1.Early outcomes of applied behavior analysis therapy in pediatric autism spectrum disorder: a 3-month observational cohort study
Baasandorj B ; Khongorzul E ; Khishigsuren Z
Mongolian Journal of Health Sciences 2026;96(6):32-37
Background:
Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social interaction, restricted interests, and repetitive behaviors. Evaluating short-term treatment progress and outcomes in children with ASD is important for determining subsequent treatment goals.
Aim:
This study aimed to evaluate the outcomes during the first 3 months of applied behavior analysis (ABA)-based intervention using changes in Autism Treatment Evaluation Checklist (ATEC) scores.
Materials and Methods:
A prospective observational study was conducted among 21 children with ASD. Caregivers completed the 77-item ATEC before initiation of treatment and again after 3 months. Scores were calculated for four ATEC domains: Speech/Language/Communication, Sociability, Sensory/Cognitive Awareness, and Health/Physical/Behavior.
Result:
The mean age of participants was 5.51±1.45 years, and 16 children (76.19%) were male. Mean baseline Clinical Global Impressions–Severity (CGI-S) score was 4.71±0.72, and participants received a mean of 10.00±1.38 hours of ABA-based intervention per week. Mean total ATEC score decreased from 72.71±7.60 at baseline to 67.14±7.81 after 3 months, corresponding to a mean change of -5.57±2.18 points (-7.66%; t=11.706, p<0.001, d=2.55). Speech/Language/ Communication decreased by 7.05%, Sociability by 6.96%, and Sensory/Cognitive Awareness by 6.56%. The largest relative change was observed in the Health/Physical/Behavior domain (-1.90±1.14; -9.80%; p<0.001). Wilcoxon signed-rank tests were significant across all ATEC domains (p<0.001). Sixteen children (76.19%) met the study-defined criterion of more than a 5-point reduction. Baseline CGI-S was correlated with pre-post ATEC change using Pearson correlation (r=0.466, p=0.033), whereas the corresponding Spearman analysis was not statistically significant (ρ=0.349, p=0.121); therefore, this association could not be considered a robust predictor. Weekly ABA treatment hours were not significantly associated with ATEC change (r=-0.183, p=0.427), and age was also not associated with change (r=-0.043, p=0.855).
Conclusion
Changes across all ATEC domains were observed during the period in which children received ABA-based intervention, suggesting that some treatment-related changes may be detectable over a relatively short period in everyday settings. However, because only two assessment points were available, the rate and sequence of change could not be determined. Future studies should include larger samples, a comparison group, repeated assessments over 6–12 months, and independent developmental and clinical outcome measures.
2.Association rules: Comorbid chronic diseases among the elderly
Uuganbayar O ; Purevdolgor L ; Ajnai L ; Javzmaa Ts ; Odgerel B ; Baasandorj Ch
Mongolian Journal of Health Sciences 2025;88(4):248-252
Background:
The aging of the world’s population will determine global health trends. According to the 2021 report of the
Capital City Health Department, the average life expectancy of the Mongolian population is 71.3 years (male 67.3, female
76.7), the difference between male and female life expectancy is 9.4 years, and elderly people aged 60 and over account
for 8.1% of the total population. The report also shows that 6.5% of all outpatient visits are for people aged 60-64, and 9%
are for people aged 65 and over, which means that they do not receive adequate health care services. Therefore, it is important to increase the access to and quality of health care services provided to the elderly in order to improve their health
and quality of life. Comorbidities that are common among the elderly are one of the pressing issues in the health sector.
Aim:
We aimed to study the prevalence and risk factors of multi-morbidities among older adults (aged sixty years and
over) in urban and rural areas.
Materials and Methods:
To accomplish our aim, we conducted 156 lifestyle related questionnaires and 18 health related
questionnaires among 720 older people in Ulaanbaatar city and rural areas, and created the database. Pearson correlation
coefficient was used to determine the relationship between the quantitative influence of factors using single and multi-factor linear (β-coefficient) and binary logistic regression (odds ratio, CI 95%) methods, and p value less than 0.05 was considered statistically significant. The Apriori algorithm in SPSS was used to determine the relationship between multiple
chronic diseases in the elderly people.
Results:
The prevalence of comorbidity was higher in urban areas (48.1%) and rural areas (51.9%), and ageing (urban
areas OR: 2.45, 95% CI: 0.9-6.2; rural areas OR: 6.35, 95% CI: 1.47-27.4, P<0.01) was a risk factor of multi-morbidities. Multimorbidity is defined as the presence of 2 or more chronic conditions, and 3, 4, and 5 chronic conditions were
co-occurred to older adults with chronic conditions, 28.7% (165). 11 common patterns of relationships in urban areas and
18 common patterns of relationships in rural areas (support (A→B)>3%, confidence (A→B)>30%, lift (A→B)>1) were
determined.
Conclusion
Multimorbidity was different in urban and rural areas, 11 common patterns in urban areas and 18 common
patterns in rural areas were determined. It has shown that the prevalence of multimorbidity was different in urban and
rural areas.
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