Evidence map›Paper›PMID 30953731›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2020

Randomized Trial of a Computer-Assisted Intervention for Children With Autism in Schools.

Melanie Pellecchia, Steven C Marcus, Christine Spaulding, Max Seidman, Ming Xie, Keiran Rump, Erica M Reisinger, David S Mandell

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02695693 (RCT of TeachTown in Autism Support Classrooms), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02695693 nacompletednot on this map

RCT of TeachTown in Autism Support Classrooms: Innovation and Exnovation

TypeinterventionalSponsorUniversity of PennsylvaniaRan2015 to 2018Enrolled212ConditionsAutism Spectrum DisorderArmsTeachTown, Discrete Trial Training, Pivotal Response Training, Teaching in Functional Routines
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Digital health should augment (not replace) autism treatment providers.Autism : the international journal of research and practice · 2021
    Article
  7. Review
  8. Article
  9. Does implementing a new intervention disrupt use of existing evidence-based autism interventions?Autism : the international journal of research and practice · 2020
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Melanie PellecchiaPerelman School of Medicine, University of Pennsylvania, Philadelphia. Electronic address: pmelanie@upenn.edu.
Steven C MarcusPerelman School of Medicine, University of Pennsylvania, Philadelphia.
Christine SpauldingPerelman School of Medicine, University of Pennsylvania, Philadelphia.
Max SeidmanPerelman School of Medicine, University of Pennsylvania, Philadelphia.
Ming XiePerelman School of Medicine, University of Pennsylvania, Philadelphia.
Keiran RumpPerelman School of Medicine, University of Pennsylvania, Philadelphia.
Erica M ReisingerPerelman School of Medicine, University of Pennsylvania, Philadelphia.
David S MandellPerelman School of Medicine, University of Pennsylvania, Philadelphia.

Funding

RCT of TeachTown in Autism Support Classrooms: Innovation and ExnovationR01MH106175 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MANDELL, DAVID S · 2015 to 2018
$2.7M
NIMH NIH HHS R01 MH106175
6 · The paper itself

Abstract

objectiveComputer-assisted interventions (CAIs) are popular for educating children with autism, but their effectiveness is not well established. This study evaluated the effectiveness of 1 CAI designed to improve children's language, cognitive, and academic skills, TeachTown: Basics, in a large urban school district.

methodTeachers (n = 59) in autism support classrooms and their consented students in kindergarten through second grade (n = 154) were randomized to TeachTown: Basics or waitlist control. Child outcome was measured at baseline and after 1 academic year using the Bracken Basic Concepts Scale-Receptive and Expressive versions and the Differential Ability Scales, Second Edition (DAS-II). Random effects regression models that included clustering of time within students and students within classrooms were used to test whether the change over time in each outcome differed between groups.

resultsThere were no statistically significant differences in outcomes for children who received TeachTown: Basics or treatment as usual. Increased time spent using TeachTown: Basics was associated with worse receptive language outcomes for children in the experimental group after 1 academic year. However, there was no association between minutes spent using TeachTown and changes in expressive language or DAS-II score.

conclusionDespite growing enthusiasm for CAIs in autism treatment, the present findings indicate that CAI might not be effective at improving language and cognitive outcomes for children with autism spectrum disorder. The decision to implement CAIs in schools should be carefully balanced against the evidence for effectiveness of these programs. Schools might be better served by investing in treatment strategies with established evidence. CLINICAL TRIAL REGISTRATION INFORMATION: RCT of TeachTown in Autism Support Classrooms: Innovation and Exnovation; https://clinicaltrials.gov/; NCT02695693.

Indexed as

Autism Spectrum DisorderAutistic DisorderChildComputersHumansSchoolsStudentsautism spectrum disordercomputer-assisted interventioncomputer-based interventionschool-based intervention

Identifiers

PMID30953731
PMCPMC6996249

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.