January 27, 2015
Adaptive interventions help guide clinicians in their decisions concerning when and how treatments should be altered, but developing empirically based adaptations requires gathering the right kind of data. The sequential, multiple assignment, randomized trial is a recent innovation that can provide high-quality, experimental data for developing adaptive interventions. Recently, a group of autism researchers published the results of their SMART study in the article “Communication interventions for minimally verbal children with autism: A sequential, multiple assignment, randomized trial,” which appears in the Journal of the American Academy of Child and Adolescent Psychiatry, a top journal in child and adolescent mental health. The authors, led by Connie Kasari of UCLA, designed a project to improve spoken communication for children with autism who are minimally verbal. The study’s results show the benefit of integrating speech-generating devices (SGD) as a part of language development interventions and the potential of SMART designs for developing adaptive interventions.