Effectiveness of a universal preschool-based program for emotional education in 3- to 5-year-old children with autism spectrum conditions

Abstract

The “1,2,3,emoció!” is a universal preschool program of emotional education for children aged 3–5 years that has positive effect on emotional competence. The objective of this study was to evaluate the effectiveness of this program specifically in 3- to 5-year-old children with autism spectrum conditions. The effectiveness was evaluated during the first year of implementation (school year 2018–2019) in Barcelona. We conducted a cluster randomized community trial, with schools as units of randomization. The children’s level of emotional competence was evaluated with the validated Emotional Competence Assessment Questionnaire (score range from 30 to 180). We designed a linear regression model for paired measures. The dependent variable was the final Emotional Competence Assessment Questionnaire score adjusted by the initial score, sex, and grade. The sample consisted of 49 children with autism spectrum conditions, of which 11 were girls. Children in the intervention group showed an increase from the initial score to the final score that was almost three times higher (16.1) than the increase observed in children in the comparison group (6.6). The difference between the two groups was statistically significant, with 8.9 points (95% confidence interval: 1.2–16.6) attributed to the intervention. We conclude that the “1,2,3,emoció!” universal program has the potential to be effective in children with autism spectrum conditions.

Lay abstract

There are numerous programs and interventions to improve social and emotional skills that expressly target children with autism spectrum conditions. However, there is less knowledge about the impact of universal (directed to all children) school programs of emotional education specifically on these children. In this context, the aim of our study was to evaluate the impact of the “1,2,3,emoció!” universal school program on them. The results show that children with autism spectrum conditions participating in the program improved their emotional competence more than the ones who did not participate. Therefore, we conclude that the “1,2,3,emoció!” universal program is effective in children with autism spectrum conditions. This promising outcome gives the opportunity to these children to benefit from group learning in an inclusive school setting, by complementing individual interventions with a universal program.

Keywords

autism spectrum disorders cluster randomized trial emotional competence preschool children universal intervention

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References

Ajuntament de

Barcelona

. (2017). Distribució territorial de la renda familiar disponible per càpita a Barcelona 2017. BCNROC. Repositori Obert de Coneixement de l’Ajuntament de Barcelona.

Bartroli

Angulo-Brunet

Bosque-Prous

Clotas

Espelt

(2022). The Emotional Competence Assessment Questionnaire (ECAQ) for children aged from 3 to 5 years: Validity and reliability evidence. Education Sciences, 12(7), 489. https://doi.org/10.3390/educsci12070489

Bartroli

Juárez

Ramos

Puertolas

Teixidó-Compañó

Clotas

Bosque-Prous

Espelt

(2018). Programa d’educació emocional per a segon cicle d’educació infantil. Agència de Salut Pública de Barcelona.

Beck

K. B.

Conner

C. M.

Breitenfeldt

K. E.

Northrup

J. B.

White

S. W.

Mazefsky

C. A.

(2020). Assessment and treatment of emotion regulation impairment in autism spectrum disorder across the life span. Child and Adolescent Psychiatric Clinics of North America, 29(3), 527–542. https://doi.org/10.1016/j.chc.2020.02.003

Bisquerra

(2003). Educación emocional y competencias básicas para la vida. Revista de Investigación Educativa, 21(1), 7–43.

Costescu

Șogor

Thill

Roșan

(2021). Emotional dysregulation in preschoolers with autism spectrum disorder—A sample of Romanian children. International Journal of Environmental Research and Public Health, 18(20), 10683. https://doi.org/10.3390/ijerph182010683

Darling-Churchill

K. E.

Lippman

(2016). Early childhood social and emotional development: Advancing the field of measurement. Journal of Applied Developmental Psychology, 45, 1–7. https://doi.org/10.1016/j.appdev.2016.02.002

Dean

Chang

Y.C.

(2021). A systematic review of school-based social skills interventions and observed social outcomes for students with autism spectrum disorder in inclusive settings. Autism, 25(7), 1828–1843. https://doi.org/10.1177/13623613211012886

Durlak

J. A.

DuPre

E. P.

(2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3–4), 327–350. https://doi.org/10.1007/s10464-008-9165-0

10.

Durlak

J. A.

Weissberg

R. P.

Dymnicki

A. B.

Taylor

R. D.

Schellinger

K. B.

(2011). The impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions. Child Development, 82(1), 405–432. https://doi.org/10.1111/j.1467-8624.2010.01564.x

11.

Humphrey

Kalambouka

Bolton

Lendrum

Wigelsworth

Lennie

Farrell

(2008, November). Primary Social and Emotional Aspects of Learning (Seal). https://hwb.gov.wales/api/storage/a48a3e94-fa02-49a3-9d1e-ed014fbe0da2/121128sealcymruen.pdf

12.

Kasari

Dean

Kretzmann

Shih

Orlich

Whitney

Landa

Lord

King

(2016). Children with autism spectrum disorder and social skills groups at school: A randomized trial comparing intervention approach and peer composition. Journal of Child Psychology and Psychiatry, 57(2), 171–179. https://doi.org/10.1111/jcpp.12460

13.

Koglin

Petermann

(2011). The effectiveness of the behavioural training for preschool children. European Early Childhood Education Research Journal, 19(1), 97–111. https://doi.org/10.1080/1350293X.2011.548949

14.

Lord

Elsabbagh

Baird

Veenstra-Vanderweele

(2018). Autism spectrum disorder. The Lancet, 392(10146), 508–520. https://doi.org/10.1016/S0140-6736(18)31129-2

15.

Pericas

Clotas

Espelt

López

M. J.

Bosque-Prous

Juárez

Bartroli

(2022). Effectiveness of school-based emotional education program: A cluster-randomized controlled trial. Public Health, 210, 142–148. https://doi.org/10.1016/j.puhe.2022.06.013