Psychosocial DEV
Developmental int.
Developmental interventions are built upon constructivist theories of learning (Piaget & Inhelder, 1969).
These constructivist theories consider that the learner acquires knowledge on the basis of her or his perceptions of reality and experience: we learn by constructing knowledge and reconstructing our perceptions to adapt them to our own contexts. These constructivist theories thus postulate that learners acquire knowledge not by passively absorbing it, but by actively putting it into perspective with their experiences and representations (Elliott et al., 2000). Therefore, learning is intrinsically relative to a learner stage of cognitive development.
These constructivist theories consider that the learner acquires knowledge on the basis of her or his perceptions of reality and experience: we learn by constructing knowledge and reconstructing our perceptions to adapt them to our own contexts. These constructivist theories thus postulate that learners acquire knowledge not by passively absorbing it, but by actively putting it into perspective with their experiences and representations (Elliott et al., 2000). Therefore, learning is intrinsically relative to a learner stage of cognitive development.
In this constructivist perspective, several authors emphasize the role of social interactions in the development (e.g., Vygostsky, 1978). In line with this perspective, developmental interventions aim to support children acquire knowledge and skills through interactions with caregivers or professionals. Developmental interventions seek to elicit skills in children with ASD that should be present but have not been spontaneously acquired. The targeted skills are chosen based on the developmental stage of the child. These skills are critical for learning and are generally related to interacting with others (e.g., imitiation skills, joint attention skills, etc...).
Two core features of the developmental interventions are (Sandbank et al., 2020):2
- the intervention is implemented according to a typical developmental sequence, so that the aim of the interventions matches with the developmental learning stages of the child.
- the intervention is heavily 'child-led' to rely on the child intrinsic motivation to engage with the adult
Number of meta-analyses
- Preschool (0-5): 5 meta-analyses
- School-age (6-12): no meta-analysis
- Adolescents (13-17): no meta-analysis
- Adults (18+): no meta-analysis
One meta-analysis per outcome and age group, shown in the Intervention explorer.
See its evidenceReferences 2
- Vygotsky LS. Mind in society: the development of higher psychological processes. 1978; Cambridge, MA: Harvard University Press.
- Aldred C, Green J, Adams C. A new social communication intervention for children with autism: pilot randomised controlled treatment study suggesting effectiveness. Journal of Child Psychology and Psychiatry 2004; 45(8):1420-1430.
Developmental int.
- DIR-Floortime DIR / Floortime Developmental and relationship-based - follow the child, open and close circles of communication. Delivered by A professional
- Other programmes may be studied under the same label.
DIR / Floortime
Developmental and relationship-based - follow the child, open and close circles of communication.
Delivered by A professional
Techniques identified in published trial reports and programme documents
12A name opens its description
A Setting up the moment
Antecedent - arranging things before
B Teaching & helping the child
Teaching - what the adult does in the moment
D Connection, feelings & the body
Regulation & relationship
E Coaching a parent or teacher
Supporting the implementer