A comparison of intensive behavior analytic and eclectic treatments for young children with autism
Abstract
We compared the effects of three treatment approaches on preschool-age children with autism spectrum disorders. Twenty-nine children received intensive behavior analytic intervention (IBT; 1:1 adult:child ratio, 25-40 h per week). A comparison group (n=16) received intensive "eclectic" intervention (a combination of methods, 1:1 or 1:2 ratio, 30 h per week) in public special education classrooms (designated the AP group). A second comparison group (GP) comprised 16 children in non-intensive public early intervention programs (a combination of methods, small groups, 15 h per week). Independent examiners administered standardized tests of cognitive, language, and adaptive skills to children in all three groups at intake and about 14 months after treatment began. The groups were similar on key variables at intake. At follow-up, the IBT group had higher mean standard scores in all skill domains than the AP and GP groups. The differences were statistically significant for all domains except motor skills. There were no statistically significant differences between the mean scores of the AP and GP groups. Learning rates at follow-up were also substantially higher for children in the IBT group than for either of the other two groups. These findings are consistent with other research showing that IBT is considerably more efficacious than "eclectic" intervention.
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Some effectiveness studies of EIBI in preschool settings have generally adopted a one-to-one approach.
“Some of these effectiveness studies have explored EIBI in preschool settings, although these have generally adopted a one-to-one approach (e.g., [19-23]).”
From Clinical outcomes of an early intervention program for preschool children with Autism Spectrum Disorder in a community group setting. (2013) · cites this paper as [21]
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- Authors
- Howard, J. S., Sparkman, C. R., Cohen, H. G., Green, G., & Stanislaw, H.
- Affiliations
- California State University, Stanislaus (US)
- University of North Texas (US)
- Corresponding author
- Howard, Jane S.
- ORCID
- Green, Gina
- Venue
- Research in Developmental Disabilities
- Publisher
- Elsevier BV
- Published
- 2005-07
- Volume
- 26
- Issue
- 4
- Pages
- 359-383
- ISSN
- 0891-4222 (ISSN-L)
- OpenAlex
- W2141742777
- Cited by
- 600
- References
- 68
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 11 · 2023: 25 · 2022: 16 · 2021: 21 · 2020: 23 · 2019: 18 · 2018: 26 · 2017: 29 · 2016: 35 · 2015: 30 · 2014: 46 · 2013: 46 · 2012: 48
- FWCI
- 13.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research in Developmental Disabilities (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, early intervention, preschool children, treatment efficacy, cognitive skills, language skills, adaptive skills, learning rate, special classes
- MeSH terms
- Adaptation, Psychological, Autistic Disorder, Mental Disorders, Child, Preschool, Communication, Female, Humans, Language Therapy, Learning, Male, Severity of Illness Index, Cognitive Behavioral Therapy
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