Evidence map›Paper›PMID 36525627›Full record

Trial reportAmerican journal of speech-language pathology2023

Teaching Caregivers to Support Social Communication: Results From a Randomized Clinical Trial of Autistic Toddlers.

Megan Y Roberts, Yael S Stern, Jeffrey Grauzer, Jennifer Nietfeld, Suzanne Thompson, Maranda Jones, Aaron J Kaat, Ann P Kaiser

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of speech-language pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02595697 (An Efficacy Trail of Enhanced Milieu Teaching Language Intervention Plus Joint Attention, Engagement, Regulation Intervention for Toddlers With Autism), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
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.

NCT02595697 nacompletednot on this map

An Efficacy Trail of Enhanced Milieu Teaching Language Intervention Plus Joint Attention, Engagement, Regulation Intervention for Toddlers With Autism

TypeinterventionalSponsorVanderbilt UniversityRan2015 to 2020Enrolled120ConditionsAutism Spectrum DisorderArmsJ-EMT for Toddlers with Autism
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Megan Y RobertsRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL.ORCID 0000-0002-4699-0236
Yael S SternRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL.ORCID 0000-0002-8041-3985
Jeffrey GrauzerRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL.ORCID 0000-0001-6202-9851
Jennifer NietfeldDepartment of Special Education, Vanderbilt University, Nashville, TN.
Suzanne ThompsonDepartment of Special Education, Vanderbilt University, Nashville, TN.
Maranda JonesRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL.ORCID 0000-0001-8357-9350
Aaron J KaatDepartment of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL.ORCID 0000-0001-8147-1899
Ann P KaiserDepartment of Special Education, Vanderbilt University, Nashville, TN.ORCID 0000-0001-9406-685X
Northwestern University · USGoogle (United States) · US

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537
6 · The paper itself

Abstract

backgroundStudies of early caregiver-mediated interventions targeting social communication of young autistic children have yielded variable child outcomes. This study examined the effects of combining two caregiver-mediated interventions on caregiver strategy use and child social communication and language outcomes.

methodThis was a multisite parallel randomized controlled trial. Participants included 120 caregivers and their autistic children between 24 and 36 months of age. Dyads were randomly assigned to receive a hybrid intervention that combined Enhanced Milieu Teaching (EMT) and Joint Attention, Symbolic Play, Engagement, and Regulation (JASPER) or to a behavior management control condition, each delivered over 6 months. Caregivers in the JASP-EMT group received twice-weekly, in-home, and hour-long sessions. Outcomes were measured at baseline, the end of intervention (T1), and 6 months later (T2) and included a naturalistic language sample procedure, standardized measures, and caregiver report measures. This trial was registered at clinicaltrials.gov (NCT02595697).

resultsChild outcomes did not differ between conditions at T1 or T2 for child primary (social communication) or secondary (language, play, and autism symptoms) outcomes. Relative to control group caregivers, intervention group caregivers demonstrated significantly higher use of JASP-EMT strategies at T1 and T2, with the exception of two strategies (Responsiveness and Matched Responsiveness), which were used significantly more by control group caregivers. Neither autism severity nor baseline caregiver responsiveness moderated outcomes. Post hoc analyses revealed significant correlations between specific strategies and all child outcomes.

conclusionsTwice-weekly caregiver-mediated intervention that taught caregivers of autistic children to use social communication support strategies did not yield significant child outcomes. Future studies should examine possible sources for the lack of main effects including unexpected differences in linguistic features of caregiver input, changes in control group caregiver behavior, and insufficient intervention dosage. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.21714278.

Indexed as

Autistic DisorderCaregiversChild, PreschoolCommunicationEarly Intervention, EducationalHumansLanguage

Identifiers

PMID36525627
PMCPMC10023141
OpenAlexW4311825261

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.