Indian journal of pediatrics · 2018
Home-based Sensory Interventions in Children with Autism Spectrum Disorder: A Randomized Controlled Trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Padmanabha Hansashree, Singhi Pratibha, Sahu Jitendra Kumar, Malhi Prahbhjot
Аннотация
OBJECTIVES: To determine the feasibility and efficacy of home-based sensory interventions in children with Autism spectrum disorder (ASD) with sensory processing abnormalities.
METHODS: This was a 12-wk, parallel group, pilot, randomized controlled trial. During the study-period, 185 children with ASD between 3-12 y of age, with sensory processing abnormalities were screened for eligibility. Twenty-one children were randomly assigned to the sensory-intervention group and 19 to the standard-therapy group. Sensory-intervention group received home-based sensory interventions by the parents/caregivers plus standard therapy; standard-therapy group received speech therapy by the speech pathologists and applied behavior analysis by the child psychologist.
RESULTS: The mean change in scores at baseline and 12 wk into intervention showed that children in sensory-intervention group (Mean = 9.33, SD = 3.52) scored significantly better on Parent Rated 10-item Likert Scale (PRILS-10), as compared to standard-therapy group (Mean = 2.47, SD = 1.46), t(36) = 8.16, p < 0.001; d = 2.54. Marked improvement was noted especially in reduction of hyperactivity, motor-stereotypies and auditory sensitivity in those who underwent sensory interventions. The mean change in scores in sensory-intervention group on Children's Global Assessment Scale (CGAS) (Mean = -9.19, SD = 2.33, p < 0.011; d = -1.75) and Pediatric Quality of Life Inventory 4.0 (PedsQLTM) (M = -10.53, SD = 5.34, p = 0.008; d = -0.88) showed significant difference in the sensory-intervention group as compared to standard-therapy group. Overall, there was 32.3%, 18.1% and 15.8% improvement on PRILS-10, CGAS and PedsQLTM respectively in sensory-intervention group.
CONCLUSIONS: The present findings suggest that home-based sensory interventions are feasible in a developing country and are suggested to have a beneficial role in ASD.
METHODS: This was a 12-wk, parallel group, pilot, randomized controlled trial. During the study-period, 185 children with ASD between 3-12 y of age, with sensory processing abnormalities were screened for eligibility. Twenty-one children were randomly assigned to the sensory-intervention group and 19 to the standard-therapy group. Sensory-intervention group received home-based sensory interventions by the parents/caregivers plus standard therapy; standard-therapy group received speech therapy by the speech pathologists and applied behavior analysis by the child psychologist.
RESULTS: The mean change in scores at baseline and 12 wk into intervention showed that children in sensory-intervention group (Mean = 9.33, SD = 3.52) scored significantly better on Parent Rated 10-item Likert Scale (PRILS-10), as compared to standard-therapy group (Mean = 2.47, SD = 1.46), t(36) = 8.16, p < 0.001; d = 2.54. Marked improvement was noted especially in reduction of hyperactivity, motor-stereotypies and auditory sensitivity in those who underwent sensory interventions. The mean change in scores in sensory-intervention group on Children's Global Assessment Scale (CGAS) (Mean = -9.19, SD = 2.33, p < 0.011; d = -1.75) and Pediatric Quality of Life Inventory 4.0 (PedsQLTM) (M = -10.53, SD = 5.34, p = 0.008; d = -0.88) showed significant difference in the sensory-intervention group as compared to standard-therapy group. Overall, there was 32.3%, 18.1% and 15.8% improvement on PRILS-10, CGAS and PedsQLTM respectively in sensory-intervention group.
CONCLUSIONS: The present findings suggest that home-based sensory interventions are feasible in a developing country and are suggested to have a beneficial role in ASD.