부산대학교 도서관

AimTo see the effect of an eclectic approach in management of ASD in a resource constrained set up.Material and methodA total number of 70 children were enrolled after parental consent. Parental Questionnaire, Functional Behaviour Analysis (FBA), Childhood Autism Rating Scale II (CARS II), Portage Early Education Programme (PEEP) were administered in addition to clinical diagnosis of autism based on DSM V (APA 2013). Children below 2.5 years and above 5 years along with children with cerebral palsy and Syndromes were excluded from the study. An Eclectic Approach included Applied Behaviour Analysis (ABA), Functional Behaviour Analysis, Speech And Language Therapy and Picture Exchange Communication System (PECS), Developmental therapy, Occupational and Sensory Integration Therapy, Social Skills Training and parents as partners. Statistical Analysis was done using SPSS 21 (Frequencies,Pearson correlation).ResultsAbstract G182(P) Table 1Age of diagnosis & duration of therapyn=70Mean(months)+SDMin(months)Max(months)Chronological Age 40.77 9.87 30 60 Duration of Therapy 19.2 7.07 12 36 Abstract G182(P) Table 2Correlation between CARS & developmental profileDevelopmental profile skill areasCARS correlation (p value)Cognition 0.430 (0.000) Socialisation 0.194 (0.107) Language 0.308 (0.010) Self Help 0.101 (0.406) Motor 0.137 (0.256) Abstract G182(P) Table 3Correlation between duration of therapy & developmental profileDevelopmental profile skill areasDuration of therapy correlation (p value)Cognition 0.311 (0.009) Socialisation 0.269 (0.024) Language 0.383 (0.001) Self Help 0.080 (0.510) Motor 0.304 (0.011) Males were more affected than females and mean age of diagnosis was 3.4 years. Improvement was seen both in Behavioural and Developmental Profile. Longer duration of therapy lead to better outcome in language, cognition and socialisation.ConclusionAn Eclectic Approach is a useful intervention in children with ASD in a low resource country.