Randomized, Controlled Trial of a Comprehensive Program for Young Students with Autism Spectrum Disorder.
A broad school-and-parent program produces small but solid receptive-language and social-skill gains for preschoolers with autism.
01Research in Context
What this study did
Researchers tested a school-plus-home program called CAP. Kids with autism got lessons at preschool and parents coached at home.
The team used a coin-flip design. Some children started CAP right away. Others waited and served as the control group.
What they found
After several months, CAP children scored slightly higher on receptive language tests. Teachers also rated their social skills a bit better.
The gains were small but real. Children with milder autism symptoms improved the most.
How this fits with other research
Eikeseth (2009) looked at 25 similar studies and concluded that broad behavioral programs like CAP hold the best evidence for preschoolers with autism.
Eckes et al. (2023) pooled 11 trials and found medium IQ and adaptive gains, yet no extra benefit for language or parent stress. CAP’s small language bump fits that pattern.
Abdi et al. (2023) seems to disagree. Their tight language package created huge vocabulary jumps in minimally verbal kids. The difference: CAP served all language levels with a wide curriculum, while Abdi targeted only silent children with 16 focused lessons.
Why it matters
CAP gives you a ready-made school-plus-home template. Expect modest receptive-language and social-skill gains, especially for children on the milder end of the spectrum. If a child is non-verbal, add a brief, highly focused language module instead of hoping the broad program alone will close the gap.
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02At a glance
03Original abstract
This randomized, controlled trial, comparing the Comprehensive Autism Program (CAP) and business as usual programs, studied outcomes for 3-5 year old students with autism spectrum disorder (ASD). Participants included 84 teachers and 302 students with ASD and their parents. CAP utilized specialized curricula and training components to implement specific evidence-based practices both at school and home. A comprehensive set of outcome areas was studied. Hierarchical linear modeling was used to estimate the treatment impact. CAP had small positive impacts on the students' receptive language (effect size of .13) and on their social skills as rated by teachers (effect size of .19). Treatment effects were moderated by severity of ASD.
Journal of autism and developmental disorders, 2016 · doi:10.1007/s10803-015-2597-0