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Little things to help the autism community

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We’ve heard a lot about social robots – do they help? One or two studies are not going to answer this, but a systematic review and meta analysis will! It turns out when you combined all the data, they do help in social abilities, but not other areas. This is how technology can help those with autism, especially technology which can be adapted to address the heterogeneity across the spectrum. And what about more subtle changes in the environment like light, sound, the built environment in classrooms and the home? Are there things that can be done that should be taken into account when these things are being built or modified? Again, a review article can help decipher all of the little studies that have been published over the year. Listen to specific recommendations for builders, architects, and even you as you make your home more autism friendly.

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0269800

https://journals.sagepub.com/doi/10.1177/13623613221102753?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

https://lukerosen212.medium.com/the-supreme-courts-decision-impact-on-the-rare-genetic-disease-community-f9ac22bd1411

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How is ASD diagnosis happening right now?

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Early on in the pandemic, clinicians struggled with how to turn in-person evaluations into Telehealth evaluations. One year later: what have they done? How have they modified? How do parents feel about these changes? Should they stay or should they go? This topic will be featured on our ASF Day of Learning on April 22nd as well. Also COVID related, new data on the effects of maternal immune infection on autism outcomes in children – with a bright light at the end of the story. At least a bright light at some maternal infections. Listen to the opening song and keep on “staying away”.

https://pubmed.ncbi.nlm.nih.gov/33730320/

https://pubmed.ncbi.nlm.nih.gov/33720503/

https://www.nature.com/articles/s41593-020-00762-9

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Let’s Get Some Physical Activity

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Everyone needs some physical activity, but people on the spectrum typically get less activity than those not diagnosed with ASD. Why? There are multiple reasons, but as it turns out it can’t all be blamed on the obvious culprit of increased screen time or video game use. Those can be reasons why teenagers get less activity, but not specifically those with ASD. Does physical activity help with ASD symptoms and features? Maybe a little. Different types of physical activity are discussed on this week’s ASF podcast.

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Families work hard for treatments

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Unfortunately, families hear more about what does work to help families with ASD rather than what does not work. But through the course of decades of research, scientific projects and hours of families participation, there is a better picture of what treatments are, and are not, helpful. This week’s podcast will review what drugs have shown to not be effective so far in treating restrictive and repetitive behaviors and also provides an update on umbilical cord blood stem cell transfusions on social communication behaviors.

https://www.jpeds.com/article/S0022-3476(20)30334-6/pdf

https://jaacap.org/article/S0890-8567(20)30265-3/pdf

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Is It Too Good To Be True?

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There are small signs that an exciting finding may actually be “too good to be true”.  Are the differences so big it seems impossible to believe?  Is it hard to replicate?  In a new paper, Dr. Thomas Frazier and colleagues outline what these warning signs are are, and how scientists should critically read scientific findings that might be overreaching.  This week, Dr. Frazier answers some questions about what these flags are, and how families can think critically about scientific findings.

https://www.ncbi.nlm.nih.gov/pubmed/31618104

 

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News new families can use, thank you to the BSRC

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This week an important study was released that provides information that parents can use – particularly parents with a child with autism and another on the way or who is an infant.  This of course comes from the Baby Siblings Research Consortium and makes particular observations about families with 2 or more affected children vs 1 affected child.  They have different rates of autism outcomes and trajectories of behaviors that parents and doctors should be aware of.  In addition a new meta analysis of vitamin supplementation shows that while moderate doses of vitamins may not be harmful, they may not also be helpful.  In other words, talk to your doctor about a nutritional plan and assessment, and save your money for things that are known to work.

https://www.ncbi.nlm.nih.gov/pubmed/31589284

https://www.ncbi.nlm.nih.gov/pubmed/31586029

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If you can make it there, you can make it anywhere: preparing early interventions for the community

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This week two groups of heroes of autism research published studies that may not be the type of major breakthrough that the media reports on, but they are more important to families:  These studies help translate what works in the research clinic into the community.  Specifically, is it even possible, how, and what do families need to know when they receive an intervention that has yet to be “field tested”.  This is a whole field of research called implementation science, and it deals with how scientists and community services implement what is learned in research settings into real world settings.

https://www.ncbi.nlm.nih.gov/pubmed/31206690 

https://www.ncbi.nlm.nih.gov/pubmed/31241851

 

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Let’s talk about sex (and sexuality)

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While certainly not a new topic of interest, the number of research studies and publications on the sexuality of people with autism has exploded in the past year.  Research shows more people with autism reporting they don’t conform to traditional sexual definitions.   In addition to having to navigate the world of having autism, they also have to figure out how to deal with exclusion based on sexual orientation and coming out.  They are a double disadvantaged community.   Also, females with autism seem to be at particular risk of poor sexual experiences.  This podcast reviews the research all leading to a reported need for better sexual education, and a promising intervention to help people with ASD.  Publications cited are:

 

https://www.ncbi.nlm.nih.gov/pubmed/29086210

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5570786/

https://www.ncbi.nlm.nih.gov/pubmed/27565655

https://www.ncbi.nlm.nih.gov/pubmed/28877047

https://www.ncbi.nlm.nih.gov/pubmed/28342163

https://www.ncbi.nlm.nih.gov/pubmed/28299510

https://www.ncbi.nlm.nih.gov/pubmed/28691307

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Putting the pieces together around group social skills interventions

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Individual research studies are great.  But even better is when someone takes these studies and puts them together to see if one study shows the same thing another does, and if they do is the effect size consistent?  Sometimes you can only do this by going old school and pooling the data from the individual studies.   This is especially helpful in determining the effectiveness of different interventions.  This week, Dr. Matthew Lerner and his colleagues at Stony Brook University  published a meta analysis of group social skills interventions.  They put together well-designed studies and asked:  do they work?  Are they better than getting nothing at all?  To find out, listen to this week’s ASF podcast.