Benefits of home-based stimulation versus institutional intervention of speech and language on spectrum of children with autism during COVID-19 lockdown
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20250791Keywords:
COVID-19 pandemic, Lockdown, Autism spectrum disorder, Speech language interventionAbstract
Background: The study aims to evaluate and compare the effectiveness of home-based stimulation and institution-based speech and language interventions in children with autism spectrum disorder (ASD).
Methods: An exploratory study was conducted on 26 children aged 2.5 to 5 years (mean age: 3.39 years, SD±0.47) with communication difficulties. The participants were divided into two groups: Group I (n=12) received home-based stimulation administered by caregivers, with monthly professional monitoring and guidance. Group II (n=14) received institution-based intervention, attending sessions twice weekly. Post-intervention evaluations were conducted after three months.
Results: Both groups demonstrated significant improvements in receptive language (p<0.05), with higher scores observed in Group II, particularly in children with traits or mild autism, followed by moderate autism. Expressive language skills showed significant pre- and post-intervention improvements in both groups (p<0.05). Attention skills improved significantly within and between groups (p<0.05). Social and cognitive skills also improved significantly in both groups, although group II exhibited better social and cognitive improvements overall. In contrast, group-I showed stronger gains in cognitive skills compared to social skills.
Conclusions: Both home-based and institution-based interventions positively impacted children with autism. However, a combination of these approaches yielded the most substantial benefits for the children’s developmental outcomes and contributed positively to the mental health of their caregivers.
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References
Sauer AK, Stanton JE, Hans S, Grabrucker AM. Autism Spectrum Disorders: Etiology and Pathology. PubMed; Exon Publications; 2021. DOI: https://doi.org/10.36255/exonpublications.autismspectrumdisorders.2021.etiology
Chauhan A, Sahu JK, Jaiswal N, Kumar K, Agarwal A, Kaur J, et al. Prevalence of autism spectrum disorder in Indian children: A systematic review and meta-analysis. Neurology India. 2019;67(1):100. DOI: https://doi.org/10.4103/0028-3886.253970
WHO. Autism Spectrum Disorders. World Health Organization; 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/ autism-spectrum-disorders. Accessed on 25 January 2025.
ASHA. Social Communication. Asha.org; 2009. Available at: https://www.asha.org/public/speech/ development/Social-Communication/. Accessed on 25 January 2025.
Rajmil L, Hjern A, Boran P, Gunnlaugsson G, Kraus de Camargo O, Raman S, et al. Impact of lockdown and school closure on children's health and well-being during the first wave of COVID-19: A narrative review. BMJ Paediatr Open. 2021;5(1):e001043. DOI: https://doi.org/10.1136/bmjpo-2021-001043
UNICEF. The impact of COVID-19 on children’s mental health. Www.unicef.org. Available at: https://www.unicef.org/india/impact-covid-19-childrens-mental-health. Accessed on 25 January 2025.
Ayouni I, Maatoug J, Dhouib W. Effective public health measures to mitigate the spread of COVID-19: A systematic review. BMC Publ Heal. 2021;21:1015. DOI: https://doi.org/10.1186/s12889-021-11111-1
Myers SM, Johnson CP, American Academy of Pediatrics Council on Children with Disabilities. Management of children with autism spectrum disorders. Pediatrics. 2007;120(5):1162-82. DOI: https://doi.org/10.1542/peds.2007-2362
Deshpande SN. Indian Scale for Assessment of Autism-Test Manual. ResearchGate. 2008.
Reynell J. Developmental Language Delays and Deviations. In: Language Development and Assessment. Studies in Development Paediatrics, vol 1. Springer, Dordrecht. 1980. DOI: https://doi.org/10.1007/978-94-011-7212-7_6
Karanth P. Communication DEALL Developmental Checklists. Bangalore: Com DEALL Trust. 2007.
Lakkanna S, Venkatesh K, Bhat JS, Karuppali S. Assessment of Language Development: A Manipal Manual. Manipal Universal Press. 2021.
Brown R. A First Language: The Early Stages. Harvard Univ. Press. 1973. DOI: https://doi.org/10.4159/harvard.9780674732469
Geurts B. Making Sense of Self Talk. Rev Philos Psychol. 2018;9(2):271-85. DOI: https://doi.org/10.1007/s13164-017-0375-y
Schick J, Fryns C, Wegdell F, Laporte M, Zuberbühler K, Van Schaik CP, Townsend SW, Stoll S. The function and evolution of child-directed communication. PLOS Biol. 2022;20(5):e3001630. DOI: https://doi.org/10.1371/journal.pbio.3001630
Wood D, Bruner J, Ross G. The role of tutoring in problem solving. J Child Psychol Psychiatr. 1978;17:89-100. DOI: https://doi.org/10.1111/j.1469-7610.1976.tb00381.x
Renninger KA, List A. Scaffolding for Learning. In: Seel NM, ed. Encyclopedia of the Sciences of Learning. Springer, Boston, MA. 2012. DOI: https://doi.org/10.1007/978-1-4419-1428-6_569
Roberts MY, Kaiser AP. The effectiveness of parent-implemented language interventions: A meta-analysis. Am J Speech-Language Pathol. 2011;20(3):180-99. DOI: https://doi.org/10.1044/1058-0360(2011/10-0055)
Schreibman L, Dawson G, Stahmer AC, Rebecca L, Sally JR, Gail GM, et al. Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. J Autism Develop Disord. 2015;45(8):2411-28. DOI: https://doi.org/10.1007/s10803-015-2407-8
Rogers SJ, Vismara LA. Evidence-based comprehensive treatments for early autism. J Clin Child Adolesc Psychol. 2008;37(1):8-38. DOI: https://doi.org/10.1080/15374410701817808
Dawson G, Rogers S, Munson J, Milani S, Jamie W, Jessica G, et al. Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatr. 2010;125(1):e17-23. DOI: https://doi.org/10.1542/peds.2009-0958
Ozonoff S, Cathcart K. Effectiveness of a home program intervention for young children with autism. J Autism Develop Disord. 1998;28(1):25-32. DOI: https://doi.org/10.1023/A:1026006818310