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By
Amy Norton for Reuters Health
Training parents to better communicate with
their autistic preschoolers can spur children's
language development, according to a study of
one such training program.
Though parental training courses are a growing
part of managing autism spectrum disorders, there
has been little evidence from clinical trials
that the approach aids children's language, behavior
and social skills.
"The evidence base has been very limited,
so our study is a major contribution," Dr.
Helen McConachie, of the University of Newcastle
in the UK, told Reuters Health.
Specifically, she and her colleagues found that
a program known as More Than Words helped parents
build their 2-, 3- and 4-year-old children's vocabularies.
The program, which was developed by Canadian doctors,
teaches parents how to interact with their autistic
children in a playful way-using "fun"
words, games, musical speech and other tactics
to aid their language development.
The findings are published in the Journal of Pediatrics.
Autism spectrum disorders refer to a group of
developmental impairments that includes autism
and a milder disorder called Asperger syndrome.
All of the disorders involve varying degrees of
impairment in communication, social interaction
and behavior.
In more severe cases, children may speak very
little and use single words rather than sentences.
They also often have trouble reading other people's
non-verbal "cues," like facial expressions,
body language and tone of voice.
Parents in the current study attended a weekly,
20-hour training course that taught them to interact
with their preschoolers in particular ways designed
to spur language development. Parents trained
together in small groups, the researchers note,
which allowed them to give each other support
and share experiences.
McConachie and her colleagues compared 26 parents
who went through the course with another group
of 25 parents who had not yet attended. Seven
months into the study, children in the program
had a larger vocabulary overall than those whose
parents had not gone through the course.
In observations of the parents, the researchers
found that those who went through training were
more likely to use language-building "strategies,"
such as simple language, attention-grabbing words,
praise and games.
Though the study was small, McConachie said it
was larger than most previous studies of early
interventions for autism and, unlike many studies,
included a comparison group where parents had
not yet received training.
That makes it more likely that the children's
language gains were sparked by their parents'
training, according to McConachie.
She noted that the first large-scale clinical
trial of such training
-- the Preschool Autism Communication Trial --
is set to get underway in the UK next year.
SOURCE: Journal of Pediatrics, September 2005.
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