The Oaracle Organization for Autism Research
Organization for Autism Research Monthly E-Newsletter April 2011

Perspectives

Home Away from Home: Reflections from the OAR “Family”

As OAR celebrates its 10th anniversary year, we are aware just what it takes to make us the organization we are today. We are surrounded and supported by legions of people who have helped us. We present these perspectives to give you an idea of what OAR represents.

“OAR feels like another home away from home. As both a provider and a parent of a child with autism, I can rely on OAR for good, balanced information for making informed choices about treatments and approaches, and for supporting the search for new ideas and approaches,” says Joshua Feder, MD. “OAR is also military friendly, and as an ex-Navy doctor and dad, it is great to have OAR in the corner for all of our families of service members.”

Dr. Feder got involved with OAR several years ago after Peter Gerhardt, Ed. D., then OAR’s president, and Mike Maloney, OAR’s executive director, asked him to review research proposals, having read his posts on Valerie’s List, a parent-run informational website for people living with or supporting people with autism.

He continues to review proposals while taking on other projects for OAR, including helping with the Life Journey through Autism: A Guide for Military Families on developmental approaches to autism intervention. Today, in his job as director of research in the Graduate School of the Interdisciplinary Council on Developmental and Learning Disorders in San Diego, Calif., he also has his doctoral students look to OAR to apply for research grants. Last but certainly not least, he adds with a smile, “I always sponsor Mike Maloney when he runs the Marine Corps Marathon 10K to raise funds for OAR!”

In addition to his work as director of research, Dr. Feder is also a clinical assistant professor at the University of California San Diego School of Medicine, teaching classes through ICDL and at UCSD in early intervention, biostatistics, research design, and psychopharmacology, neurobehavioral medicine, and application of DIR/Floortime with families and in schools and a child and family psychiatrist.

OAR plays a critical role in supporting the development of new ideas, Dr. Feder believes. “It is a little bit like micro-enterprise, making accessible small grants for new and smaller researchers nationwide to get started and continue smaller projects without the enormous burdens of regulation required in larger government grants. The larger grants require so much administrative time and cost for that administrative work that there is little point in applying unless one is representing a large institution. Moreover, bigger grantors are less likely to risk giving grants to unknown researchers with new ideas. OAR grants are easy to understand and apply for, and require little administrative work by comparison, allowing for small innovative projects.”

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Salute

Dodging Balls to Raise Money for OAR

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Amanda Vance, shown here with a camera, has organized her unit in Baghdad to raise money for OAR through a dodgeball tournament.

When Amanda Vance talks about boots in the sand, she isn’t talking about a walk on the beach. A 21-year-old Army Specialist originally from Goodyear, Ariz., Vance is part of an active duty unit from Fort Bragg, North Carolina, deployed at a base in Baghdad, Iraq. “Boots in the Sand is an initiative my unit came up with after realizing there was very little coverage about soldiers in Iraq. We started taking the stories that were written and sending them back to soldiers’ hometowns where we could set up interviews with local newspapers.”

When she started dating her fiancé last year, Vance met his son who is on the autism spectrum. “I started doing research to better understand what autism is and to help me communicate with him better and to understand his needs.”

She soon found OAR’s Web site for military families, Operation Autism. “Military families have a unique set of needs. I feel like Operation Autism really answers those needs and helps to provide support to these families. It's the only Web site or organization that I've come across that really offers that support.”

In appreciation for military families who are raising children with autism spectrum disorders and to educate soldiers on the base about autism, Vance decided to create a “Day of Awareness” as part of Boots in the Sand’s efforts. “After my unit got together and discussed what would likely be most popular among the troops and more fun, we decided to have a dodgeball tournament to raise money for OAR. We have plenty of basketball tournaments that go on here but we wanted to do something that set us apart from those.”

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Amanda Vance, shown in front with a Flat Stanley cutout, stands with her unit.

The tournament and Day of Awareness are scheduled for April 30. “I am working with another soldier in my unit to make sure this day is a success. I am also asking the other soldiers to participate when they can. We are expecting a turnout of 30 to 50 soldiers and civilians but I am hoping for more.”

Choosing OAR as beneficiary was easy, Vance says, because of its Operation Autism Web site. “I love that OAR created a Web site specifically for military families that have children with autism.” She plans to take a low-key fundraising approach, asking them to donate to OAR directly and passing out cards with OAR’s Web site address on it.

It’s hard to imagine a greater act of generosity than a group of soldiers doing hardship duty in Iraq, at great cost to their lives, banding together to create a day of awareness for families with children with autism and raising money for them. In appreciation for Amanda Vance’s efforts and those of her fellow soldiers, OAR salutes and says thank you!

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OAR News

OAR Executive Director Embarks on First “Listening Tour”

Prospective political candidates hit the road for “listening tours” in the preliminary stages of any election cycle, typically in places that happen to be the site of upcoming primaries. Ostensibly, they are speaking to constituents and testing the waters as to a serious campaign run.

At the beginning of April, OAR Executive Director Mike Maloney embarked on a listening tour in Southern California that was truly about listening. He wanted to meet and listen to military parents of children with autism, staff personnel at Exceptional Family Member Program offices, and Navy medical staff who serve these families and their children with autism, and he did.

“I was impressed by the level of interest in autism and the attention it receives everywhere I visited,” Maloney reports. “The challenges that accompany raising a child with autism for military families are there for sure, but the leaders, doctors, nurses, EFMP staff, and others in the support network I met are just as certainly committed to serving these families well.”

In visits to two EFMP offices at Camp Pendleton and Marine Corps Air Station Miramar and Naval hospitals at Camp Pendleton and Balboa (San Diego), Maloney asked four basic questions, then listened and took notes.

Question #1: “How familiar are you with OAR and the resources OAR has produced for military families impacted by autism: the Operation Autism Web site and Life Journey through Autism: A Guide for Military Families?”

Not surprisingly, OAR was largely unknown, but many of the people Maloney talked with did know about the resources. In a few instances, Maloney introduced them to the materials.

Question #2: “How useful are the resources and what are the best ways to put them in the hands of parents? 

The EFMP staff and medical personnel familiar with the resources were unanimous in their praise. The general response was, “It’s the best single source of information there is. We recommend (and in many cases provide) it to parents at the time of diagnosis.”

The consensus on how to deliver the resources was a combined approach:

  1. Provide copies of the Guide for Military Families to medical facilities where children are diagnosed and include it in the information kit for parents at the time of diagnosis.
  2. Have copies available at EFMP offices for parents who have not received a copy.
  3. Make copies available to civilian medical offices that serve military families impacted by autism.
  4. Continue to explore ways to distribute the guides through established military channels, both EFMP and medical.

Question #3: “What are the most significant challenges faced by military families with children with autism?”

As expected, this is where it became more complicated. Some EFMP staff mentioned the escalation in challenging behaviors for some children with autism coincident with one or both parents’ multiple deployments. The immediate question was where and to whom to turn for help.

Maloney raised the possibility of OAR research and the development of resources that might be used to better prepare both the child with autism and the family for the effects of multiple deployments. As he told the people he met with, he plans to discuss the topic with Scientific Council Chairman, Dr. Peter Gerhardt.

Navigating the system was perhaps the most frequently voiced concern. In one context, the discussion centered on the difficulty in transitioning through the phases 0-3, early intervention, then school. In the medical area, it included referral and screening, testing, which tests were used, access to ECHO and the Autism Demonstration Project, and what information is available for parents on local services and supports at the time of diagnosis.

Another challenge described by medical officers was access to complete medical information. With many families often receiving treatment services from civilian providers, how does the primary care provider follow the patient’s full treatment regimen?  

Question #4: “Where, what, and how might OAR lend further support both to the families and to those who support them in any capacity? 

There was across the board consensus that OAR’s Guide for Military Families is a great resource, which ideally parents would receive at the time of diagnosis. Both among EFMP staff and Navy medical personnel, there was high interest in autism specific training, workshops, seminars, and possibly something along the lines of grand rounds, all ideas that Maloney sees as within OAR’s capacity to provide. Finally, there was a discussion about the potential of some of the emerging telemedicine technologies to address some of the medical records issues, enhance the capacity to serve families in more remote locations, and offer families in general greater continuity of care.

“I came back with a much greater appreciation of the challenges for support agencies like EFMP offices, and within the overarching systems,” says Maloney. “And seeing all the military families at a fun fair following the Act Today for Military Families 5K/10K race in San Diego on April 2, was a vivid reminder of their spirit and the challenges at the family level. Clearly our efforts at OAR are well placed, and we will continue to do more.”

OAR’s resources for military families, Operation Autism and A Guide for Military Families are accessible online. OAR also provides the published guide to military families and supporting agencies at no cost. To inquire, learn more, or offer suggestions about OAR’s initiatives in support of military families, please contact either Maloney or Allison Gilmour, director of programs and community outreach, at OAR.

 

Five Reasons You Should Go to The Colonial Beach Blues Festival
One is Spelled O-A-R

Mark your calendars now for the Colonial Beach Blues Festival in Colonial Beach, Va., on June 25 and 26. Why? Well, for one, it’s going to be a rockin’ good time with 12 outstanding musical acts. Two, it’s fun at frugal prices, only $15 for one day and $25 for two.

Third, and this is the big one, proceeds from the event will come straight to OAR to fund autism research.

This is a first-time event not only for OAR but also for organizers and husband-and-wife team, Dom and Charlene Salemi. It helps, says Charlene, that Dom has organized and produced rock shows for clubs in Washington, D.C. and Baltimore. Dom is a lawyer for the United States Trademark Office and Charlene is a contract specialist for Imagine One Technology and Management Limited.

The couple hopes this will be an annual event (reason #4 to go – so there will be another one). Why put in so much work as volunteers? In the Salemis’ case, it has a lot to do with their son, Nicholas, who is 15 and was diagnosed with an autism spectrum disorder at 4.

And, Charlene adds with a laugh, to “alert the rest of the world as to how hip Colonial Beach can be!” (Reason #5)

The Salemis chose OAR as the beneficiary because Charlene’s research told her that OAR was “particularly effective at raising funds and seeing they were placed in the hands of outstanding doctors and researchers.”

Get festival details on the Web. You can also find information on Facebook at Colonial Beach Blues Festival, or contact the Salemis at cbbluessociety@gmail.com.

Applied Research Competition Review Begins

On April 1, the first phase of OAR’s 2011 Applied Autism Research Competition came to a close with the receipt of 69 research pre-proposals from researchers across the United States as well as from Australia, Canada, Italy, and Portugal. This year, OAR introduced a new, online-only application form, which has made the entire process more convenient and streamlined for both applicants and reviewers.

After an internal review to ensure that each of the applications meets the criteria put forth in the Request for Proposals, OAR sends the pre-proposals out for review to members of OAR’s Scientific Council and a corps of external peer reviewers. As part of the initial review process, three doctoral-level reviewers, including at least one member of the Scientific Council, reviews each pre-proposal. Once those are completed, OAR records the scores and reviewer comments to support the screening process and later to share as constructive feedback for the principal investigator.

In June, OAR will invite the authors of the most highly rated pre-proposals to submit full proposals for additional review later this year. In this second round, as in the first, three reviewers review the full proposals, but in this round, two of the reviewers are from the Scientific Council.

OAR’s Scientific Council will exclusively conduct the third and final round of reviews on October 13 at their annual meeting. On the following day, OAR’s Board of Directors will meet to approve the final grant awards.  Funding will commence on or after January 1, 2012.

“Tapas For a Cause” Raises Money For OAR

LaTasca’s “Tapas for a Cause” raised $578 for OAR, raising awareness of autism in the process. Each month, La Tasca selects a charity that will receive a percentage of the profits earned on the first Tuesday. For April, Autism Awareness Month, OAR received the honor.

On April 5, tables at this Spanish style restaurant were decorated with OAR information and materials. While enjoying small plates of delicious Spanish dishes and drinking sangria and other beverages, diners could also learn about autism and OAR’s work.

OAR looks forward to participating again next year and thanks La Tasca for its generosity.

Write for OAR


In 2011, OAR is hoping to expand its list of authors and contributors to The OARacle by building a bank of people who would like to submit articles for publication. OAR invites people with autism, parents or siblings of people with autism, clinicians, and educators to submit first person or “how to” articles (750 words or less) related to autism, research, or research to practice. If interested, contact Alyssa Kruszyna at 703-243-9717 or akruszyna@researchautism.org.

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News from the Autism Community

OAR-funded Researchers Appear in IACC’s 2010 Summary of Advances in ASD Research

The IACC recently released its list of the top 20 scientific advances in autism spectrum disorder (ASD) research for 2010. The selected articles include new ways to understand ASD using cellular models and high-tech imaging techniques, studies uncovering new genetic risk factors and novel ways to diagnose ASD using speech patterns, and the first intervention proven to be effective for toddlers. The selections also include an evaluation of currently used interventions and treatment models and an assessment of whether early intervention programs can meet the increasing demand for services.

The scientific discoveries described in the Summary of Advances represent significant steps forward in understanding ASD and improving quality of life for individuals and families affected by the disorder.

OAR-funded Contributors
Three studies conducted by OAR-funded researchers are included in the list. As part of a team of researchers, Connie Kasari, Ph.D., conducted a study of randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Study results were published in the Journal of Autism & Developmental Disorders, September 2010.

Sam Odom, Ph.D., a member of the Scientific Council, was part of two research teams whose studies were selected. Another OAR-funded researcher, Kara Hume, Ph.D., who had both a graduate study and a research study funded by OAR, was part of the research team for the study on evidence of comprehensive treatment models for individuals with autism spectrum disorders, published in the Journal of Autism & Developmental Disorders, April 2010. The second Odom study, Evidence-based Practices in Interventions for Children and Youth with Autism Spectrum Disorders, was published by Preventing School Failure in May 2010.

Dr. Odom’s, Dr. Hume’s, and Dr. Kasari’s studies all fell under the IACC question: “Intervention – Which Treatments and Interventions Will Help?” Almost all of the studies funded by OAR tie in to this category.

However, some OAR-funded research does fall under other questions addressed in the published studies. In the first question, “Diagnosis – When Should I Be Concerned?” the IACC cited a national study on implementing developmental screening and referrals (published in Pediatrics,February 2010). In 2004, OAR funded a study by Karen Pierce, Ph.D. and Eric Courchesne, Ph.D. on the need for early identification of autism, developing a protocol for identifying infants at-risk for autism at the 1-year well-baby check-up based on a combination of behavioral and brain growth indices.

OAR-funded researcher Paul Shattuck’s, Ph.D., study on how using services might determine the success of young people on the autism spectrum to transition to independence, which was funded in 2008, fits into the last question addressed by the IACC, “Infrastructure – What Other Infrastructure and Surveillance Needs Must Be Met?” Dr. Shattuck’s study used longitudinal data on 922 youth with autism from the National Longitudinal Transition Study 2, a nationally representative sample that generalizes to all special education students in the autism exceptionality category who were in 7th through 12th grade and ages 13 through 16 on December 1, 2000. The study sought to identify underserved populations, barriers to service access, and factors that enable improved access to help target policy reforms and the design of new transition services.

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How-To

By Julie LaBerge, M.S. Ed.

10 Steps to Starting a Peer Support Program in Your School

Julie LaBerge is the mother of 14-year-old identical twins sons with autism and a typically developing 9-year-old daughter and is happily married to her husband, David. She is employed as the director of special education & pupil services as well as a school psychologist in the Bonduel School District in Bonduel, Wisconsin. She also serves as a consultant and resource for parents, educators, community agencies, and support groups and has been a guest speaker numerous times on several disability topics, with a focus on autism spectrum disorders. She has taught graduate courses related to autism for Viterbo University for the past 10 years.

The Bonduel School District, a rural public school with just under 900 students in Northeast Wisconsin, was chosen to serve as a model rural school site for the National Professional Development Center on Autism Spectrum Disorders project during the 2008-09 (middle school) and 2009-10 (high school and elementary) school years.

As participants in this national project, several staff members, including general and special education teachers, speech and language therapists, and an occupational therapist, along with a parent representative, committed to learning more about evidence-based practices that could be used with students with autism spectrum disorders in our school district.

With guidance from experts from the Waisman Center at the University of Wisconsin-Madison, staff at the Bonduel Middle School determined that there was a need to increase social opportunities for students with autism spectrum disorders (ASD) during the 2008-09 school year. When considering the options of evidence-based practices available at that time, it was determined that peer-mediated instruction and intervention (PMII) would be the most appropriate intervention to consider implementing.

At the middle school in the first year, four students with autism spectrum disorders (ASD) and 18 typically developing peers participated. In 2009-10, the district added one group at the middle school, two at the elementary school, and one at the high school. A total of seven students with ASD and one student with another disability who has social needs participated and 46 typically developing peers. This year, there are a total of eight students with ASD and 40 typically developing peers trained as peer supports.

As we implemented a peer support program, we discovered some practical steps that helped us as we developed the program:

1) Identify staff members who have a passion and desire to assist students with autism spectrum disorders or students with other disabilities who experience social challenges. This is a critical step to success related to the implementation of a successful peer support program. A great amount of time, dedication, and commitment is required.

2) Identify a student (or students) with social needs and discuss the possibility of participation in a peer support program with each student’s parents. Contact parents to discuss the purpose of creating a peer support network to assist their children with developing social skills and establishing and maintaining relationships with non-disabled peers in a safe environment. Obtain written parental consent.

3) Ask general education teachers to identify five to eight non-disabled students at the same grade level who could serve as peer supports to the students with social needs. Requirements to be considered as a peer support = kind, caring, and compassionate!  That’s it…peer supports need to possess these positive character traits. Once a student in need of social supports is identified, we ask regular education teachers to nominate socially typically developing students who may serve as strong social supports (i.e. criteria: kind, caring and compassionate). We prefer to have between five and 10 typically developing peers per student with social needs to allow for manageable group meetings as well as to ensure that social supports are scattered in a variety of classes/settings throughout the day.

4) Invite non-disabled peers to participate in the peer support group. Give each non-disabled peer who has been nominated an invitation and parental consent form and discuss the purpose of the group. We called our groups “Power PALS” (Peers Assisting Leading and Supporting) at the middle school during the first year and “P.O.P.S” (Power of Peer Supports) at the high school during the second year of the project. Be sure to include information about training on the invitation (i.e. date, time, location of training). Food (e.g. pizza and soda) has been a great motivator for initial training.

5) Train non-disabled peers. Staff in our district used the Sixth Sense Curriculum by Carol Gray. This curriculum focuses on reviewing the five senses (hearing, sight, touch, taste, and smell) and teaching students about the sixth sense, or the social sense. Staff modified the Sixth Sense Curriculum and developed a PowerPoint presentation to assist with visuals during instruction.

The training was provided during a lunch period. An adult instructor (teacher, therapist, psychologist etc.) provided the training, which takes approximately 30 minutes. Proper education and training is critical to the success of the program.

Once students begin in the program, they typically choose to continue with the exception of one or two here and there. We have had a few students move out and we have recruited new students to fill in. There have also been students who have requested to join a group. This has been allowed in a few cases as the students requesting to participate also could benefit from the interaction. We will continue to recruit students each year.

6) Coach non-disabled peers. After the non-disabled peers are trained, adult facilitators meet weekly with the students to discuss ways that they can help students with social needs throughout the school day. Coaching is necessary as guidance is needed to help the non-disabled students better understand their roles.

The hope; however, is that the groups will become independent of needing adult facilitation as the students become older. Our goal is that the high school groups will run mostly independently and receive guidance from facilitators related to planning activities or answering questions as needed. We currently have a group at the high school operating in this manner, which is incredible!

7) Continue to assist non-disabled peers pertaining to ways they can extend interactions with students with social needs in the classrooms, hallways, during lunch, and during extracurricular activities. Provide the non-disabled students with scripts, open-ended conversation starters and other activities to create opportunities to interact with students with social needs.

8) Invite students with social needs to join the group. After several weeks of coaching non-disabled peers, adult facilitators in our district decided to invite the learners with social needs (all have ASDs) to participate in the weekly peer support groups.

We believe that this step was critical to enhancing the relationships among all of the students and would allow each student with ASD to participate in a safe group setting surrounded by non-disabled peers who understand his/her needs. This was a great success!

Students with social needs are not included in the initial training with the typically developing peers because the staff leaders use that training to discuss the social needs of the students and identify ways to help.

Annually, we have provided ‘refresher’ training about the purpose of the program and have included students with social needs in these trainings (as they were more global in nature). We discuss how our goal is to help and support one another and make our school a safe and healthy place. The response from the students on the spectrum has been interesting during and after these trainings. They naturally have wanted to help and have been excited to be involved in a leadership program aimed at improving the school climate.

9) Plan activities that are fun and motivating and assist with the development of social understanding. Adult facilitators have continued with weekly meetings with each group over the past two and a half years at the middle school and over a year at the elementary and high school levels. This has allowed for strong relationships to be developed within each group.

Additionally, non-disabled peers have learned numerous ways to support students with social needs throughout the school setting. Large group activities with all peer support groups have taken place including attendance at a minor league baseball game, movie night, youth service learning projects, and a lock-in. These activities have brought many students together for a common cause, which has been to support, encourage, and develop positive relationships with one another.

10) Make the time!  Implementation of any program or project takes a great amount of time, dedication, and commitment. Through participation in the National Professional Development Center on Autism Spectrum Disorders, our staff was provided with the knowledge and opportunity to better assess the needs of students with ASDs and ultimately develop a program that has now become a district-wide effort to improve socialization opportunities for many students with autism and other social challenges.

New students have been identified as needing supports since our first year. Since we have expanded the program district-wide we have needed to recruit at the elementary and high school levels. The middle school groups have remained pretty constant.

Adolescence is an especially challenging time in life, and this program appears to have provided much-needed social support for several students over the past couple of years. Over 50 students have participated in peer support groups throughout the district. One high school group operates independently of adult facilitators. Several non-disabled students get together weekly to support a student with autism and have developed relationships that are likely to continue beyond high school.

This program has been the most rewarding experience that I have been involved with thus far in my career. Students with autism who once struggled to connect with non-disabled peers now express that they have friends and enjoy coming school. Their social skills are improving which will benefit them throughout life. It doesn’t get much better than that!

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Applying Research

Using Scripts to Ask for Help at Work

Difficulties with employment for individuals with autism do not end with finding employment, maintaining employment is also a challenge. Employers report unhappiness with employees who do not know what to do when something goes wrong. A recent study, Teaching Adolescents with Autism to Describe a Problem and Request Assistance During Simulated Vocational Tasks, focused on techniques for teaching four secondary students with autism how to ask for specific help when something went wrong on the job.

Already familiar with the job tasks, participants were taught scripts for stating what was wrong and questions to get help to correct the problem. After learning the scripts, the teacher randomly set up situations during work where the student would be missing material, have broken material, or have incorrect material. For example, when completing the task of emptying the garbage, the bags would be missing. The student had to approach the teacher and say, “The bag is missing. Do you know where I can get more bags?” which he had been taught using a script.

Each participant learned the scripts and used them independently while working on work tasks in the classroom and an office location. While further research is needed to assure this technique can generalize to community work settings, scripts may be helpful in increasing communication and getting help to solve a problem, skills necessary for maintaining employment.

Reference

Dotto-Fojust, K. M., Reeve, K. F., Townsend, D.B., and Progar, P.R. (2011). Teaching adolescents with autism to describe a problem and request assistance during simulated vocational tasks. Research in Autism Spectrum Disorders. 5 (2), 826-833.

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Research 2011

A Closer Look at 2010 OAR-Funded Research

Study: Expanding the Reach of Toddler Treatment in Autism Spectrum Disorder

Amount of OAR Funding: $30,000.00

Researcher: Laurie A. Vismara, PhD, BCBA-D

Purpose: The purpose of the proposed study is to demonstrate the efficacy of a telemedicine-delivered parent coaching program for providing innovative, individualized interventions to families of children with autism spectrum disorders (ASD). The project's overall goal is to develop and test the use of telemedicine technology to deliver a manualized, parent-implemented intervention for families of children with ASD, ages 15-48 months. The intervention will use an Internet-based video conferencing program to teach families how to integrate the parent curriculum of the Early Start Denver Model into natural, developmentally and age-appropriate play activities and caretaking routines in their homes.

At the end of the study, Dr. Vismara plans to have created written materials involving interactive treatment manuals, fidelity measures, and procedural implementation materials for providing remote intervention and support to parent-child interactions as they occur in daily routines as well as a proposal for a larger scale, controlled study.

Why Is This Study Needed?
As families know, there are various challenges to receiving care for a child with ASD, including long waiting lists and few specialist services. Barriers to service delivery and utilization are even more exacerbated for families living in rural or remote areas, often resulting in limited access to preventative mental health services in general and parenting ASD interventions in particular. Telecommunication technology can support long-distance clinical health care; however there is little information as to how this resource may translate into practice for families with ASD.

Study Methodology In Brief
Eight parent-child pairs will be recruited to participate. The children will range in age from 18 months to 4 years old with a diagnosis of ASD. Families will participate in 12 weekly sessions. Each week, they will be taught a specific topic of the Early Start Denver Model (ESDM) Parent Curriculum through a live, two-way interactive video conferencing program and webcam with split screens, allowing participants to see, communicate with, and hear one another in real time.

ESDM is a developmentally based, relationship-focused, and behaviorally informed intervention developed to be delivered by parents within typical parent-child play and caretaking activities.

During the study, parents can access the program from any computer or laptop, enabling families to practice the ESDM interactive procedures anywhere in their homes (e.g., play room, bedroom, kitchen, backyard) and to solicit coaching and feedback on unlimited types of child behaviors (e.g., communication, self-help, play, problem behaviors).

Weekly online sessions will involve seven segments that include:

  1. A brief dialogue and observation of a parent-child interaction to review practices from the previous session (this will also serve as the data sample for weekly measures)
  2. Parent-therapist discussion and feedback of the interaction
  3. Therapist introduction of the new teaching topic with videos to demonstrate key principles and behaviors
  4. Parent-child interaction in a play or caretaking routine with therapist coaching on the new point
  5. Parent-therapist discussion of the interaction
  6. Parent-child interaction to practice the new point in a different activity with therapist coaching
  7. Closing or a final review of the new point and other developmental objectives that have been observed
At the end of each session, summary sheets, video examples, and suggested practice exercises of each coaching topic will be uploaded to a collaborative secure website, allowing parents to access the material and to carry out the activities with their child during the remainder of the week. Parents will also be asked to record one or two additional activities from a category activity list that what was not targeted during the session to be uploaded onto the Web site, which will be reviewed and discussed during weekly check-in calls scheduled with families before each session.

Researchers

Laurie Vismara, PhD, BCBA-D, is a board-certified behavior analyst and an assistant research scientist in the Department of Psychiatry and Behavioral Sciences at the University of California Davis Medical Center in Sacramento, Calif. She specializes in conducting treatment research with young children with autism and their families. She is collaborating with Sally Rogers, PhD, in examining treatment efficacy and effectiveness in autism using the ESDM, as well as developing a coaching curriculum and parent education model for immediate provision of intervention to at-risk infants and toddlers. In addition, she studies the effectiveness of distance coaching through the use of telemedicine technology, as well as various teaching modalities to best disseminate evidence-based intervention models to families and community-based service providers.

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News from the RUN FOR AUTISM

Halfway Out of the Dawg Pound: We Need You

OAR is getting fans out of the Dawg Pound and on to the Cleveland Browns Field, in custom Cleveland 5K singlets no less. Come join the members of OAR’s RUN FOR AUTISM-Cleveland 5K team as they finish their race on the 50-yard line!

The RUN FOR AUTISM- Cleveland team participating in the Rite Aid Cleveland 5K is halfway toward its goal of having 300 participants. So, invite a friend and sign up for the May 14 event with the RUN FOR AUTISM- Cleveland team today by contacting Alexandra van Wees at run@researchautism.org.

Another Reason to RUN FOR AUTISM in Cleveland

OAR is excited to announce that the top 20 RUN FOR AUTISM fundraisers in the Cleveland Marathon, 10k, or 5k will receive complimentary conference registrations to Life-Long Strategies for Success: Milestones 9th Annual Autism/Asperger’s Conference.

This conference on Tuesday, June 21, in Cleveland, Ohio, brings 700 members of the autism community to learn from 31 presentations by autism experts on a wide range of topics. For the first time, OAR will offer a track of speakers consisting of OAR-funded researchers and associates.

Attending the Milestones Conference is a must for those in the autism community; don’t miss out on this opportunity to attend for free!

The deadline for earning a free conference registration is May 23. If you run and get a free registration but can’t attend, your spouse or another family member may go in your place.

OAR Has Entries to Fall’s Biggest Sold-Out Races

The Bank of America Chicago Marathon on October 9 and the Marine Corps Marathon on October 30 sold out in record-setting time this year. That’s the bad news. The good news is that, as an official charity partner of both races, OAR still has entries available to anyone who wants to join one of the teams. The two marathon events are the largest of the RUN FOR AUTISM’s annual events, making them a lot of fun and inspiring as well.

The Chicago Marathon is the pinnacle of achievement for elite athletes and everyday runners alike. Runners take to the streets of the Windy City and wind through beautiful, historic, lively neighborhoods. Runners who commit to raising $950 can register for the race though OAR. OAR is excited to partner with the Chicago Area Runners Association (CARA) again this year, which offers those who commit to run with the RUN FOR AUTISM team complimentary 18-week marathon training.

The Marine Corps Marathon is one of the most inspiring marathon courses in the country. This race includes such highlights as the National Mall and the Jefferson, Lincoln, FDR, Korean War, and Vietnam Veterans memorials. The final stretch challenges runners with an incline that builds up to a patriotic finish in front of the Marine Corps War Memorial and a finishers’ chute lined with uniformed Marines. Runners who commit to raising $600 can register for the race though OAR.

Those who registered through either of the races’ Web sites before the races sold out can also be on the team when they commit to raising $250. The RUN FOR AUTISM is looking forward to having a record-setting year in 2011, and these two races are predicted to be very successful.

OAR Teams up With Training Program for DC Area Runners

Marine Corps Marathoners--what's your training plan? OAR is teaming up with the Marathon Charity Cooperation (MCC) to get you ready for the fall race!

Joining OAR for the MCM 10K? No problem! Train with the group to build mileage and camaraderie. Participants will have the chance to meet fellow OAR runners and some of the OAR staff.

The MCC training program is available at no cost to all DC area RUN FOR AUTISM team members who commit to raising $600 or more for autism research.

Marathon training kicks off at 8 a.m. on Saturday, May 7, so mark the date now.

What do participants get when they join the MCC training program?

Coaches. MCC President Nick Panebianco leads a team of five certified coaches who will rotate throughout the program. Three or four coaches will be present at the program's long runs on Saturdays.

Location, location, location! The MCC program accommodates runners from the D.C. metro area and keeps your long runs fresh and interesting by rotating among D.C., Maryland, and Virginia. Check out the MCC Web site for the Saturday long run schedule.

A peer who runs at your pace. Whether you're a speedster or a jogger, this training plan is for you! The pace of past MCC participants has ranged from a 7-minute mile to a 13-minute mile.

Additional guidance. The MCC program provides a day-to-day training schedule, Saturday seminars, and post-run yoga sessions.

For more information on joining the training program or the RUN FOR AUTISM team, contact the RUN staff at run@researchautism.org or call RUN Coordinator Chelsea Steed at 703-243-9710 x224. For more information on the MCC training runs, visit the MCC Web site.

RUN FOR AUTISM-NYC Team Smashes Previous OAR Records

“I always said there's nothing more fun than running through the streets of NYC,” Stephanie Burdge shared after finishing the NYC Half Marathon in March, “but I am now convincedthere is nothing more fun than running for charity.” Burdge ran the course with 86 RUN FOR AUTISM teammates, a new OAR participant record at this event.

Those 86 runners were part of a total 10,000 runners for the half marathon, which took them on a quick loop of Central Park, through Times Square, down the river-hugging West Side Highway, and into the Battery Park City finishers’ chute on March 20.

Smile-Worthy
OAR’s runners were all smiles as they trickled into the finish line Charity Village and each finished with an accomplishment worthy of smiling about. For Burdge, a special educator who ran in honor of the children and families she works with, it was finishing the race in a personal best time.

For her RUN teammate Korin Levi, accomplishment came in simply finishing the race. She registered for the race to mark her 35th birthday and chronicled the start of her training by saying, “Forsomebody whohasn't worked out in her life and has never been in a sportteam, [running this race is] so excitingand a little bit scary at the same time. But even though I am in the beginning of my training,I am already convinced I can do it, and anybody who really wants can do it.”

She multiplied her accomplishment by running for autism. “It's an amazing feeling to wear our OAR t-shirt, tell people our cause, and pass the finish line. It was one of the most awesome days of my life.”

An Awesome Fundraising Effort
As a whole, this RUN FOR AUTISM—NYC team set another OAR record by raising $130,000—$42,500 more than last year and enough to fund four new research studies. Top fundraisers included Scot Binder, Christ Economos, and Ayiesha and Ragui Selwanes.

Binder is one of OAR’s all-time top fundraisers, having brought in $17,000 in honor of his 10-year-old son Luke, who has Asperger Syndrome. He was so impassioned by his experience racing and raising money for OAR that he’ll be donning the OAR tri-top this August in the Nautica New York City Triathlon. Binder will continue to fundraise for OAR in conjunction with the race’s Drive For Rebecca charity program.

Economos also put a lot of heart into his fundraising effort, raising money in honor of a good friend’s son with autism. While he simply “[hoped] to make a small difference,” Economos ended up raising an impressive $7,800.

Ayiesha and Ragui Selwanes did their part by returning for a second year on the OAR team and beating their previous fundraising total, raising $8,900 this year. “We don't pursue this cause to cure our niece,” the Selwanes wrote in a message to their friends and family, “Rather, [we hope to grow] smarter and more well equipped in helping her develop a full and meaningful life. While through her parents, and the love of family and friends, she has been afforded many privileges, the reality is that there is still so much that we don't understand.”

It is the pursuit of such an understanding that continues to inspire OAR’s runners, staff, and researchers. Thank you, NYC Half team, for giving this race your all!

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Why I RUN

It Only Takes One Reason

“My brother’s name is Henry. He’s 18. We are very close. He’s lots of fun to spend time with because he is so child-like. He’s very inquisitive, witty, and possesses a lot of energy which radiates on to everyone around him.” When Monica Punjabi, 24, describes Henry, who as a young child was diagnosed to be at the more severe end of the autism spectrum, she is describing the reason she runs.

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Monica Punjabi (second from left) smiles widely after her run. She's standing with her proud parents and brother, Henry.

Punjabi, who lives with her parents and Henry in Boston, Mass., is new to the RUN FOR AUTISM, having recently completed her first run, a half marathon in New York City on March 20. Through that one effort, she raised more than $3,500 for OAR.

Like many other RUN FOR AUTISM team members, Punjabi came to OAR because she wanted to get fit. “I was pretty active in college but after I graduated and started working in finance, I was sitting at a desk all day. I needed a way to stay in shape, so I began training for a half marathon.” She chose the New York City Half Marathon, only to be told there were no registrations left.

She turned to the charity list and soon found OAR. “I looked at the Web site and read the newsletter. It seemed like a wonderful organization. Autism awareness is a cause I’ve always felt strongly about, and running for OAR felt like a great way to contribute to it.”

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Monica Punjabi's friends and family, pictured with OAR RUN FOR AUTISM Director Lily Matusiak, gather to cheer her on.

When she found OAR, she not only found a great cause, she also found a great resource. She has passed on OAR’s Web site to her mom and dad for their information. “The information is relevant to what we want and need to know. OAR does a great job of connecting families going through the same experiences and educating us on developments in the autism community. My mom and dad are dedicated to Henry’s wellbeing and are always seeking out ways to learn more about how they can help him. Henry has brought us closer together and taught us important virtues, such as perseverance.”

While her brother stays active and busy, his diagnosis means he cannot read or write, suffers from anxiety and depression, and needs full-time care, which “our mother selflessly provides,” Punjabi says. That doesn’t mean Henry doesn’t live a full life, Punjabi points out, going to a special needs school, participating in an Arc program, volunteering at local church, and being involved in the community as well. His parents, sister, and a wider family circle as well as friends provide him with an active social life.

In fact, Punjabi’s run for autism turned into a family affair. “My parents, three of my cousins, a couple of friends, and Henry all came to cheer me on and see me finish. Henry was super excited.” One reason to run, a lot of people educated about autism, and thousands of dollars raised for autism. That’s a great way to add up numbers.

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