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Cochrane Database of Systematic Reviews Protocol - Intervention

Pivotal Response Treatment for autism spectrum disorder (ASD)

Abstract

Objectives

This is a protocol for a Cochrane Review (intervention). The objectives are as follows:

To systematically review evidence on the effectiveness of PRT in individuals with ASD. Our specific objectives are:

  1. to assess the effect of PRT compared with treatment as usual or wait‐list control on social communication skills in individuals with ASD based on: 1. direct observation; and 2. parent/caregiver or teacher report (or both);

  2. to assess the effect of PRT compared to treatment as usual or wait‐list control on: 1. a. intelligence; b. restricted and repetitive behaviour; c. internalising and externalising behaviour; d. global clinical improvement; e. the dose‐response of PRT; and f. possible reported adverse effects; and 2. parenting stress;

  3. to examine differential effects of age, gender, IQ measure before treatment, and severity of ASD symptoms on treatment outcomes; and

  4. to examine differential effects of fidelity of PRT implementation, duration of intervention, intensity of intervention, implementation setting and therapist involvement on treatment outcomes.