Cochrane · systematic review · CD012324

Communication interventions for autism spectrum disorder in minimally verbal children

Brignell, A, Chenausky, KV, Song, H, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
17
current version
GRADE rated
5
No studies
12
Included studies
NR
No studies 12 · 70.6%Ungraded 0 · 0%Very low 5 · 29.4%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings: focused playtime intervention versus treatment as usual for minimally verbal children with autism spectrum disorder

Population: minimally verbal children with autism spectrum disorder
9 questions
OutcomeEffectEvidenceStatus / GRADE
Spoken communication Measured by: Mullen Scale of Early Learning: Expressive Language Index (MSEL: log (base 2) transformed age equivalent scores)
Summary of findings: focused playtime intervention vs treatment
no estimate extracted1 study · 70 participantsVery low
Downgraded: risk of bias, imprecision
Non‐verbal communication/AAC
Summary of findings: focused playtime intervention vs treatment
no estimate extractedNRNo studies
Combined spoken and non‐verbal communication/AAC
Summary of findings: focused playtime intervention vs treatment
no estimate extractedNRNo studies
Adverse events
Summary of findings: focused playtime intervention vs treatment
no estimate extractedNRNo studies
Social communication and pragmatic language skills
Summary of findings: focused playtime intervention vs treatment
no estimate extractedNRNo studies
Other communication skills
Summary of findings: focused playtime intervention vs treatment
no estimate extractedNRNo studies
Quality of life for the individual or their family and parent satisfaction
Summary of findings: focused playtime intervention vs treatment
no estimate extractedNRNo studies
Non‐core aspects of behaviour and function
Summary of findings: focused playtime intervention vs treatment
no estimate extractedNRNo studies
CI: confidence interval.
Summary of findings: focused playtime intervention vs treatment
no estimate extractedNRNo studies

Summary of findings: Picture Exchange Communication System (PECS) versus treatment as usual for minimally verbal children with autism spectrum disorder

Population: minimally verbal children with autism spectrum disorder
8 questions
OutcomeEffectEvidenceStatus / GRADE
Spoken communication Measured by: frequency of speech, including non‐word vocalisations (expressed as rates per minute)a
Summary of findings: Picture Exchange Communication System (PECS) vs treatment
OR 1.11 study · 84 participantsVery low
Downgraded: risk of bias, imprecision
Non‐verbal communication/AAC Measured by: frequency of use of PECS symbols (expressed as rates per minute)a
Summary of findings: Picture Exchange Communication System (PECS) vs treatment
OR 3.91 study · 84 participantsVery low
Downgraded: risk of bias, imprecision
Combined spoken and non‐verbal communication/AAC Measured by: verbal and non‐verbal initiations (expressed as rates per minute)a
Summary of findings: Picture Exchange Communication System (PECS) vs treatment
OR 2.731 study · 84 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Summary of findings: Picture Exchange Communication System (PECS) vs treatment
no estimate extractedNRNo studies
Social communication or pragmatic language Measured by: reciprocal social interaction (ADOS‐G domain scores)a
Summary of findings: Picture Exchange Communication System (PECS) vs treatment
OR 0.551 study · 84 participantsVery low
Downgraded: risk of bias, imprecision
Other communication skills
Summary of findings: Picture Exchange Communication System (PECS) vs treatment
no estimate extractedNRNo studies
Quality of life for the individual or their family and parent satisfaction
Summary of findings: Picture Exchange Communication System (PECS) vs treatment
no estimate extractedNRNo studies
Non‐core aspects of behaviour and function
Summary of findings: Picture Exchange Communication System (PECS) vs treatment
no estimate extractedNRNo studies