Short Report: Social Perception of High School Students with ASD in Norway

An increasing number of students with autism spectrum disorder (ASD) enroll in inclusive schools and classrooms. The aim of this study was to research how students with ASD experience the social aspect of inclusive high schools. Five adolescences with Asperger syndrome were interviewed, and the results show that high school was perceived as an important platform for social training, and an equally important place to fnd new friends and acquaintances. A majority of the participants had experienced loneliness and bullying in junior high school. However, they experienced high school as a new start, with a more open and inclusive environment. Nevertheless, several of the participants expressed that they used quite a lot of energy on social settings, such as interpreting social situations and on being amongst a larger group of students. In order to support this group of adolescents in their schooling, it is important to look at their strength and resources, and not only focus on the challenges and difculties.publishedVersio

Virtual and augmented reality in social skills interventions for individuals with autism spectrum disorder: A scoping review

In the last decade, there has been an increase in publications on technology-based interventions for autism spectrum disorder (ASD). Virtual reality based assessments and intervention tools are promising and have shown to be acceptable amongst individuals with ASD. This scoping review reports on 49 studies utilizing virtual reality and augmented reality technology in social skills interventions for individuals with ASD. The included studies mostly targeted children and adolescents, but few targeted very young children or adults. Our findings show that the mode number of participants with ASD is low, and that female participants are underrepresented. Our review suggests that there is need for studies that apply virtual and augmented realty with more rigorous designs involving established and evidenced-based intervention strategies.publishedVersio

En Empirisk Studie av Autisme på Film og TV

There has been a rise of character portrayals of persons with Autism or autistic traits in TV and film. In this quantitative study we analyse 26 films and TV-shows with characters with Autistic traits and how these relate to diagnostic criteria in DSM-5. Out of all 26 portrayals, 20 showed at least 10 of all 12 symptom items. Our main findings indicate that portrayals, although aligning closely to diagnostic criteria, run the risk of upholding and increasing stereotypes about the highly complex disorder. Researchers, clinicians and practitioners with knowledge of the disorder have a responsibility to nuance public understanding of Autism Spectrum Disorders.publishedVersio

Enhancing the Understanding of Clinically Meaningful Results: A Clinical Research Perspective

Published research often address aspects related to “statistical significance” but fail to address the clinical and practical importance and meaning of results. Our main objectives in this article are to investigate the merit of common measures of Effect Size in statistical research and to highlight the importance of the simple Relative Risk ratio. In this article we present data where we consider two widely utilized effect size measures (Cohen's d and Pearson's r) in relations to relative risk. We conclude that probability analyses of risk surpass the most commonly used statistical approach used in clinical trials today and should thus be the preferred compared to the misuse and misunderstanding of reporting for instance p-values alone.publishedVersio

Virtual reality and naturalistic developmental behavioral interventions for children with autism spectrum disorder

© 2021 The Author(s).Background: Naturalistic Developmental Behavioral Interventions (NDBI) have been evaluated as the most promising interventions for children with autism spectrum disorder. In recent years, a growing body of literature suggests that technological advancements such as Virtual Reality (VR) are promising intervention tools. However, to the best of our knowledge no studies have combined evidence-based practice with such tools. Aim: This article aims to review the current literature combining NDBI and VR, and provide suggestions on merging NDBI-approaches with VR. Methods: This article is divided into two parts, where we first conduct a review mapping the research applying NDBI-approaches in VR. In the second part we argue how to apply the common features of NDBI into VR-technology. Results: Our findings show that no VR-studies explicitly rely on NDBI-approaches, but some utilize elements in their interventions that are considered to be common features to NDBI. Conclusions and implications: As the results show, to date, no VR-based studies have utilized NDBI in their intervention. We therefore, in the second part of this article, suggests ways to merge VR and NDBI and introduce the term Virtual Naturalistic Developmental Behavioral Interventions (VNDBI). VNDBI is an innovative way of implementing NDBI which will contribute in making interventions more accessible in central as well as remote locations, while reducing unwanted variation between service sites. VNDBI will advance the possibilities of individually tailoring and widen the area of interventions. In addition, VNDBI can provide the field with new knowledge on effective components enhancing the accuracy in the intervention packages and thus move forward the research field and clinical practice.publishedVersio

Clinical Features of Children With Autism Who Passed 18-Month Screening

We examine birth-cohort trends behind recent changes in the prevalence of functional disability in the older population living in private households in the United Kingdom (UK). By using three different socio-economic indicators available in the nationally representative cross-sectional data on older individuals interviewed between 2002 and 2012 in the Family Resource Survey (FRS) (96,733 respondents), we investigate the extent to which the overall trends have been more favourable among more advantaged than disadvantaged socioeconomic groups. Compared to the cohort of people born in 1924, successive cohorts of older men have lower odds of having at least one functional difficulty (FD), whereas no significant trend was found for women. Among people with at least one FD, however, the number of disabilities increases for each successive cohort of older women (incidence rate ratio 1.027, 95% confidence interval 1.023 to 1.031, P<0.001) and men (incidence rate ratio 1.028, 95% confidence interval 1.024 to 1.033, P<0.001). By allowing interactions between birth cohort and SES indicators, a significant increasing cohort trend in the number of reported FDs was found among older men and women at lower SES, whereas an almost stable pattern was observed at high SES. Our results suggest that the overall slightly increasing birth-cohort trend in functional difficulties observed among current cohorts of older people in the UK hides underlying increases among low SES individuals and a relative small reduction among high SES individuals. Further studies are needed to understand the causes of such trends and to propose appropriate interventions. However, if the SES differentials in trends in FDs observed in the past continue, this could have important implications for the future costs of the public system of care and support for people with care needs

Sex differences in fear of pain: item-level analysis of the Fear of Pain Questionnaire III

Objectives: This study aimed to investigate sex differences in fear of pain (FOP) measured by the Fear of Pain Questionnaire III (FPQ-III) in a nonclinical sample. The FPQ-III is a selfreport inventory measuring FOP, with 30 items, divided into three subscales: Severe, Minor and Medical Pain. Methods: A total of 185 subjects participated (49.7% females) in this study. Sex differences on overall FOP, the subscales, and at item level were examined. One-way analysis of variance tested the association between sex and FOP, measured by overall FOP and the subscales. Ordinal regression analysis enabled item-level analysis of the FPQ-III and was conducted to explore further specificity of FOP in males compared to females. Results: Overall FOP and fear of Severe Pain was significantly higher in females than in males, as measured by the FPQ-Total and the FPQ-Severe. Moreover, females were more likely to report higher FOP than males on 16 items (p<0.05). Further inspection revealed that females scored significantly higher than males on all items on the Severe Pain subscale. When controlling for multiple comparisons six items reached significance (p<0.001). Five of these items belonged to the subscale Severe Pain. When controlling for overall FOP one item, also from the Severe Pain subscale, reached significance (p<0.001). Conclusion: There are sex differences in severe FOP, with higher FOP in females compared to males. Potential explanations are sex differences in the 1) psychosocial mechanisms of fear and anxiety, and 2) emotional reactions to and interpretation of FPQ-III Severe Pain items

On Methods: Use of inter-observer agreement and inter-rater reliability in NTA, and suggestions for expanding the repertoire in behavior analytic studies

For at atferdsanalytiske studier skal inkluderes i evidensbasene må forskningsdesign og de tilhørende statistiske analyser være av god kvalitet. En kvalitetsindikator innen psykologiforskning er bruk og rapportering av enighet mellom observatørene under datainnsamling og analyser. Denne artikkelen beskriver omfanget av artikler i Norsk Tidsskrift for Atferdsanalyse som har metodedel, som oppgir å ha målt enighet mellom observatører, og som oppgir hvordan forfatterne har målt denne enigheten. Resultatene viser at de aller fleste artiklene med metodedel oppgir grad av enighet i form av prosentvis enighet. Vi gir en oversikt over og redegjør for ytterligere strategier for å måle observatørenighet og argumenterer for at atferdsanalytikere bør benytte seg av mer robuste statistiske mål for enighet mellom observatører.To ensure that behavior analytic research will be included as evidence-based research, rigorous designs and statistical analyses is needed. One indicator of quality within psychological research is the measure and analysis of inter-rater reliability (IRR). This article provides an overview of the number of articles in the Norwegian Journal of Behavior Analysis that contain a method section, that reports data on inter-observer agreement (IOA), and how they have measured IOA. Our results show that most of these articles use percentage agreement. We provide an overview and introduction to other strategies of measuring agreement. Further, we argue that behavior analysts should utilize more robust statistical measures of observer agreement.publishedVersio