Publications by authors named "P Howlin"

Background: Few studies have explored community participation for autistic adults, with or without intellectual disability. This study aims to investigate how autistic adults participate in the community, and the childhood and adulthood factors that predict community participation in adulthood.

Method: Eighty-four autistic adults (mean age 34 years; 67% with co-occurring intellectual disability) initially recruited as children and adolescents, participated in the current study.

View Article and Find Full Text PDF
Article Synopsis
  • * The study involved a randomized controlled trial with 245 participants, comparing the intervention group (123 kids) to a usual treatment group (122 kids), assessing costs and quality-adjusted life-years (QALYs) over 6 months.
  • * Results showed that while the intervention had higher costs (mean difference of A$745 and A$1310 from two perspectives), it also led to better sleep outcomes (mean QALY difference of 0.038), indicating a 93.8% chance of being cost-effective
View Article and Find Full Text PDF

We investigated autistic children's generalisation of social communication over time across three settings during a play-based assessment with different adults and explore the potential moderating effects on generalisation of age, nonverbal IQ and level of restricted and repetitive behaviours. The social communication abilities of 248 autistic children (2-11 years, 21% female, 22% single parent, 60% white) from three UK sites were assessed from 1984 video interactions in three contexts with three different interaction partners (parent/home, teaching assistant/school, researcher/clinic) at baseline, midpoint (+ 7m) and endpoint (+ 12m) within the Paediatric Autism Communication Trial-Generalised (PACT-G), a parent-mediated social communication intervention. Children's midpoint social communication at home generalised to school at midpoint and to clinic at endpoint.

View Article and Find Full Text PDF

The interactions between sleep problems, autism symptoms and emotional and behavioural difficulties were explored using network analysis in 240 autistic children (mean age: 8.8 years, range 5-13 years) with moderate to severe sleep problems. Findings revealed a highly connected and interpretable network, with three separate clusters identified of the modelled variables.

View Article and Find Full Text PDF