[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-86620-en":3,"doc-seo-86620-105":29,"detail-sidebar-cat-0-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":13,"seo_description":14,"update_tm":27,"read_time":28},86620,16904993612988,"Olivia Brown","https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd",7,"Healthcare","Nonmedical Interventions for Children With ASD Recommended Guidelines and Further Research Needs","Objective: Develop consensus guidelines for nonmedical interventions targeting cognitive function and core deficits in children with autism spectrum disorders (ASDs) and set priorities for future research. Methods: A Technical Expert Panel (TEP) used a systematic review to draft, debate, revise, reassess, and formally vote on guideline statements. Results: Evidence strength varied by intervention type; at least 25 hours/week of comprehensive intervention is recommended, with efficacy supported for several established approaches. Conclusions: Expert guideline development aims to improve access while acknowledging major research gaps.","SUPPLEMENT ARTICLE  \nNonmedical Interventions for Children With ASD: Recommended Guidelines and Further Research Needs  \nAUTHORS: Margaret A. Maglione, MPP,a Daphna Gans, PhD,a Lopamudra Das, MPH,a Justin Timbie, PhD,a Connie Kasari, PhD,b and For the Technical Expert Panel, HRSA Autism Intervention Research – Behavioral (AIR-B) Network  \naRAND Corporation, Santa Monica, California; and b Center for Autism Research & Training, University of California, Los Angeles Semel Institute, Los Angeles, California  \nKEY WORDS  \nautism spectrum disorders, interventions, guidelines, standards ABBREVIATIONS  \nASD—autism spectrum disorder EPC—Evidence-based Practice Center HRSA—Health Services Resources Administration PECS—Picture Exchange Communication System TEP—Technical Expert Panel  \nUCLA—University of California, Los Angeles  \nThis manuscript has been read and approved by all authors. This paper is unique and not under consideration by any other publication and has not been published elsewhere. [www.pediatrics.org/cgi/doi/10.1542/peds.2012-0900O](www.pediatrics.org/cgi/doi/10.1542/peds.2012-0900O)[ ](www.pediatrics.org/cgi/doi/10.1542/peds.2012-0900O)[doi:10.1542/peds.2012-0900O](doi:10.1542/peds.2012-0900O)  \nAccepted for publication Aug 8, 2012  \nAddress correspondence to Margaret Maglione, MPP, Associate Director, Southern California Evidence-based Practice Center, RAND Corporation, 1776 Main St, Mailstop 4W, Santa Monica, CA 90407  \nPEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275) . Copyright © 2012 by the American Academy of Pediatrics FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.  \nabstract  \nOBJECTIVE: To use the findings of a systematic review of scientific evidence to develop consensus guidelines on nonmedical interventions that address cognitive function and core deficits in children with autism spectrum disorders (ASDs) and to recommend priorities for future research.  \nMETHODS: The guidelines were developed by a Technical Expert Panel (TEP) consisting of practitioners, researchers, and parents. A systematic overview of research findings was presented to the TEP; guideline statements were drafted, discussed, debated, edited, reassessed, and presented for formal voting.  \nRESULTS: The strength of evidence of efficacy varied by intervention type from insufficient to moderate. There was some evidence that greater intensity of treatment (hours per week) and greater duration (in months) led to better outcomes. The TEP agreed that children with ASD should have access to at least 25 hours per week of comprehensive intervention to address social communication, language, play skills, and maladaptive behavior. They agreed that applied behavioral analysis, integrated behavioral/developmental programs, the Picture Exchange Communication System, and various social skills interventions have shown efficacy. Based on identified gaps, they recommend that future research focus on assessment and monitoring of outcomes, addressing the needs of pre/nonverbal children and adolescents, and identifying the most effective strategies, dose, and duration to improve specific core deficits.  \nCONCLUSIONS: The creation of treatment guidelines and recommendations for future research represents an effort by leading experts to improve access to services for children with ASDs while acknowledging that the research evidence has many gaps. Pediatrics 2012;130:S169– S178  \nPEDIATRICS Volume 130, Supplement 2, November 2012 S169  \n[Downloaded from pediatrics.aappublications.org](Downloaded from pediatrics.aappublications.org) by guest on February 22, 2015  \nAutism spectrum disorders (ASDs) have emerged as a major public health and community challenge; most estimates of the prevalence of ASDs in children range from 6.5 to 6.6 per 1000 .1–3 More recent studies suggest that ASD prevalence might be higher than previously estimated, with ∼11 per 1000 children between the ages of 3 and 1","cbCaikiyLGdJpXNV","https://ap.wps.com/l/cbCaikiyLGdJpXNV","pdf",706021,1,12,"English","en",105,"# Abstract\n## Objective\n## Methods\n## Results\n## Conclusions\n# Background\n## Public health burden and prevalence\n## Nature of core deficits and treatment focus\n# Guideline Development Context\n## HRSA-funded research centers and systematic review\n## Role of the Technical Expert Panel\n# Methods","[{\"question\":\"What is the document’s 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