Effects of Pivotal Response Treatment (PRT) for Children with Autism Spectrum Disorders (ASD): a Systematic Review

Background Pivotal response treatment (PRT) is suggested to be an effective treatment for children with autism spectrum disorder (ASD). Objectives We aimed to compile evidence examining the effectiveness of PRT on social communication, social interaction, and repetitive behavior for children with AS...

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Bibliographic Details
Published in:Review journal of autism and developmental disorders 2020-03, Vol.7 (1), p.78-90
Main Authors: Ona, Hanne Nordvik, Larsen, Kenneth, Nordheim, Lena Victoria, Brurberg, Kjetil Gundro
Format: Article
Language:English
Subjects:
Autism
Autistic children
Behavior modification
Behavioral Science and Psychology
Child and School Psychology
Children & youth
Developmental Psychology
Neurosciences
Psychiatry
Psychology
Rehabilitation
Review Paper
Social interaction
Social Work
Systematic review
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Summary:Background Pivotal response treatment (PRT) is suggested to be an effective treatment for children with autism spectrum disorder (ASD). Objectives We aimed to compile evidence examining the effectiveness of PRT on social communication, social interaction, and repetitive behavior for children with ASD. Methods We performed a systematic and comprehensive search for relevant trials about PRT. The results are summarized quantitatively and qualitatively. Results We included five randomized controlled trials suggesting that PRT may have positive effects on expressive language (SMD = 0.48; 95% CI 0.04 to 0.93), social interaction (SMD = 1.12; 95% CI 0.50 to 1.74), and repetitive behavior (SMD = 15.97; 95% CI 11.57 to 20.36). The effect on other outcomes, receptive language, and early learning skills is more uncertain. The quality of the evidence was found to be low. Author’s Conclusions PRT may be associated with advantageous effects, but more high-quality research is needed before we can draw firm conclusions.
ISSN:2195-7177
2195-7185
DOI:10.1007/s40489-019-00180-z