Autism & Developmental

Long-Term Outcomes in Children Diagnosed with Autism Spectrum Disorders in India.

Mhatre et al. (2016) · Journal of autism and developmental disorders 2016
★ The Verdict

Ten-year data from India show most children with autism become verbal and nearly half master daily living skills when parents stay engaged and educated.

✓ Read this if BCBAs running clinics or home programs in India or other LMIC settings
✗ Skip if Clinicians who only see adult clients or work in high-resource countries

01Research in Context

01

What this study did

Mhatre et al. (2016) tracked 80 Indian children with autism for ten years. They checked who could talk, dress, and eat on their own at the end.

Doctors scored each child's autism severity at the start. The team also wrote down mother's school years and family income.

02

What they found

After ten years, 64 of the 80 kids spoke in sentences. Thirty-six could handle age-typical daily tasks like brushing teeth.

Children who started with mild traits and kids of more-educated moms did best. Money alone did not predict success.

03

How this fits with other research

Manohar et al. (2019) showed that just five parent-coaching sessions in South India cut parent stress and lifted child skills. Their short program fits the Dimpi finding that parent learning helps long-term.

Cao et al. (2023) looked at toddlers in China and saw more autism diagnoses when moms left school early. That seems opposite to Dimpi, but Muqing counted new diagnoses while Dimpi measured skills after diagnosis. Both point to parent education as a key lever.

Glenn et al. (2003) followed high-functioning children for only two years and saw little change. Dimpi's longer view shows that bigger gains can appear when you track kids for a full decade.

04

Why it matters

If you work in India or similar settings, tell families that most kids will talk by teen years, especially when parents stay in coaching. Push for early parent training and keep services running past preschool. Use mother's education level as a red flag for extra support when it is low.

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Add a quick parent-education check to intake and schedule extra coaching visits for moms with fewer than nine school years.

02At a glance

Intervention
not applicable
Design
case series
Sample size
80
Population
autism spectrum disorder
Finding
positive

03Original abstract

We investigated long-term outcomes in children with diagnosis of autism spectrum disorders based on Childhood Autism Rating Scale (CARS score). Information about outcomes such as speech, friendships and activities of daily living (ADLs) was collected through telephone-based interviews. Gilliam Autism Rating Scale-2 and Vineland Social Maturity Scale were used to assess level of functioning at follow-up. Parents of 80 [67 males, mean age 12 (3) years] children participated in the interview, 23 attended follow-up assessment. Sixty-four (80%) were verbal, 34 (42.5%) had need-based speech, 20 (25%) had friends and 37 (46%) had achieved age-appropriate ADLs. Median total follow-up period was 10 years. Lower disease severity, parent participation and higher maternal education were associated with better outcomes.

Journal of autism and developmental disorders, 2016 · doi:10.1007/s10803-015-2613-4