Deakin University
Browse
duong-arandomised-post-2017.pdf (289.44 kB)

A randomised controlled trial of an iPad-based application to complement early behavioural intervention in Autism Spectrum Disorder

Download (289.44 kB)
Version 2 2024-06-05, 23:56
Version 1 2017-07-21, 12:43
journal contribution
posted on 2024-06-05, 23:56 authored by AJO Whitehouse, J Granich, G Alvares, M Busacca, MN Cooper, A Dass, T Duong, R Harper, W Marshall, A Richdale, T Rodwell, D Trembath, P Vellanki, DW Moore, A Anderson
BACKGROUND: Technology-based interventions for Autism Spectrum Disorder (ASD) have proliferated, but few have been evaluated within the context of a randomised controlled trial (RCT). This RCT evaluated the efficacy of one technology-based early intervention programme (Therapy Outcomes By You; TOBY) in young children with ASD. METHODS: TOBY is an app-based learning curriculum designed for children and parents as a complement to early behavioural intervention. Eighty children (16 female) were recruited to this RCT within 12 months of receiving a diagnosis of ASD (M age = 3.38; SD = 0.69) and randomised to receive either treatment-as-usual (community-based intervention, n = 39) or the TOBY therapy (at least 20 min/day) plus treatment-as-usual (n = 41) for a period of 6 months. Outcomes were assessed at 3 and 6 months postbaseline. (Australian New Zealand Clinical Trials Registry: ACTRN12614000738628; www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=365463). RESULTS: Children in the TOBY intervention group averaged 19 min/day engaging with the app in the first 3 months, but only 2 min/day during the second 3 months. There was no group difference in scores on the primary outcome, the Autism Treatment Evaluation Checklist, at either the 3- or 6-month follow-up. However, significant improvements at the 6-month follow-up were observed in the TOBY intervention group relative to the treatment-as-usual group on three secondary outcomes: the Fine Motor and Visual Reception subscales of the Mullen Scale of Early Learning and the Total Words Understood scale of the MacArthur-Bates Communicative Development Index. Statistical trends towards improvement in the TOBY intervention group were observed on measures of adaptive function, although these decreased in magnitude from the 3- to 6-month follow-up. CONCLUSIONS: This study provides evidence that technology-based interventions may provide a relatively low-cost addition to existing therapist-delivered interventions for children with ASD. However, sustained use of the app over the full 6-month period was a challenge for most families.

History

Journal

Journal of child psychology and psychiatry

Volume

58

Pagination

1042-1052

Location

Oxford, Eng.

Open access

  • Yes

ISSN

0021-9630

eISSN

1469-7610

Language

eng

Publication classification

C Journal article, C1 Refereed article in a scholarly journal

Copyright notice

2017, Association for Child and Adolescent Mental Health

Issue

9

Publisher

Wiley