Skip to main content
Log in

Public Perception of Autism Treatments: The Role of Credibility and Evidence

  • OriginalPaper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

We explored the influence of credibility and evidence on public perceptions of ASD treatments using survey methodology. Participants (N = 379) read texts about different ASD treatments. The text presentation was based on a 2 × 2 within-subjects factorial design with treatment status [evidence based practices (EBP) vs. non-EBP] and source credibility in the text (credible vs. non-credible) as the independent variables. An instructional manipulation condition served as a between subjects factor. Respondents were more familiar with non-EBPs than EBPs, but viewed EBPs as being more credible and were more likely to endorse them compared to pseudoscientific practices. Interactions between source credibility and instructional manipulation were found on ratings of credibility and recommendation of both EBP and non-EBP texts. Implications of these findings are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Appel, M., & Mara, M. (2013). The persuasive influence of a fictional character’s trustworthiness. Journal of Communication, 63, 912–932.

    Google Scholar 

  • Association for Science in Autism Treatment. Retrieved August 3, 2018, from https://www.asatonline.org/.

  • Bondy, A., & Frost, L. (1994). The picture-exchange communication system. Focus on Autistic Behavior, 9, 1–19.

    Article  Google Scholar 

  • Braasch, J. L. G., Rouet, J., Vibert, N., & Britt, A. (2012). Readers’ use of source information in text comprehension. Memory and Cognition, 40, 450–465.

    Article  PubMed  Google Scholar 

  • Britt, A., & Aglinksi, C. (2002). Improving students’ ability to identify and use source information. Cognition and Instruction, 20(4), 485–522.

    Article  Google Scholar 

  • Earixson, D., & Fleury, V. P. (2018). Fads and facts: Pseudoscientific approaches to “Treating” autism. In Poster presented at the meeting of division for early childhood annual international conference on young children with special needs and their families. Orlando, FL

  • ESSA. (2015–2016). Every student succeeds act of 2015, Pub. L. No. 114-95 § 114 Stat. 1177.

  • Gersten, R., Fuchs, L. S., Compton, D., Coyne, M., Greenwood, C., & Innocenti, M. S. (2005). Quality indicators for group experimental and quasi-experimental research in special education. Exceptional Children, 71(2), 149–164.

    Google Scholar 

  • Goldman, S., Braasch, J., Wiley, J., Graesser, A., & Brodowinska, K. (2012). Comprehending and learning from internet sources: Processing patterns of better and poorer learners. Reading Research Quarterly, 47(4), 356–381.

    Google Scholar 

  • Haan, P., & Berkey, C. (2002). A study of the believability of the forms of puffery. Journal of Marketing Communications, 8(4), 243–256. https://doi.org/10.1080/13527260210162282.

    Article  Google Scholar 

  • Hanson, E., Kalish, L. A., Bunce, E., Curtis, C., McDaniel, S., Ware, J., & Petry, J. (2007). Use of complementary and alternative medicine among children diagnosed with autism spectrum disorder. Journal of Autism and Developmental Disorders., 37(4), 628–636.

    Article  PubMed  Google Scholar 

  • Horner, R., Carr, E., Halle, J., McGee, G., Odom, S., & Wolery, M. (2005). The use of single subject research to identify evidence-based practice in special education. Exceptional Children, 71, 165–180.

    Google Scholar 

  • IDEA. (2004). Individuals with disabilities education improvement act, 20 U.S.C. § 1400 et seq.

  • Jacobson, J. W., Mulick, J. A., & Schwartz, A. A. (1995). A history of facilitated communication: Science, pseudoscience, and antiscience science working group on facilitated communication. American Psychologist, 50(9), 750–765.

    Article  Google Scholar 

  • Kahneman, D. (2011). Thinking, fast and slow (Vol. 1). New York: Farrar, Straus and Giroux.

    Google Scholar 

  • Kendeou, P., Butterfuss, R., Kim, J. Y. J., & Van Boekel, M. (2018). A three-pronged approach to knowledge revision. Memory & Cognition. https://doi.org/10.3758/s13421-018-0848-y.

    Article  Google Scholar 

  • Kobayashi, K. (2014). Students’ consideration of source information during the reading of multiple texts and its effect on intertextual conflict resolution. Instructional Science, 42, 183–205.

    Article  Google Scholar 

  • Levy, S. E., & Hyman, S. L. (2008). Complementary and alternative medicine treatments for children with autism spectrum disorders. Child and Adolescent Psychiatric Clinics of North America, 17(4), 803–820.

    Article  PubMed  PubMed Central  Google Scholar 

  • Levy, S. E., Mandell, D. S., Merhar, S., Ittenbach, R. F., & Pinto-Martin, J. A. (2003). Use of complementary and alternative medicine among children recently diagnosed with autistic spectrum disorder. Journal of Developmental & Behavioral Pediatrics, 24(6), 418–423.

    Article  Google Scholar 

  • Lombardi, D., Seyranian, V., & Sinatra, G. (2014). Source effects and plausibility judgments when reading about climate change. Discourse Processes, 51(1–2), 75–92.

    Article  Google Scholar 

  • McCoy, A., Holloway, J., Healy, O., Rispoli, M., & Neely, L. (2016). A systematic review and evaluation of video modeling, role-play and computer-based instruction as social skills interventions for children and adolescents with high-functioning autism. Review Journal of Autism and Developmental Disorders, 3, 48–67.

    Article  Google Scholar 

  • McIntyre, N., Mundy, P. C., Solomon, M., Hatt, N. V., Gwaltney, M., Jarrold, W., & Kim, K. (2013). Reading and oral communication in students with ASD. In Paper presented at the international meeting on autism research. San Sebastian, Spain.

  • National Autism Center. (2009). National standards project findings and conclusions. Randolph, MA: National Autism Center.

    Google Scholar 

  • Reichow, B., & Volkmar, F. R. (2010). Social skills interventions for individuals with autism: Evaluation for evidence-based practices within a best evidence synthesis framework. Journal of Autism and Developmental Disorders, 40(2), 149–166.

    Article  PubMed  Google Scholar 

  • Smith, T. (2016). The appeal of unvalidated treatments. In R. M. Foxx & J. A. Mulick (Eds.), Controversial therapies for autism and intellectual disabilities: Fad, fashion, and science in professional practice (pp. 3–16). New York: Routledge.

    Google Scholar 

  • Sparks, J., & Rapp, D. (2011). Readers’ reliance on source credibility in the service of comprehension. Journal of Experimental Psychology: Learning, Memory, and Cognition, 37(1), 230–247.

    PubMed  Google Scholar 

  • Strømsø, H., Bråten, I., & Britt, A. (2010). Reading multiple texts about climate change: The relationship between memory for sources and text comprehension. Learning and Instruction, 20, 192–204.

    Article  Google Scholar 

  • Strømsø, H. I., & Bråten, I. (2014). Students’ sourcing while reading and writing from multiple web documents. Nordic Journal of Digital Literacy, 9(02), 92–111.

    Google Scholar 

  • Travers, J. C., Ayers, K., Simpson, R. L., & Crutchfield, S. (2016). Fad, pseudoscientific, and controversial interventions. In R. Lang, T. Hancock & N. Singh (Eds.), Early intervention for young children with autism spectrum disorder. Evidence-based practices in behavioral health. Cham: Springer.

    Google Scholar 

  • U.S. Department of Education, Institute of Education Sciences, National Center for Education Evaluation and Regional Assistance. What Works Clearinghouse standards handbook, version 4.0. Retrieved August 3, 2018, https://ies.ed.gov/ncee/wwc/Docs/referenceresources/wwc_standards_handbook_v4.pdf.

  • Van Boekel, M., Lassonde, K., O’Brien, E. J., & Kendeou, P. (2017). Source credibility and the processing of refutation texts. Memory & Cognition, 45, 168–181.

    Article  Google Scholar 

  • Vyse, S. (2016). Where to fads come from? In R. M. Foxx & J. A. Mulick (Eds.), Controversial therapies for autism and intellectual disabilities: Fad, fashion, and science in professional practice (pp. 3–16). New York: Routledge.

    Google Scholar 

  • Warren, Z., Veenstra-VanderWeele, J., Stone, W., Bruzek, J. L., Nahmias, A. S., Foss-Feig, J. H., … McPheeters, M. L. (2011). Therapies for children with autism spectrum disorders. Comparative effectiveness review No. 26. (Prepared by the Vanderbilt Evidence-based Practice Center under contract no. 290-02-HHSA-290-2007 -10065-I.) AHRQ publication no. 11-EHC029-EF. Rockville, MD: Agency for Healthcare. Retrieved August 3, 2018, from http://www.effectivehealthcare.ahrq.gov/reports/final.cfm.

  • Wong, C., Odom, S. L., Hume, K., Cox, A. W., Fettig, A., Kucharczyk, S., … Schultz, T. R. (2014). Evidence-based practice for children, youth, and young adults with autism spectrum disorder. Chapel Hill: Frank Porter Graham Child Development Institute.

    Google Scholar 

  • Zimmer, M., Desch, L., Rosen, L. D., Bailey, M. L., Becker, D., Culbert, T. P., … Adams, R. C. (2012). Sensory integration therapies for children with developmental and behavioral disorders. Pediatrics, 129(6), 1186–1189.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We wish to gratefully acknowledge assistance provided by the research staff Andrea Boh, Amy Shields, Ashley German, Daniel Earixson, David Edward, Kasey Michel, Keri Mikkelson, Laura Janzen, Leila Jones, Limin Wang, Pang Chaxiong, Reese Butterfuss, Sarah Rosen, and Tara Kulkarni.

Funding

This study was funded through awards granted by the Office of International Initiatives and Relations and the Office for Research and Policy at the College of Education and Human Development, University of Minnesota.

Author information

Authors and Affiliations

Authors

Contributions

VPF conceived of the original idea for the study. All authors contributed to the study design. VPF lead study planning, training, and supervision of data collection. GT conducted data analyses. All authors contributed to the writing of the manuscript.

Corresponding author

Correspondence to Veronica P. Fleury.

Ethics declarations

Conflict of interest

All authors declare they have no conflict of interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fleury, V.P., Trevors, G. & Kendeou, P. Public Perception of Autism Treatments: The Role of Credibility and Evidence. J Autism Dev Disord 49, 1876–1886 (2019). https://doi.org/10.1007/s10803-018-03868-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-018-03868-z

Keywords

Navigation