PTOTSLPPilotJournal of autism and developmental disorders2018

Effectiveness of a SCERTS Model-Based Intervention for Children with Autism Spectrum Disorder (ASD) in Hong Kong: A Pilot Study.

Lu Yu, Xiaoqin Zhu

PMID 29907953

WHAT IT FOUND

Children with autism in Hong Kong improved on communication, emotion and motor scores after a SCERTS-based programme delivered within usual centre care, but with no control group, maturation or other components cannot be separated.

Key findings

01Children in both duration groups showed significant pre-post improvement on social communication and emotional behaviour, and on all CPEP-3 performance subtests.

02Program duration showed a significant time-by-group interaction for only 1 of 15 indicators, and did not significantly predict 13 of 15 posttest scores.

03Focus group participants reported children using visual supports such as communication cards, and teachers moving from directive to facilitative roles.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

There was no control group, so the children's gains could reflect normal development, usual centre-based intensive care, or repeated testing. The SCERTS-based programme was delivered alongside full-day centre care, teacher-led SCERTS activities, weekly individual and group therapy, parent training, teacher coaching and quality monitoring, so the contribution of any single component cannot be separated. The 5-month group had better baseline scores on several outcomes, which may bias comparisons even though baseline scores were statistically controlled. The sample was small and drawn from Hong Kong special childcare centres, so the results may not generalise to other Chinese contexts or settings. Attendance was not recorded, so the actual training hours each child received are uncertain. Educators' baseline SCERTS implementation skill, children's symptom severity and cognitive development level were not measured.

Declared interests

The paper does not give a separate funding or conflict-of-interest declaration. It states that the Heep Hong Society introduced SCERTS-based services in Hong Kong and launched the project.

The easy way to misread this

Do not conclude that the SCERTS model alone caused the improvements. The children also received full-day centre-based intensive training and care, teacher-delivered SCERTS activities, weekly individual therapy, weekly group therapy, parent training, teacher coaching and quality monitoring, and there was no control group.

Read it on PubMed →