Preschool Autism Communication Trial (PACT)

Lead Research Organisation: University of Manchester
Department Name: Medical and Human Sciences

Abstract

Autism is a severe and chronic childhood disability affecting families from early in childhood through the lifespan. Many claims have been made for effective treatments for autism, but surprisingly (given the importance of the disorder and the progress that has been made in understanding it), there has very little systematic research evidence to support effective treatments. Families and user groups have been vocal in calling for more research on treatment, and statutory agencies have been placed under escalating legal pressure through educational tribunals to provide intensive, costly but often quite untested interventions. This study would represent a significant enhancement of the evidence for effective treatment. It tests a treatment that is aims to enhance parent child communication in autism and the social and language development of the child. Families attend sessions with a therapist every two weeks for 6 months to learn new ways of understanding and communicating with their autistic child, with monthly booster sessions for a further 6 months. Similar treatment models have been applied to other kinds of communication disorder with good results. The study will randomly allocate 144 children in three representative sites across the UK (Manchester, Newcastle and London) to a group receiving routine clinical care in the community and another group receiving routine clinical care but with the addition of this communication intervention. Our pilot study using the same design on a single site has shown very promising value of adding this additional component to routine care. We will also study the cost effectiveness of the treatment.

This treatment is not too intensive (with about 1.5 hours of therapist time and 3.5 hours of parent homework time weekly) and for this reason it would be possible to extend it practically into local health services. Because the treatment helps communication between parent and child, we find that it improves parental sense of competence and involvement with their child as well as the child?s development. These are key features identified in our focus groups with parents that are central to what families want from a treatment for Autism.

We are collaborating with the National Autistic Society in this study and are conducting focus groups with service users to identify the best ways of measuring treatment outcomes that matter to families. We will disseminate information about this study and its results through the NAS, other newsletters and professional meetings.

Technical Summary

Autism is a severe neurodevelopmental disability resulting in a very high burden of care for families and community throughout the lifespan. Early psychosocial intervention with families is widely recommended but, as yet, there has been no large scale testing of its effectiveness.

This study will test a theory-based treatment that aims to enhance the effectiveness of parental communication in autism and promote the child?s competence. It is based on recent developmental research on the communicative deficits in children with autism and management programmes successfully applied with other communication disorders. It is of medium intensity (1.5 hours clinic time and 3.5 hrs homework a week), making it appropriate for widespread use in the NHS. A pilot RCT over 1 year (total n=28) showed a treatment effect size of 0.92 on autism symptoms and significant language improvement over controls.

This study is a 3 site single (rater) blinded RCT of two parallel groups, Treatment as Usual against Treatment as Usual supplemented by the manualised intervention. The sample will be 144 children aged between 2 years-4 yrs 11mnths fulfilling diagnostic criteria for core autistic disorder. End point assessment is at twelve months (after a six month primary intervention and six months of booster reinforcement sessions). The primary outcome measure is a standardised investigator-rated measure of severity of autism symptoms (the Autism Diagnostic Observation Schedule (ADOS)). Secondary measures are ratings of carer-child communication, child language, and classroom adaptation. Analysis will be on an intention to treat basis. The study is powered to a 99% chance of detecting the effect size in our pilot and a 90% chance of detecting half this change. The trial will include health economic evaluation and development of a functional outcome measure in collaboration with service users.

The study represents the first large multisite psychosocial treatment trial to be undertaken in this area. Demonstration of effectiveness would give a new evidence based option for enhancement of autism services in the UK and internationally. The economic analysis in the trial will generate the first large scale systematic data on economic costs associated with autism and its treatment. The trial will develop, in collaboration with service-users and the National Autistic Society, a functional assessment of the impact of autism on child and family which could have widespread application in future studies in the field.

Publications

10 25 50

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Aldred CR (2009) Early social communication interventions for autism. in British journal of hospital medicine (London, England : 2005)

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Barrett B (2012) Service and wider societal costs of very young children with autism in the UK. in Journal of autism and developmental disorders

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Botting N (2016) Emotional health, support, and self-efficacy in young adults with a history of language impairment. in The British journal of developmental psychology

 
Description   Member of the NICE Looked after Children Programme Development Group
Geographic Reach National 
Policy Influence Type Membership of a guidance committee
Impact practice influence
 
Description Appointed Senior Economics Advisor to the Social Care Institute for ExcellencE
Geographic Reach National 
Policy Influence Type Participation in advisory committee
Impact policy influence
 
Description Children and Young person IAPT Curriculum for Autism/LD
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact IAPT is the main training committee for CAMHS services - the Curriculum should influence practice teaching - PACT is one of only two treatments evidenced for core autism symptoms in the curriculum
 
Description Guidance committee - NICE guideline 170 Assessment and Management of children with autism
Geographic Reach Multiple continents/international 
Policy Influence Type Membership of a guideline committee
URL https://www.nice.org.uk/guidance/cg170
 
Description Member of the NICE Public Health Interventions Advisory Committee that produces NICE guidance on public health interventions
Geographic Reach National 
Policy Influence Type Participation in advisory committee
Impact influence on practice in the field
 
Description NICE
Geographic Reach Multiple continents/international 
Policy Influence Type Membership of a guidance committee
Impact guidance publlshed - highly influential
 
Description NICE Adult guidelines for autism
Geographic Reach National 
Policy Influence Type Membership of a guidance committee
Impact influence national poiicy in this area
 
Description NICE GDG for Autism Intervention
Geographic Reach Multiple continents/international 
Policy Influence Type Membership of a guideline committee
Impact NICE CGC reported 2013 (CG170), with a 'consider' reccommendation for social communication treatment for autism - partly based on evidence from the PACT trial. This has led to practice change in the NHS.
 
Description Parliament
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact national autism plan
 
Description Autism Speaks Global Public Health Initiative
Amount $300,000 (USD)
Funding ID 7773 
Organisation Autism Speaks 
Sector Charity/Non Profit
Country United States
Start  
 
Description Enhancing the scientific study of early autism: A network to improve research, services and outcomes
Amount £340,000 (GBP)
Organisation European Science Foundation (ESF) 
Sector Charity/Non Profit
Country European Union (EU)
Start  
 
Description Enhancing the scientific study of early autism: A network to improve research, services and outcomes. Co-PI
Amount € 400,000 (EUR)
Organisation European Cooperation in Science and Technology (COST) 
Sector Public
Country European Union (EU)
Start 01/2010 
End 05/2014
 
Description Evaluation and validation of social and psychological markers in randomised trials of complex interventions in mental health
Amount £340,000 (GBP)
Funding ID G0900678 
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start  
 
Description Further development of the COSMIC as a measure of the generalisation of treatment efficacy in the PACT study
Amount £52,800 (GBP)
Organisation Autistica 
Sector Charity/Non Profit
Country United Kingdom
Start  
 
Description HTA - systematic review MeASURE Measurement in autism spectrum disorder under review
Amount £240,000 (GBP)
Funding ID HTA/11/22/03 
Organisation National Institute for Health Research 
Department Health Technology Assessment Programme (HTA)
Sector Public
Country United Kingdom
Start  
 
Description I-BASIS
Amount £260,000 (GBP)
Organisation Autistica 
Sector Charity/Non Profit
Country United Kingdom
Start  
 
Description MRC
Amount £850,000 (GBP)
Funding ID MR/K005863/1 
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start  
 
Description Manchester BRC (Targeted early intervention for infants at high risk of autism)
Amount £20,000 (GBP)
Organisation National Institute for Health Research 
Department NIHR Manchester Musculoskeletal Biomedical Research Unit
Sector Public
Country United Kingdom
Start  
 
Description Methods of causal analysis in trials of complex interventions in mental health
Amount £480,000 (GBP)
Funding ID G0600555 
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start  
 
Description Mother-infant interactions in high-risk autism siblings
Amount £100,000 (GBP)
Funding ID ES/G045577/1 
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start  
 
Description NIHR/MRC EME
Amount £1,699,810 (GBP)
Funding ID 13/119/18 
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 02/2016 
End 07/2019
 
Description PASS: Parent-mediated intervention for autism spectrum disorders (ASD) in South Asia, Co PI
Amount $300,000 (USD)
Organisation Autism Speaks 
Sector Charity/Non Profit
Country United States
Start 05/2012 
End 04/2014
 
Description Parent-mediated intervention for autism spectrum disorders (ASD) in South Asia, Co-PI
Amount $200,000 (CAD)
Organisation Government of Canada 
Department Grand Challenges Canada
Sector Public
Country Canada
Start 04/2014 
End 11/2016
 
Description Pre-school Autism Communication Trial; Follow up, CI
Amount £912,000 (GBP)
Funding ID MR/K005863/1 
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 08/2012 
End 10/2015
 
Description Research for Patient Benefit
Amount £100,000 (GBP)
Organisation National Institute for Health Research 
Department Research for Patient Benefit
Sector Public
Country United Kingdom
Start  
 
Title COSMIC protocol 
Description new observation protocol for observing autistic children in school classreooms 
Type Of Material Physiological assessment or outcome measure 
Year Produced 2010 
Provided To Others? Yes  
Impact inclusion in future study designs in the group 
 
Title FAMILY LIFE QUESTIONNAIRE 
Description Quality of life measure specifically for autism - first generated - publication in preparation 
Type Of Material Physiological assessment or outcome measure 
Provided To Others? No  
Impact publication in progress 
 
Title PACT CA_SUS 
Description PACT CHILD AND ADOLESCENT SERVICE USE SCHEDULE (CA-SUS) AS A QUESTIONNAIRE SUITABLE FOR APPLICATION TO A PRE-SCHOOL AUTISM SAMPLE 
Type Of Material Physiological assessment or outcome measure 
Year Produced 2011 
Provided To Others? Yes  
Impact use in further analysis of health economics in developmental disorder 
 
Title PACT manual 
Description Manual of the research intervention 
Type Of Material Technology assay or reagent 
Year Produced 2010 
Provided To Others? Yes  
Impact 3 training courses Planned publication International interest 
 
Title PACT training protocol 
Description training protocol 
Type Of Material Technology assay or reagent 
Provided To Others? No  
Impact 3 training courses completed international interest 
 
Title SOC_RS 
Description Social Orienting Continuum and Response Scale (SOC-RS) agreed with Mosconi, M, the original developer, now publicly available on www.ncl.ac.uk/cargo-ne. 
Type Of Material Physiological assessment or outcome measure 
Provided To Others? No  
Impact new data analyis 
URL http://www.ncl.ac.uk/cargo-ne
 
Title PACT database held at The University of Manchester 
Description No data sharing 
Type Of Material Database/Collection of data 
Provided To Others? No  
Impact See engagement and impact on policy sections 
 
Description COST Autism 
Organisation University of London
Department Institute of Education
Country United Kingdom 
Sector Academic/University 
PI Contribution A member of the team leads this EU COST action project. Other members of the team contribute to different workgroups within the project both in basic science and intervention
Impact Meetings of pan-EU research groups. Combining basic developmental neuroscience, genetics, statistics, psychology, speech and language therapy and psychiatry.Psychiatry
Start Year 2010
 
Description COST Autism 
Organisation University of Manchester
Country United Kingdom 
Sector Academic/University 
PI Contribution A member of the team leads this EU COST action project. Other members of the team contribute to different workgroups within the project both in basic science and intervention
Impact Meetings of pan-EU research groups. Combining basic developmental neuroscience, genetics, statistics, psychology, speech and language therapy and psychiatry.Psychiatry
Start Year 2010
 
Description I-BASIS 
Organisation Birkbeck, University of London
Country United Kingdom 
Sector Academic/University 
PI Contribution I lead this new prodromal intervention study for autism in infancy. Team members are a subset of the PACT team. Methods of intervention and assessment are adapted from PACT methods
Collaborator Contribution infrastructure support infrastructure support infrastructure support
Impact Multidisciplinary collaboration combining basic developmental neuroscience, genetics, statistics, psychology, speech and language therapy and psychiatry. Achieved a successful funded pilot case series and funding for pilot RCT. Outputs including posters and conference presentations of methods and early results.
Start Year 2009
 
Description I-BASIS 
Organisation Guy's and St Thomas' NHS Foundation Trust
Country United Kingdom 
Sector Public 
PI Contribution I lead this new prodromal intervention study for autism in infancy. Team members are a subset of the PACT team. Methods of intervention and assessment are adapted from PACT methods
Collaborator Contribution infrastructure support infrastructure support infrastructure support
Impact Multidisciplinary collaboration combining basic developmental neuroscience, genetics, statistics, psychology, speech and language therapy and psychiatry. Achieved a successful funded pilot case series and funding for pilot RCT. Outputs including posters and conference presentations of methods and early results.
Start Year 2009
 
Description I-BASIS 
Organisation University of London
Department Institute of Education
Country United Kingdom 
Sector Academic/University 
PI Contribution I lead this new prodromal intervention study for autism in infancy. Team members are a subset of the PACT team. Methods of intervention and assessment are adapted from PACT methods
Collaborator Contribution infrastructure support infrastructure support infrastructure support
Impact Multidisciplinary collaboration combining basic developmental neuroscience, genetics, statistics, psychology, speech and language therapy and psychiatry. Achieved a successful funded pilot case series and funding for pilot RCT. Outputs including posters and conference presentations of methods and early results.
Start Year 2009
 
Description I-BASIS 
Organisation University of Manchester
Country United Kingdom 
Sector Academic/University 
PI Contribution I lead this new prodromal intervention study for autism in infancy. Team members are a subset of the PACT team. Methods of intervention and assessment are adapted from PACT methods
Collaborator Contribution infrastructure support infrastructure support infrastructure support
Impact Multidisciplinary collaboration combining basic developmental neuroscience, genetics, statistics, psychology, speech and language therapy and psychiatry. Achieved a successful funded pilot case series and funding for pilot RCT. Outputs including posters and conference presentations of methods and early results.
Start Year 2009
 
Description OpenLab 
Organisation Newcastle University
Country United Kingdom 
Sector Academic/University 
PI Contribution intellectual input
Collaborator Contribution intellectual input
Impact NA
Start Year 2012
 
Description OpenLab 
Organisation Sangath
Country India 
Sector Charity/Non Profit 
PI Contribution intellectual input
Collaborator Contribution intellectual input
Impact NA
Start Year 2012
 
Description Telethon Perth 
Organisation Telethon Kids Institute
Country Australia 
Sector Academic/University 
PI Contribution Dissemination of PACT intervention into research based clinical service
Collaborator Contribution Service implementation and traininig
Impact none
Start Year 2017
 
Title PACT 
Description PACT manual, materials and training method/materials. Assigned into the new IMPACT CiC 2017. 
IP Reference  
Protection Copyrighted (e.g. software)
Year Protection Granted
Licensed No
Impact National and International Training in the PACT method
 
Title PACT IP 
Description UNKOWN 
IP Reference  
Protection Protection not required
Year Protection Granted
Licensed No
Impact see engagement and policy sections
 
Title PACT manual 
Description new intervention for autism 
IP Reference  
Protection Protection not required
Year Protection Granted 2010
Licensed No
Impact due for publication training in progress
 
Title PACT intervention 
Description new intervention for autism 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Small-scale adoption
Year Development Stage Completed 2011
Development Status Under active development/distribution
Impact internationally leading study international interest publication due 
 
Company Name IMPACT 
Description A spin-out community interest company with the purpose of disseminating training in the PACT and associated interventions and increase social value. 
Year Established 2017 
Impact Training already achieved in UK, France, Italy, Spain, Canada, Hong Kong, Australia, India. In 2018, IMPACT will train in USA, Turkey and through the NHS within the DH 'Improving Access to Psychological Treatment' (IAPT) curriculum for Autism (2018).Here are some metrics for number of professionals who have received PACT training: PACT training 2017-18 Country UK 20 France 50 Hong Kong 20 Italy 25 Australia 3 Turkey 2 TOTAL 120 2018-19 Spain 25 USA 26 Italy 20 UK 20 Romania 18 France (Versaille, Toulouse, Lyon) 75 TOTAL 184
 
Description 23rd European Academy of Childhood Disability 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Primary Audience Health professionals
Results and Impact Review of autism intervention research

international awareness
Year(s) Of Engagement Activity 2011
 
Description Asturias Special Education Services for Autism 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Key note lecture
Year(s) Of Engagement Activity 2016
 
Description Clinical meeting 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Primary Audience Health professionals
Results and Impact Talk to clinicians and parents

Regional impact
Year(s) Of Engagement Activity 2011
 
Description Colloque International Autisme ComSym Paris 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Primary Audience Health professionals
Results and Impact international conference review

International awareness
Year(s) Of Engagement Activity 2011
 
Description Coram BAAF, lecture on first evidence for autism treatment success 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation of research findings.
Year(s) Of Engagement Activity 2016
 
Description Danish National conference on autism 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote - Intervention for Autism'
Year(s) Of Engagement Activity 2017
 
Description Deutsche Bank, Birmingham - new treatments for autism; major donor for national group Autistica 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation of research findings.
Year(s) Of Engagement Activity 2017
 
Description Early Intervention in Autism. What do we know? What do we need? 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Primary Audience Participants in your research and patient groups
Results and Impact Dissemination

positive interest in intervention training
Year(s) Of Engagement Activity 2010
 
Description European Conference on Autism - ethics aspects of early intervention in autism. Agenda setting for field. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Audience reported changes in views, opinions or behaviours.
Year(s) Of Engagement Activity 2016
 
Description Gaining maximum impact from early interventions for children with autism 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Primary Audience Policymakers/politicians
Results and Impact Policy Lecture

Political awareness increased
Year(s) Of Engagement Activity 2009
 
Description How can we help Autism 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact invited participation in Manchester's Pint of Science event 2019
Year(s) Of Engagement Activity 2019
 
Description IMFAR, International meeting for autism research, lecture on outputs from trial. First evidence for autism treatment success. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation of research findings.
Year(s) Of Engagement Activity 2016
 
Description Lecture " Making a difference- how has autism research improved the daily lives of individuals with autism?" University of Newcastle, Neurodevelopment and Disability Research Day - 15th June 2017. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Lecture " Making a difference- how has autism research improved the daily lives of individuals with autism?" University of Newcastle, Neurodevelopment and Disability Research Day - 15th June 2017.
Year(s) Of Engagement Activity 2010
 
Description Lecture Malta 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact lecture keynote: Diagnosis & early intervention in young children with ASD
Year(s) Of Engagement Activity 2017
 
Description Lecture New York 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote.'Parent-mediated intervention for autism and its long term effects on reducing autism severity'. Oct 2017.
Year(s) Of Engagement Activity 2017
 
Description Montreal - evidence for autism treatment. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Audience reported change in views, opinions or behaviours.
Year(s) Of Engagement Activity 2016
 
Description NW Deanery, Manchester lecture on outputs from trial. First evidence for autism treatment success. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Presentation of research findings.
Year(s) Of Engagement Activity 2016
 
Description National Autism Conference. Tonsberg Norway 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote. 'Early Social Communication Intervention for Autism'. June 2016
Year(s) Of Engagement Activity 2016
 
Description National Autistic Society early intervention for autism - evidence and practice in early intervention for autism. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation of research findings.
Year(s) Of Engagement Activity 2016
 
Description Norwegian Association for Autism - first evidence for autism treatment. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation of research findings.
Year(s) Of Engagement Activity 2016
 
Description PACT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Primary Audience Public/other audiences
Results and Impact DISSEMINATION MEETING


positive reaction
Year(s) Of Engagement Activity 2009
 
Description PACT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Primary Audience Participants in your research and patient groups
Results and Impact Lunchtime seminar, Newcastle University, for parents and professionals involved in PACT.
Dissemination activity.

positive interest in intervention training
Year(s) Of Engagement Activity 2010
 
Description PACT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Primary Audience Participants in your research and patient groups
Results and Impact presentation by Sam Barron, Therapy lead, North East England, to  Sam.
Dissemination activity

positive interest in intervention training
Year(s) Of Engagement Activity 2010
 
Description PACT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Primary Audience Health professionals
Results and Impact DISSEMINATION MEETING


positive feedback
professionals wish to train in the intervention
Year(s) Of Engagement Activity 2010
 
Description PACT 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact presentation about PACT to London Special Interest Group for Autism (speech and language therapists). Dissemination meeting. 


positive interest in intervention training
Year(s) Of Engagement Activity 2010
 
Description PACT 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Primary Audience Participants in your research and patient groups
Results and Impact meeting for professionals involved in recruitment to PACT in Southwark, Lewisham and LambetH. Dissemination meeting.

positive interest in intervention training
Year(s) Of Engagement Activity 2010
 
Description Presentation at the ACAMH annual meeting in June 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation ACAMH annual meeting June 2018
Year(s) Of Engagement Activity 2018
 
Description Royal College of Psychiatrists, CPD update on ASD 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation of research findings.
Year(s) Of Engagement Activity 2016
 
Description Salford Autism Group, lecture on evidence base for autism treatment and new findings. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Presentation of clinical activity and choices.
Year(s) Of Engagement Activity 2017
 
Description The emergence and development of pre-school autism" 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact DISSEMINATION MEETING


positive interest in intervention training
Year(s) Of Engagement Activity 2010
 
Description Update: Early intervention in autism. Invited Polani 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact McConachie, H Update: Early intervention in autism. Invited Polani
lecture, British Academy of Childhood Disability, Manchester,
Year(s) Of Engagement Activity 2007
 
Description Welsh Neurodevelopmental Service Improvement Programme in September 2018 Regards 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Welsh Neurodevelopmental Service Improvement Programme in September 2018
Year(s) Of Engagement Activity 2018
 
Description Workshop : Intervención en niños con autismo.Teachers Education and Resource Centre, Oviedo, Asturias. Jan 19 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Workshop : Intervención en niños con autismo.Teachers Education and Resource Centre, Oviedo, Asturias. Jan 19 2018
Year(s) Of Engagement Activity 2018
 
Description lecture Isreal 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Keynote.'Parent-mediated Developmental Interventions for Autism' Oct 2017.
Year(s) Of Engagement Activity 2017
 
Description training 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Primary Audience Health professionals
Results and Impact PACT training

positive feedback and interest in more intervention training
Year(s) Of Engagement Activity 2011