The Evidence Base for Interventions for Individuals With ASD: A Call to Improve Practice Conceptualization and Synthesis

Abstract

Identifying potentially effective practices for improving outcomes for individuals with autism spectrum disorder (ASD) is a complex process. In this article, we respond to recent reviews of evidence-based practices for individuals with ASD. We identify possible problems and make suggestions in relation to identifying well-specified practices, inclusion of gray literature, and considering use of studies with noneffects in systematic reviews.

Keywords

evidence-based practices intervention single case design systematic review

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References

Baer

D. M.

Wolf

M. M.

Risley

T. R.

(1968). Some current dimensions of applied behavior analysis. Journal of Applied Behavior Analysis, 1, 91–97.

Barton

E. E.

Choi

Mauldin

E. G.

(2019). Teaching sequences of pretend play to children with disabilities. Journal of Early Intervention, 41(1), 13–29. https://doi.org/10.1177/1053815118799466

Barton

E. E.

Murray

O’Flaherty

Sweeney

E. M.

Gossett

(2020). Teaching object play to young children with disabilities: A systematic review of methods and rigor. American Journal on Intellectual and Developmental Disabilities, 125(1), 14–36. https://doi.org/10.1352/1944-7558-125.1.14

Brown

McDonnell

Snell

M. E.

(2020). Instruction of students with severe disabilities. Pearson.

Call

N. A.

Clark

S. B.

Mevers

J. L.

Parks

N. A.

Volkert

V. M.

Scheithauer

M. C.

(2018). An individualized method for establishing and thinning multiple schedules of reinforcement following functional communication training. Learning and Motivation, 62, 91–102. https://doi.org/10.1016/j.lmot.2017.03.006

Carr

E. G.

Durand

V. M.

(1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18(2), 111–126. https://doi.org/10.1901/jaba.1985.18-111

Carroll

R. A.

Kodak

Fisher

W. W.

(2013). An evaluation of programmed treatment-integrity errors during discrete-trial instruction. Journal of Applied Behavior Analysis, 46(2), 379–394. https://doi.org/10.1002/jaba.49

Cerutti

D. T.

(1989). Discrimination theory of rule-governed behavior. Journal of the Experimental Analysis of Behavior, 51, 259–276.

Chow

J. C.

Ekholm

(2018). Do published studies yield larger effect sizes than unpublished studies in education and special education? A meta-review. Educational Psychology Review, 30(3), 727–744. https://doi.org/10.1007/s10648-018-9437-7

10.

Collins

B. C.

(2012). Systematic instruction for students with moderate and severe disabilities. Paul H. Brookes.

11.

Cook

B. G.

Therrien

W. J.

(2017). Null effects and publication bias in special education research. Behavioral Disorders, 42(4), 149–158. https://doi.org/10.1177/0198742917709473

12.

Cooper

Hedges

L. V.

Valentine

J. C.

(Eds.). (2019). The handbook of research synthesis and meta-analysis. Russell SAGE Foundation.

13.

Cooper

J. O.

Heron

T. E.

Heward

W. L.

(2020). Applied behavior analysis (3rd ed.). Pearson.

14.

Cox

A. L.

Gast

D. L.

Luscre

Ayres

K. M.

(2009). The effects of weighted vests on appropriate in-seat behaviors of elementary-age students with autism and severe to profound intellectual disabilities. Focus on Autism and Other Developmental Disabilities, 24(1), 17–26. https://doi.org/10.1177/1088357608330753

15.

DeAquair

(2013). Challenging behavior. In Volkmar

F. R.

(Eds.), Encyclopedia of autism spectrum disorders. Springer. https://doi.org/10.1007/978-1-4419-1698-3_1022

16.

Fisher

W. W.

Piazza

C. C.

Roane

H. S.

(2011). Handbook of applied behavior analysis. Guilford Press.

17.

Fuhrman

A. M.

Fisher

W. W.

Greer

B. D.

(2016). A preliminary investigation on improving functional communication training by mitigating resurgence of destructive behavior. Journal of Applied Behavior Analysis, 49(4), 884–899. https://doi.org/10.1002/jaba.338

18.

Ghaemmaghami

Hanley

G. P.

Jessel

(2016). Contingencies promote delay tolerance. Journal of Applied Behavior Analysis, 49(3), 548–575. https://doi.org/10.1002/jaba.333

19.

Gray

S. A. O.

(2013). Maladaptive behavior. In Volkmar

F. R.

(Eds.), Encyclopedia of autism spectrum disorders. Springer. https://doi.org/10.1007/978-1-4419-1698-3_239

20.

Greer

B. D.

Shahan

T. A.

(2019). Resurgence as choice: Implications for promoting durable behavior change. Journal of Applied Behavior Analysis, 52(3), 816–846.

21.

Hagopian

L. P.

Fisher

W. W.

Sullivan

Acquisto

LeBlanc

(1998). Effectiveness of functional communication training with and without extinction and punishment: A summary of 21 inpatient cases. Journal of Applied Behavior Analysis, 31(2), 211–235.

22.

Hanley

G. P.

Jin

C. S.

Vanselow

N. R.

Hanratty

L. A.

(2014). Producing meaningful improvements in problem behavior of children with autism via synthesized analyses and treatments. Journal of Applied Behavior Analysis, 47(1), 16–36.

23.

Hayes

S. C.

Zettle

R. D.

Rosenfarb

(1989). Rule-following. In Hayes

S. C.

(Ed.), Rule-governed behavior: Cognition, contingencies, and instructional control (pp. 191–220). Plenum Press.

24.

Lambert

J. M.

Bloom

S. E.

Samaha

A. L.

Dayton

Kunnavatana

S. S.

(2016). Effects of noncontingent reinforcement on the persistence and resurgence of mild aggression. The Psychological Record, 66(2), 283–289. https://doi.org/10.1007/s40732-016-0170-7

25.

Lambert

J. M.

Bloom

S. E.

Samaha

A. L.

Dayton

Rodewald

A. M.

(2015). Serial alternative response training as intervention for target response resurgence. Journal of Applied Behavior Analysis, 48(4), 765–780. https://doi.org/10.1002/jaba.253

26.

Lambert

J. M.

Clohisy

Barrows

Houchins-Juarez

(2017). Compound-schedules approaches to noncompliance: Teaching children when to ask and when to work. Journal of Behavioral Education, 26(2), 201–220. https://doi.org/10.1007/s10864-016-9260-5

27.

Lambert

J. M.

Houchins-Juárez

N. J.

(2020). Do functional analyses probe learning histories, or create them? An exploratory investigation. American Journal on Intellectual and Developmental Disabilities, 125(3), 200–216.

28.

Laraway

Snycerski

Michael

Poling

(2003). Motivating operations and terms to describe them: Some further refinements. Journal of Applied Behavior Analysis, 36, 407–414.

29.

Lattal

K. A.

Cançado

C. R.

Cook

J. E.

Kincaid

S. L.

Nighbor

T. D.

Oliver

A. C.

(2017). On defining resurgence. Behavioural Processes, 141, 85–91.

30.

Ledford

J. R.

Chazin

K. T.

Gagnon

Lord

Turner

V. R.

Zimmerman

K. N.

(2021). A systematic review of instructional comparisons in single case research. Remedial and Special Education, 42(3), 155–168. https://doi.org/10.1177/0741932519855059

31.

Ledford

J. R.

Chazin

K. T.

Harbin

E. R.

Ward

S. E.

(2017). Massed trials versus trials embedded into game play: Child outcomes and preference. Topics in Early Childhood Special Education, 37(2), 107–120. https://doi.org/10.1177/0271121417704703

32.

Ledford

J. R.

Lane

J. D.

Barton

E. E.

(2019). Methods for teaching in early education. Routledge.

33.

Ledford

J. R.

Pustejovsky

J. E.

(2020). Systematic review and meta-analysis of stay-play-talk interventions for improving social behaviors of young children. https://osf.io/3wv47/

34.

Ledford

J. R.

Whiteside

Severini

(2018). A systematic review of interventions for feeding-related behaviors for individuals with autism spectrum disorders. Research in Autism Spectrum Disorders, 52(1), 69–80. https://doi.org/10.1016/j.rasd.2018.04.008

35.

Lerman

D. C.

Iwata

B. A.

(1995). Prevalence of the extinction burst and its attenuation during treatment. Journal of Applied Behavior Analysis, 28(1), 93–94. https://doi.org/10.1901/jaba.1995.28-93

36.

Lerman

D. C.

Iwata

B. A.

Wallace

M. D.

(1999). Side effects of extinction: Prevalence of bursting and aggression during the treatment of self-injurious behavior. Journal of Applied Behavior Analysis, 32(1), 1–8. https://doi.org/10.1901/jaba.1999.32-1

37.

Martinez

J. R.

Waters

C. L.

Conroy

M. A.

Reichow

(2021). Peer-mediated interventions to address social competence needs of young children with ASD: Systematic review of single-case research design studies. Topics in Early Childhood Special Education, 40(4), 217–228.

38.

National Autism Center (NAC). (2015). Findings and conclusions: National standards project, phase 2. Author.

39.

Odom

S. L.

Boyd

B. A.

Hall

L. J.

Hume

(2010). Evaluation of comprehensive treatment models for individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(4), 425–436.

40.

Pigott

T. D.

Polanin

J. R.

(2020). Methodological guidance paper: High-quality meta-analysis in a systematic review. Review of Educational Research, 90(1), 24–46.

41.

Polanin

J. R.

Tanner-Smith

E. E.

Hennessy

E. A.

(2016). Estimating the difference between published and unpublished effect sizes: A meta-review. Review of Educational Research, 86(1), 207–236.

42.

Radhakrishnan

Gerow

Weston

(2019). Resurgence of challenging behavior following functional communication training for children with disabilities: A literature review. Journal of Developmental and Physical Disabilities, 32(2), 213–239.

43.

Reichow

Barton

E. E.

Boyd

B. A.

Hume

(2012). Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD). Cochrane Database of Systematic Reviews, 10, Article CD009260.

44.

Reichow

Wolery

(2011). Comparison of progressive prompt delay with and without instructive feedback. Journal of Applied Behavior Analysis, 44(2), 327–340. https://doi.org/10.1901/jaba.2011.44-327

45.

Reynolds

C. R.

Vannest

Fletcher-Jansen

(2014). Encyclopedia of special education (Vol. 1). Wiley.

46.

Ringdahl

J. E.

Berg

W. K.

Wacker

D. P.

Crook

Molony

M. A.

Vargo

K. K.

. . . Taylor

C. J.

(2018). Effects of response preference on resistance to change. Journal of the Experimental Analysis of Behavior, 109(1), 265–280.

47.

Ringdahl

J. E.

St. Peter

C. S.

(2017). Resurgence: The unintended maintenance of problem behavior. Education and Treatment of Children, 40(1), 7–26. https://doi.org/10.1353/etc.2017.0002

48.

Rogers

S. J.

Hayden

Hepburn

Charlifue-Smith

Hall

Hayes

(2006). Teaching young nonverbal children with autism useful speech: A pilot study of the Denver model and PROMPT interventions. Journal of autism and developmental disorders, 36(8), 1007–1024.

49.

Rooker

G. W.

Jessel

Kurtz

P. F.

Hagopian

L. P.

(2013). Functional communication training with and without alternative reinforcement and punishment: An analysis of 58 applications. Journal of Applied Behavior Analysis, 46(4), 708–722. https://doi.org/10.1002/jaba.76

50.

Schlinger

Blakely

(1987). Function-altering effects of contingency-specifying stimuli. The Behavior Analysis, 10(1), 41–45. https://doi.org/10.1007/BF03392405

51.

Severini

K. E.

Ledford

J. R.

Robertson

R. E.

(2018). Systematic review of problem behavior interventions: Outcomes, demographics, and settings. Journal of Autism and Developmental Disorders, 48, 3261–3272. https://doi.org/10.1007/s10803-018-3591-0

52.

Shadish

W. R.

Zelinsky

N. A.

Vevea

J. L.

Kratochwill

T. R.

(2016). A survey of publication practices of single-case design researchers when treatments have small or large effects. Journal of Applied Behavior Analysis, 49(3), 656–673. https://doi.org/10.1002/jaba.308

53.

Singh

B. D.

Moore

D. W.

Furlonger

B. E.

Anderson

Fall

Howorth

(2021). Reading comprehension and autism spectrum disorder: A systematic review of interventions involving single-case experimental designs. Review Journal of Autism and Developmental Disorders, 8, 3–21.

54.

Skinner

B. F.

(1953). Science and human behavior. Simon and Schuster.

55.

Smith

(2001). Discrete trial training in the treatment of autism. Focus on Autism and Other Developmental Disabilities, 16, 86–92.

56.

Steinbrenner

J. R.

Hume

Odom

S. L.

Morin

K. L.

Nowell

S. W.

. . . Savage

M. N.

(2020). Evidence-based practices for children, youth, and young adults with autism. National Clearinghouse on Autism Evidence and Practice Review Team, Frank Porter Graham Child Development Institute, The University of North Carolina at Chapel Hill.

57.

Strain

P. S.

Bovey

E. H.

(2011). Randomized, controlled trial of the LEAP model of early intervention for young children with autism spectrum disorders. Topics in Early Childhood Special Education, 31(3), 133–154. https://doi.org/10.1177/0271121411408740

58.

Sumter

M. E.

Gifford

M. R.

Tiger

J. H.

Effertz

H. M.

Fulton

C. J.

(2020). Providing noncontingent, alternative, functional reinforcers during delays following functional communication training. Journal of Applied Behavior Analysis, 53(4), 2319–2329. https://doi.org/10.1002/jaba.708

59.

Tiger

J. H.

Hanley

G. P.

Bruzek

(2008). Functional communication training: A review and practical guide. Behavior Analysis in Practice, 1(1), 16–23. https://doi.org/10.1007/BF03391716

60.

Tincani

Travers

(2018). Publishing single-case research design studies that do not demonstrate experimental control. Remedial and Special Education, 39(2), 118–128. https://doi.org/10.1177/0741932517697447

61.

Walker

V. L.

Chung

Bonnet

(2018). Function-based intervention in inclusive school settings: A meta-analysis. Journal of Positive Behavior Interventions, 20(4), 203–216.

62.

Watkins

Ledbetter-Cho

O’Reilly

Barnard-Brak

Garcia-Grau

(2019). Interventions for students with autism in inclusive settings: A best-evidence synthesis and meta-analysis. Psychological Bulletin, 145(5), 490–507. https://doi.org/10.1037/bul0000190

63.

Wolery

Ault

M. J.

Doyle

P. M.

(1992). Teaching students with moderate and severe disabilities: Use of response prompting strategies. Longman.

64.

Wolery

Gast

D. L.

(1984). Effective and efficient procedures for the transfer of stimulus control. Topics in Early Childhood Special Education, 4(3), 52–77. https://doi.org/10.1177/027112148400400305

65.

Wright

J. C.

Knight

V. F.

Barton

E. E.

(2020). A review of video modeling to teach STEM to students with autism and intellectual disability. Research in Autism Spectrum Disorders, 70, Article 101476. https://doi.org/10.1016/j.rasd.2019.101476

66.

Zimmerman

K. N.

Ledford

J. R.

Severini

K. E.

(2019). Brief report: The effects of a weighted blanket on engagement for a student with ASD. Focus on Autism and Other Developmental Disabilities, 34(1), 15–19. https://doi.org/10.1177/1088357618794911