Purpose: This was a pilot study assessing the impact of a sensory adapted dental environment (SADE) on children with developmental disabilities (DD) receiving routine dental care. Methods: A crossover study of 22 children with DD, aged 6 through 21, was conducted at Virginia Commonwealth University Pediatric Dental clinic. Each participant was randomized to a sequence of two dental cleanings, one regular dental environment (RDE) and one SADE with a 3-4-month recall. Outcomes included physiological measures (heart rate and oxygen saturation) and cooperation (Frankl scores). Results: Study subjects completed a total of 36 visits. None of the physiological measures differed at either time point between the two treatment settings. The Frankl scores were significantly higher with SADE setting than RDE (p =0.0368). Forty-six percent of parents strongly agreed that they would prefer the SADE for their child’s next visit. Conclusion: SADE may be associated with improved behavior in children with DD.

This study was a nonexperimental correlational study that took a strengths-based approach and utilized family systems theories to examine parenting stress, as measured by the Parenting Stress Index-Short Form, and posttraumatic growth (PTG), as measured by the Posttraumatic Growth Inventory, and the relationship between the two constructs. The study was conducted with a national sample of 136 maternal caregivers of transition-age youth on the autism spectrum (ASD), ages 14 to 22 years, recruited through social media, flyers, and referrals. Participants were primarily biological mothers (83.9%), White (87.5%), and resided in the South (68.4%); the mean age of the adolescent with ASD was 17.16 years. Descriptive statistical findings showed that caregivers had normal levels of parenting stress and high levels of PTG. Results from one-sample t tests showed that the sample parenting stress mean score (M = 51) was similar to the population mean score of 50 while the sample PTG mean score (M = 56) was significantly higher than the population PTG mean score of 52.5. The third research question examined if parenting stress was significantly associated with PTG, controlling for pertinent covariates. Hierarchical multiple linear regression findings indicated that, after controlling for the place of residence, parenting stress was significantly associated with PTG: as parenting stress increased, PTG decreased. Parenting stress explained 7% of the variance in PTG, a small effect size. Findings from this study denote the positive aspects of parenting an adolescent with ASD. Results can inform the development of parent interventions aimed at reducing parenting stress and enhancing PTG.

The present study examined the relationships between anxiety, cognitive functioning, weak central coherence, and social skills in a group of 102 children diagnosed with an Autism Spectrum Disorder (ASD; Autistic disorder, Asperger's disorder, and PDD-NOS). The results indicated that children diagnosed with Asperger's disorder had significantly higher cognitive functioning and Block Design scores (i.e., weaker central coherence) compared to those diagnosed with autism or PDD-NOS. Regression analyses results showed that anxiety and cognitive functioning moderated the association between weak central coherence and social skills. For children with low cognitive functioning and high anxiety, weak central coherence was associated with poorer social skills than those with low cognitive functioning, high anxiety, and strong central coherence. For children with high cognitive functioning and high anxiety, weak central coherence was associated with better social skills than those with high cognitive functioning and strong central coherence. Implications of these findings are discussed. / acase@tulane.edu

It is of utmost importance that students diagnosed with Autism Spectrum Disorder (ASD) in the public school setting across the United States are receiving the best, most researched services and treatments. This study aimed to find out what services and treatments are most commonly being used for students with ASD in the public schools, to see whether or not those practices are supported by research, and to discover how involved parents and families are in the services being provided to their students. This study found that of the top 25 most commonly used practices, 17 of those were supported by and recommended by research, 3 are considered to have some research support, 1 was considered to not have research support, and 4 were undetermined to have research support. This study also found that overall, parents are aware of the services being provided to their students with ASD, but they do not feel like they are actively involved with majority of the services being provided.

The purpose of this study was to investigate the effects of individualized video-modeled Social Story interventions on the social communication skills of three children with High Functioning Autism/Aspergers Syndrome (HFA/AS). Using a multiple-baseline across participants design, video-modeled Social Stories were implemented and direct observations of the participants identified target behaviors were collected two times per week during unstructured school activities (e.g., recess). Overall, data demonstrated that video modeled Social Stories were effective for improving the rates of social communication for the participants, though modifications to allow access to social reinforcement was needed in two cases. In addition, all three participants demonstrated maintenance of skills at a two-week follow-up. However, generalization of skills was only observed for one participant.The present research provides no definitive claims of the effectiveness of a combined intervention for children with HFA/AS, Rather, it adds preliminary evidence that a combined intervention that teaches social communication skills and provides for a model of appropriate behavior may be a beneficial method of remediating social skill difficulties for many children and youth with HFA/AS.

For more than two decades, special education teacher shortages and attrition have concerned policymakers and administrators who work to recruit and retain special educators. It is imperative, therefore, to investigate the possible causes underlying the decision of special educators to leave the field. The aim of this current study was to explore teacher commitment to model philosophy and burnout across two well-established preschool treatment models for children with ASD: TEACCH (Treatment and Education of Autistic and Related Communication-Handicapped Children) and LEAP (Learning Experiences and Alternative Program for Preschoolers and their Parents). Additionally, these constructs were explored in Business As Usual (BAU) classroom models. Results indicated that LEAP teachers were significantly more committed to LEAP philosophy and practice relative to the TEACCH and BAU teachers and TEACCH teachers were not significantly more committed to TEACCH philosophy relative to the LEAP and BAU teachers. Additionally, BAU teachers are not significantly more committed to either LEAP or TEACCH, but do share commitment to both classroom approaches. Lastly, post hoc analyses provided support for a quadratic relationship between teacher commitment and aspects of teacher burnout. Implications for school districts and teachers working within the field of special education are discussed.

Even among the most high-functioning individuals with autism, there is a wide range of variation in outcome. This study examined within-child factors, such as temperament, that contribute to variation in social outcomes, the most salient area of deficit among individuals with high-functioning autism (HFA). Approach/withdrawal tendencies and effortful control were used to predict variation in symptoms and social skills. A unique multi-method approach employing self- and parent-report measures, physiological assessment, and social observation was used to determine whether temperament could be used to predict variation in social skills and symptom presentation. Results indicated that compared with an age- and gender-matched control group, the HFA group self-reported higher levels of negative affect and lower levels of surgency and were observed to exhibit higher levels of approach tendencies and lower levels of social skills. Across all participants, higher levels of effortful control were predictive of more adaptive social skills and higher levels of observed approach behavior were predictive of higher levels of anxiety. These results are discussed in relation to the variability in outcomes seen among individuals with autism and the implications for the development of interventions to enhance adaptive outcomes.

Sensory motor deficits, although not part of the diagnostic criteria, are frequently reported in autism spectrum disorder (ASD). The ob jective of this project is to study the temporal and spatial dynamics of an approximately periodic motor activity (circle drawing) in children with ASD. The natural rhythm of periodic motor activities such as circle drawing are known to exhibit statistical persistence in typically developing individuals. A sample of 15 children aged 4 to 8 years, with a primary diagnosis of ASD were asked to draw circles using a computerized tablet and pen, which record spatio-temporal data. Results were compared with those of 19 typically developing children. While no differences were seen in statistical persistence, differences were observed in timing of discontinuous circle drawing and in kinetic process variable such as grip and axial forces. Understanding the specific nature of graphomotor deficits is the first step towards developing targeted treatment for these impairments.

Sensory motor deficits, although not part of the diagnostic criteria, are frequently reported in autism spectrum disorder (ASD). The ob jective of this project is to study the temporal and spatial dynamics of an approximately periodic motor activity (circle drawing) in children with ASD. The natural rhythm of periodic motor activities such as circle drawing are known to exhibit statistical persistence in typically developing individuals. A sample of 15 children aged 4 to 8 years, with a primary diagnosis of ASD were asked to draw circles using a computerized tablet and pen, which record spatio-temporal data. Results were compared with those of 19 typically developing children. While no differences were seen in statistical persistence, differences were observed in timing of discontinuous circle drawing and in kinetic process variable such as grip and axial forces. Understanding the specific nature of graphomotor deficits is the first step towards developing targeted treatment for these impairments.

ABSTRACT Based on my experience and research, I believe more educational resources are needed for teaching students with Autism Spectrum Disorder (ASD). I have combined interviews of participants --two certified and currently practicing art teachers working in the public school setting, two adaptive art specialists, and two art therapists-- with relevant information from my Review of Literature to compile an initial set of practices and adaptive techniques specifically for art teachers to use in constructing a successful learning environment in the art classroom for students with ASD. According to my review of literature, three factors necessary for creating a successful learning environment for students with ASD are preparation, collaboration, and instruction. To examine these factors, I focused my interviews on these topics. Results were aligned with the initial research as those interviewed described a need for more complete and applicable training, more opportunities for collaboration, and information about possible strategies to use with students with ASD in the art classroom. INDEX WORDS: Art Education, Autism Spectrum Disorder, Art Therapy, Adaptive Art