A Systematic Review of Treatment Integrity Assessment from 2004 to 2014: Examining Behavioral Interventions for Students with Autism Spectrum Disorder

Gould, Kaitlin; Collier‐Meek, Melissa A.; DeFouw, Emily R.; Silva, Meghan; Kleinert, Whitney L.

doi:10.1007/s40688-019-00233-4

Cited by 4 publications

(16 citation statements)

References 33 publications

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“…Positive impacts on communication, including improved initiations and responses, as measured through formal and observation measures were reported byBaharav and Reiser (2010). Similarly, the Boisvert et al(2012) study reported better use of transition words after telehealth therapy compared with baseline and that the students' performance was more consistent in telehealth condition compared with face to face condition.Summarised inconsistent effect…”

mentioning

confidence: 81%

“…"Two studies examined how a child's autism severity influenced treatment effects, and results were conflicting. Pajareya et al (2012) found that the less severe the impairments or the higher the level of overall performance of the child prior to intervention, the more likely they were to have positive gains from the DSP intervention. In contrast, Schertz et al (2018) found that more positive changes in responding to joint attention occurred for the children with more severe autism.…”

Section: Caregiver Communication and Interaction (Parent Responsiveness And Directiveness)mentioning

confidence: 99%

“…No meta-analysis, narrative review only Unspecified intervention outcomes 2 "Rogers et al (2012) found that nonsocial orienting was a significant predictor of increased scores on the MSEL and decreased Greater preintervention imitation was ADOS social affect scores when both the ESDM and TAU groups were combined and that social orienting was a significant predictor of reduced ADOS restricted and repetitive behavior scores. However, contrary to their hypothesis, imitation skills were not a significant predictor of treatment outcomes.…”

Section: Child Characteristicsmentioning

confidence: 99%

“…Similarly, in the study byStrain and Bovey (2011), the EG demonstrated a greater decrease in CARS scores than the CG. The Eikeseth study(2012) reported a significant decrease in CARS scores for the EG, but did not report comparison data for the CG. The authors of the final study(Young et al2016) did not report any significant change in CARS scores.…”

mentioning

confidence: 95%

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Non-pharmacological interventions for children on the autism spectrum: An umbrella review

Trembath¹,

Varcin²,

Waddington³

et al. 2021

Preprint

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Background: It is critical that the interventions children on the autism spectrum receive are evidence-based. Given the breadth of available non-pharmacological interventions, a synthesis of research evidence on interventions for children on the autism spectrum is needed.Methods: We completed an umbrella review of systematic reviews, published between 2010-2020, focusing on interventions for children aged 0-12 years. Only systematic reviews that included at least one primary study with a controlled group design were included. Interventions were classified as Behavioural, Developmental, Naturalistic Developmental Behavioural Interventions (NDBIs), Sensory-based, Technology-based, Animal-assisted, Cognitive Behaviour Therapy (CBT), Treatment and Education of Autistic and related Communication-handicapped Children (TEACCH), and ‘other’ (i.e., interventions that didn’t correspond to the other categories). Results: Evidence from 58 systematic reviews indicated positive therapeutic effects for Behavioural interventions, Developmental interventions, NDBIs, Technology-based interventions, and CBT on a range of child and family outcomes. Positive effects for Sensory-based interventions were reported for certain practices only and were limited to select child and family outcomes. A mix of inconsistent and null intervention effects on child and family outcomes were reported for TEACCH and Animal-assisted interventions. There were no consistent findings of the possible effects of intervention delivery (e.g., amount, agent, delivery format, delivery mode) or child characteristics (e.g., age, cognitive skills) on outcomes. Few studies measured outcomes beyond children’s characteristics and skills, to consider broader participation, quality of life, or family outcomes. Adverse effects were rarely reported, and findings were based predominantly on lower quality reviews and/or reviews with a mixture of study designs.Conclusions: There is evidence for the positive effects of a range of interventions, but not for a single best intervention for all children, nor an intervention conferring positive effects across all outcomes examined. The potential influence of intervention and child characteristics on outcomes remains a critical priority for future research.

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mentioning

confidence: 81%

Section: Caregiver Communication and Interaction (Parent Responsiveness And Directiveness)mentioning

confidence: 99%

Section: Child Characteristicsmentioning

confidence: 99%

mentioning

confidence: 95%

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Non-pharmacological interventions for children on the autism spectrum: An umbrella review

Trembath¹,

Varcin²,

Waddington³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…In C29, Witts () correctly suggests that procedural fidelity data were not reported by McKeel, Dixon et al (2015). Although true, a recent review by Gould, Collier‐Meek, DeFouw, Silva, and Kleinert () suggests that treatment integrity data are only reported in approximately 43% of studies evaluating behavioral interventions for students with autism, which often takes the form of adherence data assessed through observation or self‐report. We agree that future research in behavior analysis, including research on PEAK, should strive for greater inclusion of fidelity data to ensure fidelity of the independent variable and to ascertain how low levels of integrity may influence treatment efficacy.…”

Section: A Critical Analysis Of Witts (2018)mentioning

confidence: 99%

Rational skepticism: A scientific review of Witts' (2018) criticisms of the PEAK relational training system

Belisle

Dixon²

2019

J of App Behav Analysis

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Witts' (2018) review of the peer‐reviewed research on the PEAK‐Direct Training Module (Dixon, 2014) yielded a divergent conclusion from that of previous reviews (Reed & Luiselli, 2016; Dixon, Belisle, McKeel et al., 2017). Witts advocates for skepticism of this research due to methodological shortcomings, hyperclaiming of results, and inappropriate statistical testing procedures. We identified 30 criticisms in Witts' review, respond to each, and argue that all but 2 (7%) contain untrue assumptions (7, 23%), are not novel (5, 17%), are logically invalid (7, 23%), or are more appropriately framed as criticisms of applied behavior analytic research more generally (9, 30%). The two criticisms that support Witts' purpose in writing his review are minor and not fatal. We discuss all of Witts' criticisms both specifically and broadly to illustrate that most of his suggestions about applied behavior analytic research may actually serve to hinder progress in a discipline moving toward larger‐scale research.

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A review of response interruption and redirection: 2007–2021

Ryan

Rosales

Rowe

2022

Behavioral Interventions

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The objective of this paper is to provide a review of the current state of the literature on response interruption and intervention (RIRD) beginning with the year the term was first coined. The paper aims to replicate and refine previous reviews on this topic by including: (1) only articles that used the term “RIRD”; (2) all behaviorally oriented journals with publications on the topic; (3) articles that evaluated RIRD across multiple topographies of automatically reinforced behavior; and (4) an evaluation of measures of treatment integrity, social validity, maintenance, and generality. Suggestions for future research and use of RIRD in clinical practice will be discussed.

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A Systematic Review of Treatment Integrity Assessment from 2004 to 2014: Examining Behavioral Interventions for Students with Autism Spectrum Disorder

Cited by 4 publications

References 33 publications

Non-pharmacological interventions for children on the autism spectrum: An umbrella review

Non-pharmacological interventions for children on the autism spectrum: An umbrella review

Rational skepticism: A scientific review of Witts' (2018) criticisms of the PEAK relational training system

A review of response interruption and redirection: 2007–2021

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