Evidence Base Update for Autism Spectrum Disorder

Journal of Clinical Child and Adolescent Psychology

Smith, T., & Iadarola, S. (2015).

Journal of Clinical Child and Adolescent Psychology, 44(6), 897-922.

This review investigates the effect of psychological and behavioral interventions on a variety of outcomes (e.g., symptoms, adaptive behavior, social-communication skills, social engagement) in young children, 5 years or younger, on the autism spectrum.

Not stated



From 2007 to February 2014

Experimental study designs; quasi-experimental study designs

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Individual, focused applied behavior analysis for augmentative and alternative communication is probably efficacious for young children on the autism spectrum.

Individual, comprehensive applied behavioral analysis intervention combined with developmental social-pragmatic intervention (e.g., Early Start Denver Model) was classified as possibly efficacious.

<div>Individual, focused applied behavioral analysis interventions (e.g., pivotal response treatment and incidental teaching) were classified as possibly efficacious for spoken communication.</div>

Teacher-implemented focused&nbsp;developmental social-pragmatic interventions were classified as possibly efficacious for the development of of joint attention and certain aspects of play.

Teacher-implemented focused applied behavioral analysis intervention combined with developmental social-pragmatic intervention was classified as a well-established intervention for discrete social communication skills.

Focused developmental social-pragmatic parent-training&nbsp;interventions (e.g., Floortime, Hanen) were classified as probably efficacious for specific social communication outcomes.

Individual, comprehensive applied behavioral analysis intervention was classified as a well-established intervention.

Individual, focused applied behavioral analysis intervention combined with developmental social-pragmatic intervention was classified as probably efficacious for specific social communication outcomes like joint attention, imitation, and play.

Focused applied behavioral analysis parent-training interventions were classified as possibly efficacious for decreasing problem behavior and improving spoken communication.