A meta-analysis of intervention effects on challenging behaviour among persons with intellectual disabilities

Heyvaert, M.; Maes, B.; Onghena, P.

doi:10.1111/j.1365-2788.2010.01291.x

Cited by 102Behavioral and Psychological StudiesDown syndrome and intellectual disability researchAutism Spectrum Disorder Research

A meta-analysis of intervention effects on challenging behaviour among persons with intellectual disabilities

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Heyvaert, M., Maes, B., Onghena, P.·2010·Journal of Intellectual Disability Research

DOI 10.1111/j.1365-2788.2010.01291.x

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Abstract

BACKGROUND: Persons with intellectual disabilities (ID) often show challenging behaviour. We review distinct interventions that are applied to treat these challenging behaviours, and analyse intervention effects and moderating variables. METHODS: A literature search was conducted using the databases ERIC, PsycINFO, Web of Science and Medline. A random-effects meta-analysis was carried out, supplemented with sensitivity, subgroup, meta-regression and publication bias analyses. RESULTS: Eighty potential articles were identified, from which 30 contained sufficient data to enable statistical meta-analysis. From these 30 studies, 18 described a biological, 13 a psychotherapeutic and nine a contextual intervention, either applied alone or combined. The overall standardised mean difference was 0.671 (SD = 0.051). As shown by sensitivity analysis, this summary effect size is robust. Assessed through subgroup and meta-regression analysis, all tested moderators showed no statistically significant association with the treatment effects. After applying a funnel plot-, a fail-safe N-, and Duval's and Tweedie's trim and fill-analysis, we conclude that our meta-analysis does not suffer much from publication bias effects. CONCLUSIONS: Several biological, psychotherapeutic and contextual interventions effectively reduce challenging behaviours among persons with ID.

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Behavioural interventions can be effective in reducing challenging behaviour in individuals with autism spectrum disorder and/or intellectual and developmental disabilities.
“Behavioural interventions can be effective in reducing CB in individuals with ASD and/or IDD (32, 33).”
From ProVIA-Kids - outcomes of an uncontrolled study on smartphone-based behaviour analysis for challenging behaviour in children with intellectual and developmental disabilities or autism spectrum disorder (2024) · cites this paper as [33]
The Description of primary studies and participants identifies behavioural interventions among the treatments reviewed, and the Discussion reports evidence that psychotherapeutic interventions can reduce challenging behaviour in people with intellectual disabilities. The paper does not establish that finding for people with autism spectrum disorder who do not also have intellectual disabilities, so it supports the IDD portion but not the full stated population. (LLM, conf=0.84)
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Authors: Heyvaert, M., Maes, B., & Onghena, P.
Affiliations: Research Foundation - Flanders (BE)
KU Leuven (BE)
Corresponding author: Heyvaert, M.
ORCID: Maes, B.
Onghena, P.
Venue: Journal of Intellectual Disability Research
Publisher: Wiley
Published: 2010-06-14
Volume: 54
Issue: 7
Pages: 634-649
ISSN: 0964-2633 (ISSN-L)
1365-2788
DOI: 10.1111/j.1365-2788.2010.01291.x
OpenAlex: W2122170346
Cited by: 102
References: 157
Citations by year: 2026: 2 · 2025: 8 · 2024: 6 · 2023: 7 · 2022: 8 · 2021: 3 · 2020: 12 · 2019: 5 · 2018: 6 · 2017: 4 · 2016: 4 · 2015: 9 · 2014: 7 · 2013: 5 · 2012: 6
FWCI: 1.28
Type: journal article
Language: en
Open access: green
lirias.kuleuven.be
Licence: other-oa
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Intellectual Disability Research (publishedVersion)
PubMed (publishedVersion)
Lirias (submittedVersion, other-oa)
Topics: Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Keywords: behavioral problems, intellectual disability, behavioral interventions, biological interventions, psychotherapeutic interventions, contextual interventions, treatment effectiveness, publication bias
MeSH terms: Humans, Intellectual Disability, Psychotherapy, Attention Deficit and Disruptive Behavior Disorders

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A meta-analysis of intervention effects on challenging behaviour among persons with intellectual disabilities

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