Autism Study – 2002
Rosalie Seymour, B.A. (Log)Pret., Speech Therapist and Audiologist, AIT practitioner
Maoilíosa Ó Rathaille, B.A., M.Sc., C.Stat., Lecturer in Mathematics and Statistics, Waterford Institute of Technology
Two groups of children with autism were studied; a control group (n = 8) and an experimental group (n = 15).
The control group was made up of children who had a diagnosis of autism, who did not receive AIT. The experimental group were made up of a comparable group of children with a diagnosis of autism who did receive AIT.
The two methods of assessment for comparison chosen were the Autism Treatment Evaluation Checklist (ATEC) of Drs Rimland and Edelson, and the Autism Behaviour Checklist (ABC) of Anand and Singh.
The ATEC gives a Total score, as well as sub scores for
- Speech,
- Sociability,
- Cognitive / Sensory awareness, and
- Health-Physical-Behavioural issues.
The ABC has a Total score, as well as subscores for
- Hyperactivity,
- Irritability,
- Lethargy,
- Stereotypy and
- Inappropriate Speech
In both these checklists, a high score indicates greater severity while a low score indicates a milder degree of difficulty.
COMPARING THE TWO GROUPS PRE-AIT:
In this section (see Figures 1-4 and Tables 1-4 below), the two groups are compared to discover whether they were evenly comparable.
The results show that they were found to be very similar in terms of age and E2 diagnostic scores at the commencement of the trial period.
(NOTE ON READING BOXPLOTS: each of the four sections indicates 25% of the sample. The boxed two middle sections each represent the 25% nearest the midline, and the lines each represent 25% on the outer ends of the sample. A star indicates an out-lier).
Figure 1: Age
Figure 2: Diagnosis
Table 2: Comparison of E2 total
|
E2 total
|
Control
|
Experimental
|
Mean difference
|
-0.5
|
|
Sample size
|
7
|
14
|
t-value
|
-0.1
|
|
Mean
|
-7.3
|
-6.79
|
P-value
|
0.92
|
|
Standard deviation
|
14.8
|
7.91
|
Significant (5%)
|
No
|
Figure 3: E2 Subscore Speech
Table 3: Comparison of E2 speech
|
E2 speech
|
Control
|
Experimental
|
Mean difference
|
0.21
|
|
Sample size
|
7
|
14
|
t-value
|
0.17
|
|
Mean
|
1.43
|
1.21
|
P-value
|
0.868
|
|
Standard deviation
|
3.46
|
2.36
|
Significant (5%)
|
No
|
Figure 4: E2 Subscore Behaviour
Table 4: Comparison of E2 behaviour
|
E2 behaviour
|
Control
|
Experimental
|
Mean difference
|
-0.71
|
|
Sample size
|
7
|
14
|
t-value
|
-0.17
|
|
Mean
|
-8.7
|
-8.0
|
P-value
|
0.867
|
|
Standard deviation
|
12.6
|
6.97
|
Significant (5%)
|
No
|
So it can be seen that the Experimental Group and the Control Group were comparable in terms of age and diagnostic severity as measured by the form E2.
COMPARISON OF THE GROUPS – ATEC AND ABC BASELINE SCORES
In addition, both groups started from the same baseline scores in terms of ATEC and ABC scores. As can be seen in Figures 5 and 6 and in Tables 5 and 6 below, there is no statistical evidence of any differences between the groups for both the initial ATEC total scores and the initial ABC total scores.
Figure 5:ATEC
Table 5: Comparison of ATEC initial scores
|
ATEC initial
|
Control
|
Experimental
|
|
|
|
Sample size
|
8
|
15
|
W-value
|
79.5
|
|
Median
|
54.5
|
80.0
|
P-value
|
0.3017
|
|
Difference between medians
|
-12.5
|
|
Significant (5%)
|
No
|
Figure 6:ABC
Table 6: Comparison of ABC initial scores
|
ABC initial
|
Control
|
Experimental
|
|
|
|
Sample size
|
8
|
15
|
W-value
|
78.0
|
|
Median
|
17.0
|
29.0
|
P-value
|
0.2583
|
|
Difference between medians
|
-8.0
|
|
Significant (5%)
|
No
|
THE INTERVENTION
Each of the children assigned to the experimental group (n= 15) received a ten-day course of Auditory Integration Training (AIT) over a period of 5 months. The AIT was performed by a certificated AIT practitioner and trainer in the method, using an Audiokinetron.
No extra filters were set as none of the participants were able to complete the Bérard Listening Tests. The Bérard Protocol for administration of AIT was followed for each of the participants. Outside of AIT, the participants continued with their regular programmes.
The children of the control group continued with their regular programmes, but did not receive any specific music nor listening training during this period.
The post-AIT checklist scores were taken from forms completed 4 months after AIT was done for each child, and 4 months after the initial pre-checklists were completed in the case of the control group.
RESULT OF PRE-POST SCORE CHANGES COMPARISON
In comparing the changes in the ATEC scores and the ABC scores for the two groups, after the experimental period, the statistical evidence suggests that the there is a significant difference for the ATEC scores (see Figure 7 and Table 7) and an almost significant difference for the ABC scores (see Figure 8 and Table 8), with the experimental group showing more benefit in both cases. These changes being significant were probably due to AIT, and cannot be attributed to chance.
Figure 7:ATEC pre-post scores differences
Table 7: Comparison of ATEC pre-post score differences
|
ATEC differences
|
Control
|
Experimental
|
Mean difference
|
-10.3
|
|
Sample size
|
6
|
15
|
t-value
|
-2.16
|
|
Mean
|
5.7
|
16.0
|
P-value
|
0.044
|
|
Standard deviation
|
10.3
|
9.79
|
Significant (5%)
|
Yes
|
Figure 8: ABC pre-post score differences
Table 8: Comparison of ABC pre-post score differences
|
ABC differences
|
Control
|
Experimental
|
Mean difference
|
-8.07
|
|
Sample size
|
6
|
14
|
t-value
|
-2.03
|
|
Mean
|
0.0
|
8.07
|
P-value
|
0.058
|
|
Standard deviation
|
5.62
|
8.94
|
Significant (5%)
|
No
|
CONCLUSION
These results indicate that a course of Auditory Integration Training (AIT) resulted in some significant improvements for a group of children with autism. These changes were not observed in the comparable group of children with autism who did not receive AIT.
These changes were more significant for those behaviours measured by the Autism Treatment Evaluation Checklist (ATEC), which has subscores for
Speech,
Sociability,
Cognitive / Sensory awareness
Health-Physical-Behavioural issues.
The results of this study indicate that a course of AIT is likely to have significant beneficial effects for children with a diagnosis of autism. These results are compatible with many other studies into the effects of AIT on Children with Autism.
(see…….)
Refernces available on request from the author.
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