Journal of Autism and Developmental Disorders

, Volume 42, Issue 4, pp 512–520 | Cite as

Overview of Meta-Analyses on Early Intensive Behavioral Intervention for Young Children with Autism Spectrum Disorders

Original Paper

Abstract

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.

Keywords

Early intensive behavioral intervention EIBI Early intervention Autism spectrum disorders Meta-analysis 

References

Studies included in the reviews are indicated with an asterisk (*). Reviews included in the overview are indicated with a cross (+)

  1. Aetna. (2010). Clinical policy bulletin: Pervasive developmental disorders. Obtained July 1, 2010 from http://www.aetna.com/cpb/medical/data/600_699/0648.html.
  2. *Anan, R. M., Warner, L. J., McGillivary, J. E., Chong, I. M., & Hines, S. J. (2008). Group intensive family training (GIFT) for preschoolers with autism spectrum disorders. Behavioral Interventions, 23, 165–180.CrossRefGoogle Scholar
  3. *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
  4. *Baker-Ericzen, M. J., Stahmer, A. C., & Burns, A. (2007). Child demographics associated with outcomes in a community-based pivotal response training program. Journal of Positive Behavioral Interventions, 9, 52–60.CrossRefGoogle Scholar
  5. *Ben-Itzchak, I. E., Lahat, E., Burgin, R., & Zachor, A. D. (2008). Cognitive, behavior and intervention outcome in young children with autism. Research in Developmental Disabilities, 29, 447–458.PubMedCrossRefGoogle Scholar
  6. *Ben-Itzchak, E., & Zachor, D. A. (2007). The effects of intellectual functioning and autism severity on outcome of early behavioral intervention for children with autism. Research in Developmental Disabilities, 28, 287–303.PubMedCrossRefGoogle Scholar
  7. 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.
  8. *Bibby, P., Eikeseth, S., Martin, N. T., Mudford, O. C., & Reeves, D. (2002). Progress and outcomes for children with autism receiving parent-managed interventions. Research in Developmental Disabilities, 23, 81–104.PubMedCrossRefGoogle Scholar
  9. *Birnbrauer, J. S., & Leach, D. J. (1993). The Murdoch early intervention program after 2 years. Behaviour Change, 10(2), 63–74.Google Scholar
  10. Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. (2009). Introduction to meta-analysis. Hoboken, NJ: Wiley.CrossRefGoogle Scholar
  11. *Boyd, R. D., & Corley, M. J. (2001). Outcome survey of early intensive behavioral intervention for young children with autism in a community setting. Autism, 5, 430–441.PubMedCrossRefGoogle Scholar
  12. 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.
  13. *Cohen, H., Amerine-Dickens, M., & Smith, T. (2006). Early intensive behavioral treatment: Replication of the UCLA model in a community setting. Developmental and Behavioral Pediatrics, 27(2), S145–S155.CrossRefGoogle Scholar
  14. Eikeseth, S. (2009). Outcome of comprehensive psycho-educational interventions for young children with autism. Research in Developmental Disabilities, 30, 158–178.PubMedCrossRefGoogle Scholar
  15. *Eikeseth, S., Smith, T., Jahr, E., & Eldevik, S. (2002). Intensive behavioral treatment at school for 4- to 7-year-old children with autism: A 1-year comparison controlled study. Behavior Modification, 26, 49–68.PubMedCrossRefGoogle Scholar
  16. *Eikeseth, S., Smith, T., Jahr, E., & Eldevik, S. (2007). Outcome for children with autism who began intensive behavioral treatment between ages 4 and 7: A comparison study. Behavior Modification, 31, 264–278.PubMedCrossRefGoogle Scholar
  17. *Eldevik, S., Eikeseth, S., Jahr, E., & Smith, T. (2006). Effects of low-intensity behavioral treatment for children with autism and mental retardation. Journal of Autism and Developmental Disorders, 36, 211–224.PubMedCrossRefGoogle Scholar
  18. +Eldevik, S., Hastings, R. P., Hughes, C., Jahr, E., Eikeseth, S., & Cross, S. (2009). Meta-analysis of early intensive behavioral intervention for children with autism. Journal of Clinical Child and Adolescent Psychology, 38, 439–450.PubMedCrossRefGoogle Scholar
  19. 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
  20. Foxx, R. M. (1993). Sapid effects awaiting independent replication. American Journal on Mental Retardation, 97, 375–376.Google Scholar
  21. 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
  22. Green, G., Brennan, L. C., & Fein, D. (2002). Intensive behavioral treatment for a toddler at high risk for autism. Behavior Modification, 26, 69–102.PubMedCrossRefGoogle Scholar
  23. Green, V. A., Pituch, K. A., Itchon, J., Choi, A., O’Reilly, M., & Sigafoos, J. (2006). Internet survey of treatments used by parents of children with autism. Research in Developmental Disabilities, 27, 70–84.PubMedCrossRefGoogle Scholar
  24. Gresham, F. M., & MacMillan, D. L. (1998). Early intervention project: Can its claims be substantiated and its effects replicated? Journal of Autism and Developmental Disorders, 28, 5–13.PubMedCrossRefGoogle Scholar
  25. *Harris, S. L., & Handleman, J. S. (2000). Age and IQ at intake as predictors of placement for young children with autism: A four- to six-year follow-up. Journal of Autism and Developmental Disorders, 30, 137–142.PubMedCrossRefGoogle Scholar
  26. *Harris, S. L., Handleman, J. S., Gordon, R., Kristoff, B., & Fuentes, F. (1991). Changes in cognitive and language functioning of preschool children with autism. Journal of Autism and Developmental Disabilities, 21, 281–290.CrossRefGoogle Scholar
  27. Hedges, L., & Olkin, I. (1985). Statistical models for meta-analysis. New York: Academic Press.Google Scholar
  28. Higgins, J. P. T., Deeks, J. J., & Altman, D. G. (2008). Special topics in statistics. In J. P. T. Higgins & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (pp. 481–530). West Sussex, UK: Wiley-Blackwell.CrossRefGoogle Scholar
  29. *Howard, J. S., Sparkman, C. R., Cohen, H. G., Green, G., & Stanislaw, H. (2005). A comparison of intensive behavior analytic and eclectic treatments for young children with autism. Research in Developmental Disabilities, 26, 359–383.PubMedCrossRefGoogle Scholar
  30. Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.Google Scholar
  31. Kratochwill, T. R., & Stoiber, K. C. (2002). Evidence-based interventions in school psychology: Conceptual foundations of the procedural and coding manual of division 16 and the society for the study of school psychology task force. School Psychology Quarterly, 17, 341–389.CrossRefGoogle Scholar
  32. Lovaas, O. I. (1981). Teaching developmentally disabled children: The me book. Baltimore: University Park.Google Scholar
  33. *Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.PubMedCrossRefGoogle Scholar
  34. Lovaas, O. I. (2003). Teaching individuals with developmental delays: Basic intervention techniques. Austin, TX: Pro-Ed.Google Scholar
  35. Love, J. R., Carr, J. E., Almason, S. M., & Petursdottir, A. I. (2009). Early and intensive behavioral intervention for autism: A survey of clinical practices. Research in Autism Spectrum Disorders, 3, 421–428.CrossRefGoogle Scholar
  36. *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
  37. +Makrygianni, M. K., & Reed, P. (2010). A meta-analytic review of the effectiveness of behavioural early intervention programs for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 4, 577–593.CrossRefGoogle Scholar
  38. *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
  39. Matson, J. L., & Smith, K. R. M. (2008). Current status of intensive behavioral interventions for young children with autism and PDD-NOS. Research in Autism Spectrum Disorders, 2, 60–74.CrossRefGoogle Scholar
  40. Maurice, C., Green, G., & Foxx, R. M. (Eds.) (2001). Making a difference: behavioral intervention for autism. Austin, TX: Pro-Ed.Google Scholar
  41. 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
  42. McEachin, J. J., Smith, T., & Lovaas, O. I. (1993). Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal on Mental Retardation, 97, 359–372.PubMedGoogle Scholar
  43. Mesibov, G. B. (1993). Treatment outcome is encouraging. American Journal on Mental Retardation, 97, 379–380.Google Scholar
  44. Mundy, P. (1993). Normal versus high functioning status in children with autism. American Journal on Mental Retardation, 97, 381–384.Google Scholar
  45. National Autism Center. (2009). National standards report. Obtained January 6, 2010 from: www.nationalautismcenter.org/pdf/NAC%20Standards%20Report.pdf.
  46. 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
  47. *Reed, P., Osborne, L. A., & Corness, M. (2007a). Brief Report: Relative effectiveness of different home-based behavioural approaches to early teaching intervention. Journal of Autism and Developmental Disorders, 37, 1815–1821.PubMedCrossRefGoogle Scholar
  48. *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
  49. 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
  50. 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
  51. Reichow, B., Volkmar, F. R., & Cicchetti, D. V. (2008). Development of an evaluative method for determining the strength of research evidence in autism. Journal of Autism and Developmental Disorders, 38, 1311–1319.PubMedCrossRefGoogle Scholar
  52. +Reichow, B., & Wolery, M. (2009). Comprehensive synthesis of early intensive behavioral interventions for young children with autism based on the UCLA Young Autism Project model. Journal of Autism and Developmental Disorders, 39, 23–41.PubMedCrossRefGoogle Scholar
  53. *Remington, B., Hastings, R., Kovshoff, H., degli Espinosa, F., Jahr, E., Brown, T., et al. (2007). Early intensive behavioral intervention: Outcomes for children with autism and their parents after two years. American Journal on Mental Retardation, 112, 418–438.PubMedCrossRefGoogle Scholar
  54. Rogers, S. J., & Vismara, L. A. (2008). Evidence-based comprehensive treatments for early autism. Journal of Clinical Child and Adolescent Psychology, 37, 8–38.PubMedCrossRefGoogle Scholar
  55. *Sallows, G. O., & Graupner, T. D. (2005). Intensive behavioral treatment for children with autism: Four-year outcome and predictors. American Journal on Mental Retardation, 110, 417–438.PubMedCrossRefGoogle Scholar
  56. Schopler, E., Short, A., & Mesibov, G. (1989). Relation of behavioral treatment to “normal functioning”: Comment on Lovaas. Journal of Consulting and Clinical Psychology, 57, 162–164.PubMedCrossRefGoogle Scholar
  57. *Sheinkopf, S. J., & Siegel, B. (1998). Home-based behavioral treatment of young children with autism. Journal of Autism and Developmental Disorders, 28, 15–23.PubMedCrossRefGoogle Scholar
  58. Silverman, W. K., & Hinshaw, S. P. (2008). The second special issue on evidence-based psychosocial treatments for children and adolescents: A 10-year update. Journal of Clinical Child and Adolescent Psychology, 37, 1–7.CrossRefGoogle Scholar
  59. *Smith, T., Eikeseth, S., Klevstrand, M., & Lovaas, O. I. (1997). Intensive behavioral treatment for preschoolers with severe mental retardation and pervasive developmental disorder. American Journal on Mental Retardation, 102, 238–249.PubMedCrossRefGoogle Scholar
  60. *Smith, T., Groen, A. D., & Wynn, J. W. (2000). Randomized trial of intensive early intervention for children with pervasive developmental disorder. American Journal on Mental Retardation, 105, 269–285.PubMedCrossRefGoogle Scholar
  61. Smith, T., Eikeseth, S., Sallows, G. O., & Graupner, T. D. (2009). Efficacy of applied behavior analysis in autism. The Journal of Pediatrics, 155, 151–512.PubMedCrossRefGoogle Scholar
  62. Sparrow, S. S., Balla, D. A., & Cicchetti, D. V. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.Google Scholar
  63. +Spreckley, M., & Boyd, R. (2009). Efficacy of applied behavioral intervention in preschool children with autism for improving cognitive, language, and adaptive behavior: A systematic review and meta-analysis. The Journal of Pediatrics, 154, 338–344.PubMedCrossRefGoogle Scholar
  64. Stahmer, A. C., Collings, N. M., & Palinkas, L. A. (2005). Early intervention practices for children with autism: Descriptions from community providers. Focus on Autism and Other Developmental Disabilities, 20, 66–79.PubMedCrossRefGoogle Scholar
  65. +Virués-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta-regression and dose-response meta-analysis of multiple outcomes. Clinical Psychology Review, 30, 387–399.PubMedCrossRefGoogle Scholar
  66. *Weiss, M. J. (1999). Differential rates of skill acquisition and outcomes of early intensive behavioural intervention for autism. Behavioral Interventions, 14, 3–22.CrossRefGoogle Scholar
  67. 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.

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Yale Child Study CenterNew HavenUSA

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