Predicting Intervention Use in Autistic Children: Demographic and Autism-Specific Characteristics

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Bibliographic Details
Title: Predicting Intervention Use in Autistic Children: Demographic and Autism-Specific Characteristics
Language: English
Authors: Jonkman, Kim M. (ORCID 0000-0002-7724-2951), Back, Elisa, Begeer, Sander (ORCID 0000-0002-0572-6893)
Source: Autism: The International Journal of Research and Practice. Feb 2023 27(2):428-442.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 15
Publication Date: 2023
Document Type: Journal Articles
Reports - Research
Descriptors: Autism Spectrum Disorders, Intervention, Children, Adolescents, Intelligence Quotient, Special Education, Comorbidity, Access to Education, Equal Education, Therapy, Age Differences, Gender Differences, Services, Parent Background, Educational Attainment, Drug Therapy, Symptoms (Individual Disorders), Foreign Countries, Severity (of Disability), Individual Characteristics
Geographic Terms: Netherlands
Assessment and Survey Identifiers: Strengths and Difficulties Questionnaire
DOI: 10.1177/13623613221102748
ISSN: 1362-3613
1461-7005
Abstract: Autism is a heterogeneous diagnosis with symptoms that present in different ways. There is a large variety of interventions for autistic individuals. However, little is known about who chooses which specific interventions. We aimed to explore intervention prevalence and predict intervention use, based on demographic and autism-specific characteristics. This study used data on autistic children (N = 1464, aged 1-17 years) from the Netherlands Autism Register. Most children (88%) had received therapies, and about half had received medication. Intervention use was mostly related to additional factors (lower IQ, special education and co-occurring diagnoses). Children with a lower IQ received less therapies, children attending special education or with a co-occurring diagnosis received more therapies. Children in special education or with a co-occurring diagnosis were more likely to receive several types of therapy and medication. Older age, higher IQ and being female were related to more guideline (autism-specific) or mainstream (targeting co-occurring problems) therapy use. Lower parental education was related to more mainstream medication use. More severe sensory issues increased the chance of other medication use. Other autism-specific characteristics (autism severity, social skills, repetitive and restrictive behaviours) were not related to intervention use. More transdiagnostic interventions should be available for children with autism who have additional difficulties.
Abstractor: As Provided
Entry Date: 2023
Accession Number: EJ1364563
Database: ERIC
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Description
Abstract:Autism is a heterogeneous diagnosis with symptoms that present in different ways. There is a large variety of interventions for autistic individuals. However, little is known about who chooses which specific interventions. We aimed to explore intervention prevalence and predict intervention use, based on demographic and autism-specific characteristics. This study used data on autistic children (N = 1464, aged 1-17 years) from the Netherlands Autism Register. Most children (88%) had received therapies, and about half had received medication. Intervention use was mostly related to additional factors (lower IQ, special education and co-occurring diagnoses). Children with a lower IQ received less therapies, children attending special education or with a co-occurring diagnosis received more therapies. Children in special education or with a co-occurring diagnosis were more likely to receive several types of therapy and medication. Older age, higher IQ and being female were related to more guideline (autism-specific) or mainstream (targeting co-occurring problems) therapy use. Lower parental education was related to more mainstream medication use. More severe sensory issues increased the chance of other medication use. Other autism-specific characteristics (autism severity, social skills, repetitive and restrictive behaviours) were not related to intervention use. More transdiagnostic interventions should be available for children with autism who have additional difficulties.
ISSN:1362-3613
1461-7005
DOI:10.1177/13623613221102748