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1.
Behav Modif ; 42(1): 126-147, 2018 01.
Article in English | MEDLINE | ID: mdl-28675941

ABSTRACT

Children with autism spectrum disorder (ASD) in public education settings experience difficulties with transitions during classroom routines, which can result in challenging behavior. Single-subject research supports techniques for transitions, but school-based approaches often require resources and training unavailable in low-resource districts, limiting implementation. We developed and evaluated the Schedules, Tools, and Activities for Transitions (STAT) program, a short-term, manualized intervention of behavioral supports to support daily routine transitions for students with ASD (K-5) in underresourced districts. We utilized a multisite, cluster-randomized, group comparison design (immediate treatment versus waitlist) with matched pairs ( n = 150 students, 57 educators). Data indicated (a) no group differences for academic engagement or classroom independence, and (b) an advantage for STAT in reducing challenging behavior and increasing teacher fidelity. Results show preliminary support for an intervention that is feasible and perceived as sustainable in real-world settings.


Subject(s)
Autism Spectrum Disorder/rehabilitation , Behavior Therapy/methods , Child Behavior , Outcome and Process Assessment, Health Care , Problem Behavior , Schools , Adult , Child , Female , Humans , Male , Middle Aged
2.
Autism ; 19(6): 694-703, 2015 Aug.
Article in English | MEDLINE | ID: mdl-25192859

ABSTRACT

This study used qualitative methods to evaluate the perceptions of parents, educators, and school administrators in three large, urban school districts (Los Angeles, Philadelphia, and Rochester) regarding services for children with autism spectrum disorder within the context of limited district resources. Facilitators followed a standard discussion guide that contained open-ended questions regarding participants' views on strengths and limitations of existing services and contextual factors that would facilitate or inhibit the process of introducing new interventions. Three primary themes were identified: (1) tension between participant groups (teachers and paraprofessionals, staff and administration, teachers and parents, special education and general education teachers), (2) necessity of autism spectrum disorder-specific and behavioral training for school personnel, and (3) desire for a school culture of accepting difference. These themes highlight the importance of developing trainings that are feasible to deliver on a large scale, that focus on practical interventions, and that enhance communication and relationships of school personnel with one another and with families.


Subject(s)
Autism Spectrum Disorder/rehabilitation , Faculty , Parents , Urban Health Services , Adult , Community-Based Participatory Research , Female , Humans , Male , Middle Aged , United States
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