Quantifying the Child–Therapist Interaction in ASD Intervention: An Observational Coding System

Background: Observational research plays an important part in developmental research due to its noninvasiveness. However, it has been hardly applied to investigate efficacy of the child–therapist interaction in the context of naturalistic developmental behavioral interventions (NDBI). In particular,...

Full description

Bibliographic Details
Main Authors: Giulio Bertamini, Arianna Bentenuto, Silvia Perzolli, Eleonora Paolizzi, Cesare Furlanello, Paola Venuti
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/3/366
_version_ 1797541467941502976
author Giulio Bertamini
Arianna Bentenuto
Silvia Perzolli
Eleonora Paolizzi
Cesare Furlanello
Paola Venuti
author_facet Giulio Bertamini
Arianna Bentenuto
Silvia Perzolli
Eleonora Paolizzi
Cesare Furlanello
Paola Venuti
author_sort Giulio Bertamini
collection DOAJ
description Background: Observational research plays an important part in developmental research due to its noninvasiveness. However, it has been hardly applied to investigate efficacy of the child–therapist interaction in the context of naturalistic developmental behavioral interventions (NDBI). In particular, the characteristics of child–therapist interplay are thought to have a significant impact in NDBIs in children with autism spectrum disorder (ASD). Quantitative approaches may help to identify the key features of interaction during therapy and could be translated as instruments to monitor early interventions. Methods: <i>n</i> = 24 children with autism spectrum disorder (ASD) were monitored from the time of the diagnosis (T0) and after about one year of early intervention (T1). A novel observational coding system was applied to video recorded sessions of intervention to extract quantitative behavioral descriptors. We explored the coding scheme reliability together with its convergent and predictive validity. Further, we applied computational techniques to investigate changes and associations between interaction profiles and developmental outcomes. Results: Significant changes in interaction variables emerged with time, suggesting that a favorable outcome is associated with interactions characterized by increased synchrony, better therapist’s strategies to successfully engage the child and scaffold longer, more complex and engaging interchanges. Interestingly, data models linked interaction profiles, outcome measures and response trajectories. Conclusion: Current research stresses the need for process measures to understand the hows and the whys of ASD early intervention. Combining observational techniques with computational approaches may help in explaining interindividual variability. Further, it could disclose successful features of interaction associated with better response trajectories or to different ASD behavioral phenotypes that could require specific dyadic modalities.
first_indexed 2024-03-10T13:16:27Z
format Article
id doaj.art-64630596c6884df3984da770b84af683
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-10T13:16:27Z
publishDate 2021-03-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-64630596c6884df3984da770b84af6832023-11-21T10:21:02ZengMDPI AGBrain Sciences2076-34252021-03-0111336610.3390/brainsci11030366Quantifying the Child–Therapist Interaction in ASD Intervention: An Observational Coding SystemGiulio Bertamini0Arianna Bentenuto1Silvia Perzolli2Eleonora Paolizzi3Cesare Furlanello4Paola Venuti5Laboratory of Observation, Diagnosis and Education (ODFLab), Department of Psychology and Cognitive Science, University of Trento, 38122 Trento, TN, ItalyLaboratory of Observation, Diagnosis and Education (ODFLab), Department of Psychology and Cognitive Science, University of Trento, 38122 Trento, TN, ItalyLaboratory of Observation, Diagnosis and Education (ODFLab), Department of Psychology and Cognitive Science, University of Trento, 38122 Trento, TN, ItalyLaboratory of Observation, Diagnosis and Education (ODFLab), Department of Psychology and Cognitive Science, University of Trento, 38122 Trento, TN, ItalyHk3 Lab, 38068 Rovereto, TN, ItalyLaboratory of Observation, Diagnosis and Education (ODFLab), Department of Psychology and Cognitive Science, University of Trento, 38122 Trento, TN, ItalyBackground: Observational research plays an important part in developmental research due to its noninvasiveness. However, it has been hardly applied to investigate efficacy of the child–therapist interaction in the context of naturalistic developmental behavioral interventions (NDBI). In particular, the characteristics of child–therapist interplay are thought to have a significant impact in NDBIs in children with autism spectrum disorder (ASD). Quantitative approaches may help to identify the key features of interaction during therapy and could be translated as instruments to monitor early interventions. Methods: <i>n</i> = 24 children with autism spectrum disorder (ASD) were monitored from the time of the diagnosis (T0) and after about one year of early intervention (T1). A novel observational coding system was applied to video recorded sessions of intervention to extract quantitative behavioral descriptors. We explored the coding scheme reliability together with its convergent and predictive validity. Further, we applied computational techniques to investigate changes and associations between interaction profiles and developmental outcomes. Results: Significant changes in interaction variables emerged with time, suggesting that a favorable outcome is associated with interactions characterized by increased synchrony, better therapist’s strategies to successfully engage the child and scaffold longer, more complex and engaging interchanges. Interestingly, data models linked interaction profiles, outcome measures and response trajectories. Conclusion: Current research stresses the need for process measures to understand the hows and the whys of ASD early intervention. Combining observational techniques with computational approaches may help in explaining interindividual variability. Further, it could disclose successful features of interaction associated with better response trajectories or to different ASD behavioral phenotypes that could require specific dyadic modalities.https://www.mdpi.com/2076-3425/11/3/366autism spectrum disorder (ASD)child–therapist interplayobservational coding systemquantitative approachestreatment monitoring
spellingShingle Giulio Bertamini
Arianna Bentenuto
Silvia Perzolli
Eleonora Paolizzi
Cesare Furlanello
Paola Venuti
Quantifying the Child–Therapist Interaction in ASD Intervention: An Observational Coding System
Brain Sciences
autism spectrum disorder (ASD)
child–therapist interplay
observational coding system
quantitative approaches
treatment monitoring
title Quantifying the Child–Therapist Interaction in ASD Intervention: An Observational Coding System
title_full Quantifying the Child–Therapist Interaction in ASD Intervention: An Observational Coding System
title_fullStr Quantifying the Child–Therapist Interaction in ASD Intervention: An Observational Coding System
title_full_unstemmed Quantifying the Child–Therapist Interaction in ASD Intervention: An Observational Coding System
title_short Quantifying the Child–Therapist Interaction in ASD Intervention: An Observational Coding System
title_sort quantifying the child therapist interaction in asd intervention an observational coding system
topic autism spectrum disorder (ASD)
child–therapist interplay
observational coding system
quantitative approaches
treatment monitoring
url https://www.mdpi.com/2076-3425/11/3/366
work_keys_str_mv AT giuliobertamini quantifyingthechildtherapistinteractioninasdinterventionanobservationalcodingsystem
AT ariannabentenuto quantifyingthechildtherapistinteractioninasdinterventionanobservationalcodingsystem
AT silviaperzolli quantifyingthechildtherapistinteractioninasdinterventionanobservationalcodingsystem
AT eleonorapaolizzi quantifyingthechildtherapistinteractioninasdinterventionanobservationalcodingsystem
AT cesarefurlanello quantifyingthechildtherapistinteractioninasdinterventionanobservationalcodingsystem
AT paolavenuti quantifyingthechildtherapistinteractioninasdinterventionanobservationalcodingsystem