Digital Commons Network^™

Training Needs And Challenges In Supporting Young Adults With Autism To Access Integrated Employment, Whitney A. Ham

Theses and Dissertations

The purpose of this study was to conduct a needs assessment identifying the current level of training, training needs, and challenges to supporting adults with autism and significant support needs, such as challenging behavior, to access integrated employment. Foundational literature in employment indicates that employment service providers must possess an expansive skillset in order to perform the expectations of their profession. Research on supporting adults with autism to access employment indicates that skills above the traditional employment skills may be needed in order to obtain and maintain employment. This was one of the first studies to assess the needs of …

Effects Of A Video Based Intervention On Job Interview Skills Of Youth With Autism, Kelsey T. Dunn

Theses and Dissertations

In this dissertation, I conducted a multiple-probe-across-participants design to examine the impact of a video-based intervention on interview skills of youth with autism. First, I conducted a systematic literature review of interview interventions. Results were used to guide the development of this study’s measure and procedures. Finding that previous literature relied on rubric measures to rate interview skill behaviors, I developed and piloted a primary measure for examining direct speech production. Using transcripts and video analysis, this study captures the construct of interview skills using both quantity (frequency of relevant/irrelevant c-units) and quality (interview skills rubric score). The intervention consisted …

The Effect Of Virtual Reality Glasses On The Behavior Of Children With Autism Spectrum Disorder In The Dental Setting, Robert Lunka

Theses and Dissertations

Purpose: The study investigated if viewing a simulated dental exam on virtual reality glasses between two visits would desensitize participants with autism spectrum disorder to the dental environment and improve their anxiety and behavior.

Methods: This randomized prospective cohort study compared behavior between a Control Group and Experimental Group who wore the glasses between visits. Blinded raters watched video recordings of participants and assessed behavior using the Venham scale. Heart rate and post-visit questionnaires completed by guardians were also analyzed.

Results: Five subjects were enrolled (two in the Control and three in the Experimental groups). The median heart rate at …

Parent-Implemented Communication Intervention For Preschool-Aged Children With Autism, Heather M. Coleman

Theses and Dissertations

Exploring the interventions that promote expressive, verbal language for preschool-aged children with autism is essential. When a child is lacking the ability to communicate, parents express that they would like their child to speak. B.F. Skinner (1957) proposed that the mand repertoire (communicative requests) should be an initial focus of language training. Mand training has been shown to be effective for teaching children with autism to communicate. However, many studies exploring mand training utilize highly trained instructors for intervention implementation. Early childhood best practices recommend the use of family-centered interventions and teaching within the natural environment. This study followed these …

Public School Principals’ Attitudes Regarding The Classroom Participation Of Students With Autism Who Exhibit Challenging Behavior, Taryn G. Traylor

Theses and Dissertations

Students with autism spectrum disorder (ASD) present challenges for principals supervising both general and special education teachers. Evidence-based practices designed to address the challenging behavior and academic needs of this population exists, but there are numerous contextual factors that affect the ability of principals to effectively assist their teachers in implementation. The purpose of this research was to examine the relationship between principal leader’s demographic characteristics, the influence of contextual factors, and leadership attitudes that affect their development and priorities for their schools. The implementation science framework and collective impact theory was investigated as a conceptual framework to analyze these …

Understanding The Expressive Cartoon Drawings Of A Student With Autism Spectrum Disorder, Michael S. Collins

Theses and Dissertations

This study focuses on the highly expressive comic drawings of Amy, a child with autism. This study connects larger fields of research: the study of how people with autism spectrum disorder [ASD] process faces and emotions; and, research about artists with ASD. Amy's understanding of emotion was analyzed by asking her to view and identify humans and cartoon characters expressing different emotions. Her ability to illustrate emotion is tested by asking her to respond to various drawing prompts. The study concluded that Amy has difficulty identifying the emotions of humans and cartoons, but she does have the ability to illustrate …

Sh3 And Multiple Ankyrin Repeat Domain 3 (Shank3) Affects The Expression Of Hyperpolarization-Activated Cyclic Nucleotide-Gated (Hcn) Channels In Mouse Models Of Autism, Nikhil N. Shah

Theses and Dissertations

SH3 and multiple ankyrin repeat domains 3 (SHANK3) is a multidomain scaffold protein that is highly augmented in the postsynaptic density (PSD) of excitatory glutamatergic synapses within the central and peripheral nervous systems. SHANK3 links neurotransmitter receptors, ion channels, and other critical membrane proteins to intracellular cytoskeleton and signal transduction pathways. Mutations in SHANK3 are linked with a number neuropsychiatric disorders including autism spectrum disorders (ASDs). Intellectual disability, impaired memory and learning, and epilepsy are some of the deficits commonly associated with ASDs that result from mutations in SHANK3. Interestingly, these symptoms show some clinical overlap with presentations of human …

Causes And Consequences Of Peer Victimization Among Adolescents With Autism, Sarah T. Doyle

Theses and Dissertations

A significant, yet understudied issue that demands attention is the experience of peer victimization among adolescents with autism spectrum disorders (ASDs). Research indicates that youth with disabilities, including those with ASDs, are victimized more frequently as compared to their typically developing peers. However, little is known about the peer victimization experience for adolescents with ASDs beyond its frequency of occurrence. This study examined relations between peer victimization and individual, peer, and parent factors and outcomes including internalizing and externalizing symptoms among adolescents with ASDs. No significant indirect effects were found for peer victimization on relations between individual social-cognitive and emotion …

Sensory-Based Subtyping In Children With Autism Spectrum Disorder, Kelle K. Deboth

Theses and Dissertations

Children with autism spectrum disorder (ASD) present with a myriad of diagnostic characteristics and associated behaviors. Secondarily, this population is extremely heterogeneous. Efforts have been made by many disciplines to identify more homogenous subgroups in order to improve both research and clinical outcomes. In occupational therapy, the focus has been on establishing sensory-based subtypes. This dissertation is a compilation of three separate research papers related to sensory-based subtypes in children with ASD.

The first paper is a systematic review on sensory subtyping systems published in the last 12 years. Findings indicate that the majority of subtyping schemes characterize group differences …

School For Autism - Responding To Autism, Roy D. Abdun-Nur

Theses and Dissertations

Schools can often be overstimulating environments for children with autism. Creating a space where these children can thrive is what this project explored. The site used for this exploration was the Lewis Ginter Recreation Association on the north end of Richmond, VA. Children with autism have very sensitive needs, so exploring these needs within the context of an educational setting provided for an in-depth journey into the lives of those affected by autism.

The Division Of Family Work Among Fathers And Mothers Of Children With An Autism Spectrum Disorder: Implications For Parents And Family Functioning, Paula L. Ogston-Nobile

Theses and Dissertations

n often ignored aspect of parenting and family work is the responsibility-related caregiving (i.e. the monitoring, arranging, and planning) that is done to ensure that a child is cared for. Among fathers and mothers who have a child with an autism spectrum disorder (ASD), the intensity of meeting these needs is greater than for a typically developing child (e.g. additional coordination of schooling, interventions, healthcare, recreation, respite, and after-school services). As is the case for all parents, they must also attend to the demands of household labor (e.g. car maintenance, groceries, laundry, yard care), nurture their relationships (e.g. partner, friends, …

Access To Therapy For Children With Autism: A Population-Based Analysis, Teal W. Benevides

Theses and Dissertations

Children with autism spectrum disorder (ASD) represent a growing category of children who have special health care needs. Recent Centers for Disease Control and Prevention (CDC) estimates suggest that 1 in 88 children in the United States have an ASD (CDC, 2012). Due to difficulty with communication, social skills, and restricted and/or repetitive behaviors that comprise current diagnostic criteria (APA, 2013), children with ASD require significant medical, mental health, and therapeutic supports that contribute to greater heath care utilization costs than persons without ASD (e.g., Shimabukuro, Grosse, & Rice, 2008). Therapies such as occupational, physical, and speech therapy are among …

Quality Of Life In Emerging Adults With Autism Spectrum Disorder, Staci Carr

Theses and Dissertations

This study is focused on exploring quality of life in young adults in the autism spectrum and the factors that contribute to their own perception of satisfaction with their lives. Autism Spectrum Disorder is a neurodevelopmental disability that is associated with deficits in social interaction and communication and with restricted and repetitive behaviors (American Psychiatric Association, 2013). There has been a documented increase in the diagnosis of Autism Spectrum Disorders (ASD), making it to be one of the fastest growing diagnosed disabilities in children (Hartley-McAndrew, 2014). In the United States, the prevalence of ASD is approximately 1 in 68 children, …

Training Needs Of Paraprofessionals Supporting Students With Autism Spectrum Disorders, Kira Austin

Theses and Dissertations

The purpose of this study was to understand professional development for paraprofessionals supporting students with ASD in Virginia. This understanding was reached through explanatory, sequential mixed methods design. Surveys and interviews provided insight into training practices, training needs, and training barriers. An interpretation of their professional development was developed through considering the perceptions of paraprofessionals supporting students with ASD, teachers of students with ASD, and directors of special education. Findings revealed a lack of supervision, training, and skills. The lack of training and supervision resulted in paraprofessionals learning through trial and error. Paraprofessionals supporting students with ASD felt qualified to …

Uncovering The Molecular Pathways Of Mbd5 In Neurodevelopmental Disorders, Sureni Mullegama

Theses and Dissertations

Neurodevelopmental disorders (NDs) are a growing public health concern. These complex disorders cause failure of normal brain development, which leads to intellectual disability (ID) or autism in 3% of children. Accurate diagnosis of NDs is difficult due to complex overlapping phenotypes. Moreover, associations between phenotypically similar NDs and their overlapping molecular mechanisms remain unidentified. The chromosome 2q23.1 region is a newly discovered disease region. We have recently identified a novel ND, 2q23.1 deletion syndrome. The phenotype includes severe ID, significantly delayed speech, behavioral problems, seizures and short stature. This syndrome shares characteristics in common with other genetic syndromes, including Smith-Magenis …

Parent And Professional Perspectives About Autism Spectrum Disorders In South India: Beliefs, Practices, And Parent-Professional Relationships., Neeraja Ravindran

Theses and Dissertations

The purpose of this qualitative study was to examine the experience of parents and professionals living in a large metropolitan city in South India who were raising and/or working with a child with an autism spectrum disorder. The study explored the unique perspectives of parents and professionals regarding their beliefs and practices about autism, as well as the nature of the parent-professional relationship. Nineteen parents (all mothers) and 21 professionals were interviewed in person at four schools, an early intervention program, a hospital clinic, and a physician’s office. Themes were developed using qualitative software, and reliability was established through multiple …

Joint Attention Interventions For Young Children With Autism Spectrum Disorders: Caregiver And Child Actions And Transactions, Abigail Vo

Theses and Dissertations

Early intervention is a critical component of efforts to optimize outcomes for children with autism spectrum disorders (ASD) and their families. One promising target for early intervention is joint attention, an early developing social-cognitive competency that is foundational to many other social, communicative, and cognitive skills; and a core deficit in children with ASD. While joint attention interventions are gaining interest among researchers, many are limited by their failure to situate joint attention development within the caregiver-child relationship and to adequately examine child and caregiver outcomes and transactional processes. The purpose of this study was to examine changes in child …

A Study On The Effects Of Therapeutic Listening On The Social And Functional Behavior Of Preschool Children With Autism Spectrum Disorder, Robin Abbott

Theses and Dissertations

Auditory sensory differences and sensitivities are often mentioned by parents of children with Autism Spectrum Disorder (ASD), and in research involving children with ASD. Addressing these auditory processing differences is the goal of various auditory treatment techniques, but current research does not yield a body of evidence in support of auditory therapy as a treatment for children with ASD. This study is a single-subject study, repeated across two subjects, to investigate the effect of the Therapeutic Listening program on the social engagement and self-care skills of preschool-aged children with ASD. Both social engagement and self-care skills increased with for both …

Hope And Worry Among Mothers Of Children With An Autism Spectrum Disorder Or Down Syndrome, Paula Ogston

Theses and Dissertations

The present study used quantitative and qualitative methodology to examine mothers’ hope and worry. Participants were recruited via autism and Down syndrome organizations. Two hundred fifty-nine mothers of children with autism spectrum disorders (n = 199) and Down syndrome (n = 60) responded to the online questionnaire. Most mothers were white (n = 230); eighty-seven percent were married and their average age was 39.06 years. Findings support previous research suggesting that hope is a protective factor against psychological distress: mothers with higher hope reported lower dispositional worry. Mothers were asked to describe what they worried about when they woke up …

De-Masking The Silence - Drama Therapy: For Children With Asd, Joshua M. Galligan

Theses and Dissertations

This dynamic form of pedagogy attempts to cross the interdisciplinary boundaries between theatre, psychology, and modern medicine. What I attempt to present in this thesis is a systematic developmental framework for the theoretical use of drama therapy with children suffering from Autism Spectrum Disorder. This approach has been based on in-depth interdisciplinary study which makes use of the most current research looking at the neurological makeup of the autistic brain. This systematic approach examines the mirror neuron system which has been labeled as a major defect in children with ASD. Through the use of theatrical techniques such as acting, movement, …

Self-Determination For Students With Disabilities From A Hispanic Background In Transition From School To Work, Elin Cortijo-Doval

Theses and Dissertations

the author did not submit an abstract

Early Intervention, Research And Therapy Center For Children With Autism, Nicole Marie Caccavo

Theses and Dissertations

This book documents a design study and creative project undertaken toward the fulfillment of a Masters of Fine Arts Degree in Interior Environments at Virginia Commonwealth University in Richmond, Virginia. This book documents a year long accumulation of study and research done toward the development of an early intervention, therapy and research center for children with autism. This creative project demonstrates how an environment can be a catalyst for social interaction, way finding, therapy, and intervention. The goal was to design a space that would be multi-functional and also benefit the surrounding community. This design study will explain how colors …

A Descriptive Study Of Special Education Teachers Serving Students With Autism: Knowledge, Practices Employed, And Training Needs, Dawn R. Hendricks

Theses and Dissertations

Autism now affects a significant number of students in schools. It is well documented that the unique learning characteristics of these students differ widely from other learners requiring teachers to possess specialized skills (Simpson, 2005). Despite advancements in instructional practices for students with autism (Iovannone, Dunlap, Huber, & Kincaid, 2003) little attention has been given to examining the qualities of special education teachers who deliver services to these students.This dissertation evaluated special education teachers' knowledge and implementation of educational practices critical for the improvement of students with autism and determined areas of training needs. The study was conducted with special …

Expectations And Stress Related To Choosing And Providing Treatment: A Comparative Study Of Parents Of Children With Autism Spectrum Disorders Or With Down Syndrome, Virginia H. Mackintosh

Theses and Dissertations

This study looked at the level of stress experienced by parents (N = 280) of children with an autism spectrum disorder (Autism, n = 134; Asperger's disorder, n = 36; & PDD-NOS, n = 42) or with Down syndrome (n = 68) as it related to child's impairment and to the process of choosing and providing treatments. Using the new Family Access to Disability Services (FADS) measure, it was discovered that parents of children with an autism spectrum diagnosis had more difficulty in accessing and providing the treatments they wanted for their children. Higher FADS scores predicted parenting stress, even …

Autism Spectrum Disorders And Workplace Discrimination: An Empirical Analysis Of Eeoc-Resolved Ada Title I Charges, Wieren Todd Alan Van

Theses and Dissertations

The purpose of this quantitative, non-experimental, retrospective research study was to examine the charges of disability-related, private-sector workplace discrimination made by individuals with Autism Spectrum Disorders (ASDs) to the Equal Employment Opportunity Commission (EEOC), under Title I of the Americans with Disabilities Act (ADA). To date, there has been a lack of research regarding the nature, scope and dynamics of employment discrimination affecting individuals with ASDs.A portion of the EEOC's Integrated Mission Systems (IMS) database was analyzed, drawing upon the following five major categories: (1) charging-party demographics, (2) responding-party characteristics, (3), U.S. region, (4) ADA Title I discrimination charge categories, …

Children With Autism Spectrum Disorders: An Investigative Analysis Of Their Access To Dental Care, Chad Wallace Ellsworth

Theses and Dissertations

Purpose: The purpose of this study was to assess the utilization of dental services for children with autism spectrum disorders and identify barriers these children face when accessing dental services in the state of Virginia. Methods: A survey was mailed to families in the state of Virginia that care for at least one child with the neuro-developmental disorder on the autism spectrum scale. The mailing list was obtained from "The Autism Program of Virginia." This list contains the names of families/guardians of children with autism spectrum disorders. These individuals live throughout the State of Virginia. This project analyzed survey questions …

Parental Reports Of The Development Of Autism In Their Children: The Relevance Of Regression, Comorbidity, And Genetics In The Detection Ofearly Characteristics, Robin Page Goin

Theses and Dissertations

Early detection of autism plays an important role in enhancing developmental outcomes for affected children. Identifying potential characteristics of the disorder evident during infancy and toddlerhood aids efforts to screen for such symptoms, which may lead to earlier and more accurate diagnoses; however, it is unclear to what extent certain factors encourage or impede early detection. Because parents are responsible for making decisions on behalf of their children based upon their perceptions of children's developmental progression, caregivers were queried in terms of their beliefs about the development of autism characteristics in their children. Participants included 393 caregivers of children with …