A Meta-Analysis of Behavioral Interventions for Adolescents and Adults with Autism Spectrum Disorders

Roth, Matthew E.; Gillis, Jennifer M.; Reed, Florence D. DiGennaro

doi:10.1007/s10864-013-9189-x

Cited by 56 publications

(45 citation statements)

References 74 publications

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“…Studies varied widely in regard to the percentage of observations which were coded for IOA, ranging from 100% of Ronnie's sessions in the Love et al () trial to 20% of all analog treatment probes in the Luscre and Center () intervention. Although the Horner et al () quality indicators do not specify the frequency at which IOA should be coded, Roth et al () suggest a minimum criterion of 20%; thus, all identified studies met this criterion, despite their variability in the percentage of trials coded for IOA. All independent variables were described with sufficient detail to allow for replication and were operationalized, which allowed each study to document experimental control via the systematic replication of each independent variable .…”

Section: Summary Conclusion and Recommendationsmentioning

confidence: 99%

“…Behavioral treatments are well established as the most efficacious intervention approach for children with ASD (Smith & Iadarola, 2015) and demonstrate medium to strong effect sizes for adolescents and adults with ASD (Roth, Gillis, & DiGennaro Reed, 2014). However, the impact of behavioral interventions on anxiety specifically remains unclear.…”

Section: Status Of the Current Evidence Basementioning

confidence: 99%

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A Review of Behavioral Interventions for Anxiety‐Related Behaviors in Lower‐Functioning Individuals with Autism

Rosen

Connell

Kerns

2016

Behavioral Interventions

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Anxiety is highly prevalent in persons with autism and affects individuals with higher‐functioning autism (HFA) and lower‐functioning autism (LFA). Although there is emerging support for the efficacy of cognitive‐behavioral therapy (CBT) in treating anxiety in autism, these findings are largely based on HFA samples. Moreover, CBT may be inappropriate for individuals with LFA who may struggle to grasp the cognitive components of the therapy because of their more limited verbal abilities. Behavior analytic interventions may be better suited to treat anxiety in this population; however, the quantity and quality of the extant literature have yet to be reviewed. Toward this end, the extant behavioral intervention literature was reviewed. Seven studies met the inclusion criteria and were evaluated against quality indicators for within‐subject design research. Next, the efficacy of each treatment component was assessed using established criteria for defining empirically supported therapies. Results revealed behavioral interventions to be efficacious, with desensitization and reinforcement emerging as efficacious treatment components, while prompting, modeling, and antianxiety stimuli were established as possibly efficacious. However, given that some of the quality indicators were not met, these results should be interpreted with some caution. Additional research is needed to form a more conclusive evidence base for the treatment of anxiety in individuals with LFA. Copyright © 2016 John Wiley & Sons, Ltd.

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Section: Summary Conclusion and Recommendationsmentioning

confidence: 99%

Section: Status Of the Current Evidence Basementioning

confidence: 99%

A Review of Behavioral Interventions for Anxiety‐Related Behaviors in Lower‐Functioning Individuals with Autism

Rosen

Connell

Kerns

2016

Behavioral Interventions

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“…The NAP calculation is similar to Tau but differs in scale, and Tau provides an option of baseline trend control (i.e., Tau-U) in addition to nonoverlap. The NAP and Tau effect sizes have been used in single-case research studies (Ganz et al 2013a, b;Hutchins and Prelock 2013), systematic reviews (Gaskin et al 2013;Harrison et al 2013), and meta-analytic reviews of single-case research (Bowman-Perrott et al 2013;Roth et al 2014).…”

mentioning

confidence: 99%

Meta-analysis of Single-Case Research on Teaching Functional Living Skills to Individuals with ASD

Ninci

Neely

Hong

et al. 2015

Rev J Autism Dev Disord

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A meta-analysis of 52 studies teaching functional living skills to individuals with autism spectrum disorder was conducted. Using the Tau effect size with the Dunn and the KruskalWallis post-hoc analyses, the following categories were analyzed: age, diagnosis, intervention type, dependent variable, setting, and implementer. Analyses for age yielded statistically significant findings supporting greatest outcomes for elementaryaged individuals compared to secondary-aged individuals as well as adolescents and adults in comparison with preschool-and secondary-aged individuals. Moderate to strong effect sizes were noted across categories for diagnosis, intervention, and dependent variable. Outcomes indicated strong effects across categories for setting and implementer. Convergent validity of Tau effect sizes with visually analyzed ratings of evidence was evaluated, which largely resulted in correspondence.

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“…Despite the difficulty in getting a clear estimate, it is evident that the prevalence of ASD continues to increase on a global scale (Hahler and Elsabbagh 2015). Given the well-documented evidence of early intensive behavioral intervention (EIBI) to improve symptomatology of ASD in young children (Lotfizadeh et al 2018;National Autism Center 2015;Reichow et al 2018), it is perhaps not surprising that the majority of research related to behavioral assessment and intervention has been focused on younger populations (Howlin et al 2009;Roth et al 2014). However, ASD impacts individuals throughout their lifespan, and the estimated number of adolescents and adults with ASD has been on the rise for the last two decades (Gerhardt and Lainer 2011;Vanbergeijk et al 2008).…”

mentioning

confidence: 99%

Autism Beyond Early Intensive Behavioral Intervention

Rosales

Hirst

García

et al. 2019

Adv Neurodev Disord

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Autism spectrum disorder (ASD) affects many individuals worldwide. Researchers have identified effective interventions for teaching new skills and reducing challenging behaviors that have resulted in improvements in the lives of individuals with ASD and their families. Namely, assessments and interventions based on the science of behavior analysis have strong empirical support for improving the quality of life of individuals with ASD. Although beneficial, the majority of this research has involved young children, which is not always easily applied to adolescents and adults due to unique characteristics of this population. This special issue addresses the need for research with older individuals with ASD by presenting a variety of papers evaluating behavioral interventions for adolescents and adults and discussing the specific needs related to this population.

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A Meta-Analysis of Behavioral Interventions for Adolescents and Adults with Autism Spectrum Disorders

Cited by 56 publications

References 74 publications

A Review of Behavioral Interventions for Anxiety‐Related Behaviors in Lower‐Functioning Individuals with Autism

A Review of Behavioral Interventions for Anxiety‐Related Behaviors in Lower‐Functioning Individuals with Autism

Meta-analysis of Single-Case Research on Teaching Functional Living Skills to Individuals with ASD

Autism Beyond Early Intensive Behavioral Intervention

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