Overview of Meta-Analyses on Early Intensive Behavioral Intervention for Young Children with Autism Spectrum Disorders
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This paper presents an overview of 5 meta-analyses of early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASDs) published in 2009 and 2010. There were many differences between meta-analyses, leading to different estimates of effect and overall conclusions. The weighted mean effect sizes across meta-analyses for IQ and adaptive behavior ranged from g = .38–1.19 and g = .30–1.09, respectively. Four of five meta-analyses concluded EIBI was an effective intervention strategy for many children with ASDs. A discussion highlighting potential confounds and limitations of the meta-analyses leading to these discrepancies and conclusions about the efficacy of EIBI as an intervention for young children with ASDs are provided.
KeywordsEarly intensive behavioral intervention EIBI Early intervention Autism spectrum disorders Meta-analysis
Studies included in the reviews are indicated with an asterisk (*). Reviews included in the overview are indicated with a cross (+)
- Aetna. (2010). Clinical policy bulletin: Pervasive developmental disorders. Obtained July 1, 2010 from http://www.aetna.com/cpb/medical/data/600_699/0648.html.
- *Anderson, S. R., Avery, D. L., DiPietro, E. K., Edwards, G. L., & Christian, W. P. (1987). Intensive home-based early intervention with autistic children. Education and Treatment of Children, 10, 353–366.Google Scholar
- Blue Cross and Blue Shield. (2009). Special report: Early intensive behavioral intervention based on applied behavior analysis among children with autism spectrum disorders. Obtained July 1, 2009 from: http://www.bcbs.com/blueresources/tec/vols/23/23_09.pdf.
- *Birnbrauer, J. S., & Leach, D. J. (1993). The Murdoch early intervention program after 2 years. Behaviour Change, 10(2), 63–74.Google Scholar
- Cigna. (2009). Cigna medical coverage policy: Intensive behavioral interventions. Obtained July 1, 2010 from: http://www.cigna.ca/customer_care/healthcare_professional/coverage_positions/medical/mm_0499_coveragepositioncriteria_intensive_Behavioral_interventions.pdf.
- Eldevik, S., Hastings, R. P., Hughes, J. C., Jahr, E., Eikeseth, S., & Cross, S. (2010) Using participant data to extend the evidence base for intensive behavioral intervention for children with autism. American Journal on Intellectual and Developmental Disabilities, 115, 381–405.PubMedCrossRefGoogle Scholar
- Foxx, R. M. (1993). Sapid effects awaiting independent replication. American Journal on Mental Retardation, 97, 375–376.Google Scholar
- Granpeesheh, D., Tarbox, J., & Dixon, D. R. (2009). Applied behavior analytic interventions for children with autism: A description and review of treatment research. Annals of Clinical Psychology, 21(3), 162–173.Google Scholar
- Hedges, L., & Olkin, I. (1985). Statistical models for meta-analysis. New York: Academic Press.Google Scholar
- Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.Google Scholar
- Lovaas, O. I. (1981). Teaching developmentally disabled children: The me book. Baltimore: University Park.Google Scholar
- Lovaas, O. I. (2003). Teaching individuals with developmental delays: Basic intervention techniques. Austin, TX: Pro-Ed.Google Scholar
- *Magiati, I., Charman, T., & Howlin, P. (2007). A two-year prospective follow-up study of community-based early intensive behavioural intervention and specialist nursery provision for children with autism spectrum disorder. Journal of Child Psychology and Psychiatry, 48, 803–812.PubMedCrossRefGoogle Scholar
- *Matos, M. A., & Mustaca, A. E. (2005). Analisis comportamental aplicado (ACA y transtornos generalizados del desarrollo (TGD): Su evaluacion en Argentina [Applied behavior analysis and pervasive developmental disabilities: Assessment in Argentina]. Interdisciplinaria, 22(1), 59–76.Google Scholar
- Maurice, C., Green, G., & Foxx, R. M. (Eds.) (2001). Making a difference: behavioral intervention for autism. Austin, TX: Pro-Ed.Google Scholar
- Maurice, C., (Ed.), Green, G., & Luce, S. (Co-Eds.) (1996). Behavioral intervention for young children with autism: A manual for parents and professionals. Austin, TX: Pro-Ed.Google Scholar
- Mesibov, G. B. (1993). Treatment outcome is encouraging. American Journal on Mental Retardation, 97, 379–380.Google Scholar
- Mundy, P. (1993). Normal versus high functioning status in children with autism. American Journal on Mental Retardation, 97, 381–384.Google Scholar
- National Autism Center. (2009). National standards report. Obtained January 6, 2010 from: www.nationalautismcenter.org/pdf/NAC%20Standards%20Report.pdf.
- Odom, S. L., Brantlinger, E., Gersten, R., Horner, R. H., Thompson, B., & Harris, K. R. (2005). Research in special education: Scientific methods and evidence-based practices. Exceptional Children, 71, 137–148.Google Scholar
- *Reed, P., Osborne, L. A., & Corness, M. (2007b). The real-world effectiveness of early teaching interventions for children with autistic spectrum disorders. Exceptional Children, 73, 413–417.Google Scholar
- Reeves, B. C., Deeks, J. J., Higgins, J. P. T., & Wells, G. A. (2008). Including non-randomized studies. In J. P. T. Higgins & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (pp. 391–432). West Sussex, UK: Wiley-Blackwell.Google Scholar
- Reichow, B. (2011). Development, procedures, and application of the evaluative method for determining evidence-based practices in autism. In B. Reichow, P. Doehring, D. V. Cicchetti, & F. R. Volkmar (Eds.), Evidence-based practices and treatments for children with autism (pp. 25–39). New York, NY: Springer.CrossRefGoogle Scholar
- Sparrow, S. S., Balla, D. A., & Cicchetti, D. V. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.Google Scholar
- What Works Clearinghouse. (2010). Lovaas model of applied behavior analysis. Obtained September 9, 2010 from http://ies.ed.gov/ncee/wwc/pdf/wwc_lovaas_082410.pdf.