Development of Sensory Based Narrative Intervention

Not Applicable

Recruiting

Interventions: Other: English Language-Narrative intervention
Other: English Langugae-Sensory based narrative intervention
Other: Bilingual-Sensory based narrative intervention
Other: Urdu Langusge-Sensory based narrative intervention
Other: Urdu Language-Narrative intervention
Other: Bilingual-Narrative intervention

Brief Summary: The goal of this study is to develop a sensory based narrative intervention and see its effect on vocabulary development in children with autism spectrum disorder. Sensory based narrative intervention will be developed, and participants of experimental group will be given this treatment for 6 weeks. Control group participants will be given only narrative intervention. Vocabulary improvement will be documented pre-post testing in both groups.

Detailed Description: The present study aims to bridge an existing gap in the literature in Pakistan, as there are no evidence based therapeutic intervention tools available for narratives in Urdu.

The study further aims to provide a interventional resource pack for bilingual population who has Urdu as their first and dominant language. There is no therapeutic tool available for intervention that has incorporated multimodal sensory input for language intervention. Since tools developed internationally and from other countries cannot be incorporated due to cultural sensitivity and linguistic complexity, therefore, the current study will be able to incorporate these limitations. This study will provide a novel resource for intervention in the context of Pakistan.

Recruitment & Eligibility

Inclusion Criteria

Participants with mild to moderate ASD aged between 6-11 years as assessed by ADOS (already diagnosed).
CARS score 30-37 (mild to moderate)
Both male and female participants.
ASD participants at 2 Information Carrying word-level receptively and at Blank level 1 expressively. (will incorporate nouns, verbs and adjectives as per individual linguistic level).
Participants with Urdu as their first language (home language) and English as a second language.

Exclusion Criteria

Individuals with any co-morbidity with Autism spectrum Disorder, such as hearing impairment, cleft lip and palate, visual impairment etc.
Individuals with a mild to moderate diagnosis but severe behavioral difficulties
Participants with any known sensory difficulties restricting use of certain sensory props.

Arm && Interventions

Group	Intervention	Description
English Language-Narrative intervention	English Language-Narrative intervention	This Control group participants will receive narrative intervention in English language.
English Language-Sensory based narrative intervention	English Langugae-Sensory based narrative intervention	This experimental group participants will receive sensory based intervention in English language.
Bilingual-Sensory based narrative intervention	Bilingual-Sensory based narrative intervention	This experimental group participants will receive sensory based narrative intervention in both English and Urdu language.
Urdu Language-Sensory based narrative intervention	Urdu Langusge-Sensory based narrative intervention	This experimental group participants will receive sensory based narrative intervention in Urdu language.
Urdu Language-Narrative intervention	Urdu Language-Narrative intervention	This control group participants will receive narrative intervention in Urdu language.
Bilingual-Narrative intervention	Bilingual-Narrative intervention	This control group participants will receive narrative intervention in both English and Urdu language.

Primary Outcome Measures

Name	Time	Method
Vocabulary development	18 days	Change from baseline, vocabulary development will be measured through comprehension of individual grammatical categories such as nouns, verbs, adjectives and preposition pre and post frequency will be recorded through a record form and calculated.
Sequencing skill	18 days	Change from baseline, sequencing skill will be measured as an ability to to place correct 3 part sequence picture of the story.
Non verbal communication	18 days	change from baseline, non verbal communication attempts will be documented on a record form on each enlisted vocabulary word as highlighted by the blind reviewer pre and post testing.
Attention span	18 days	Changes from baseline, change in attention span will be measured in time in seconds pre and post intervention.
Initiation for expression	18 days	change from baseline, initiation for expression will be documented in terms of time taken to initiate attempts at production level. It will be recorded on a record form with the help of stop watch on a record form.

Secondary Outcome Measures

Name	Time	Method

Locations (1): Profiles Speech & Language Therapy Clinic
🇵🇰
Rawalpindi, Punjab, Pakistan