalier L. An evaluation of the Gilliam autism rating scale. Journal of Autism and Developmental Disorders. 2005;35(6):795-805.. [DOI:10.1007/s10803-005-0025-6] [PMID]
33. Ahmadi SJ, Safari T, Hemmatiyan M, Khalili Z. Effectiveness of Applied Behavioral Analysis (ABA) approach on symptoms of autistism. Journal of Research in Behavioural Sciences. 2012;10(4):292-300 [Persian].
34. Maenner MJ, Smith LE, Hong J, Makuch R, Greenberg JS, Mailick MR. Evaluation of an activities of daily living scale for adolescents and adults with developmental disabilities. Disability and Health Journal. 2013;6(1):8-17. [DOI:10.1016/j.dhjo.2012.08.005] [PMID] [PMCID]
35. Nikookholgh A, Saffariyan Toosi M, Nejat H, Zendedel A. Comparison of the effectiveness of pivotal response treatment model and the therapeutic-educational model with emphasis on sensory integration on clinical syndrome of students with autism spectrum disorder. Medical Journal of Mashhad University of Medical Sciences. 2018;61(3):1036-49 [Persian].
36. Abshirini M, Asgari P, Heydari A, Naderi F. The effectiveness of training based on theory of Mind and TEACCH method on the level of communication skills and social interactions in children with autism spectrometry. Medical Journal of Mashhad University of Medical Sciences. 2021;63(6):3113-26 [Persian].
37. Perner J, Lang B, Stummer S. Theory of mind and executive function: which depends on which. Unpublished Manuscript, University of Salzburg; 1998.
38. Lerna A, Esposito D, Conson M, Russo L, Massagli A. Social-communicative effects of the Picture Exchange Communication System (PECS) in autism spectrum disorders. International Journal of Language & Communication Disorders. 2012;47(5):609-17. [DOI:10.1111/j.1460-6984.2012.00172.x] [PMID]
39. Magiati I, Howlin P. A pilot evaluation study of the Picture Exchange Communication System (PECS) for children with autistic spectrum disorders. Autism. 2003;7(3):297-320. [DOI:10.1177/13623613030073006]
40. Charlop-Christy MH, Carpenter M, Le L, LeBlanc LA, Kellet K. Using the picture exchange communication system (PECS) with children with autism: Assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior. Journal of Applied Behavior Analysis. 2002;35(3):213-31. [DOI:10.1901/jaba.2002.35-213] [PMID] [PMCID]
41. Gholami M, Alborzi S, Hemati Alamdarloo G. Effect of Picture Exchange Communication System (pecs) training on social skills of boys children with autistic disorders. Research in Cognitive and Behavioral Sciences. 2015;5(1):133-46 [Persian].
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