Research Review: Conflicts of Interest (COIs) in autism early intervention research – a meta‐analysis of COI influences on intervention effects
Open accessAbstract
Background: The presence, types, disclosure rates, and effects of conflicts of interest (COIs) on autism early intervention research have not previously been studied. The purpose of this study was to examine these issues. Methods: This study is a secondary analysis of a comprehensive meta‐analysis of all group‐design, nonpharmacological early intervention autism research conducted between 1970 and 2018. We coded reports for the presence/absence of COI statements, the types of COIs that were disclosed, and for 8 types of COIs, including (a) the author developed the intervention, (b) the author is affiliated with a clinical provider, (c) the author is employed by a clinical provider, (d) the author is affiliated with an institution that trains others to use the intervention, (e) the author receives payment or royalties related to the intervention, (f) the study was funded by an intervention provider, (g) the study used a commercially available measure developed by the author, and (h) proceeds of the intervention fund the author’s research. Frequencies and proportions were calculated to determine prevalence of COIs and COI disclosures. Meta‐analysis was used to estimate summary effects by COI type and to determine if they were larger than for reports with no coded COIs. Results: Seventy percent of reports were coded for ≥ 1 COI, but only ~ 6% of reports contained COI statements fully accounting for all coded COIs. Metaregressions did not detect significant influences of any COI type on summary effects; however, point estimates for each COI type were larger than for reports with no coded COIs. Conclusions: Conflicts of interest are prevalent but under‐reported in autism early intervention research. Improved reporting practices are necessary for researcher transparency and would enable more robust examination of the effects of COIs on research outcomes.
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Researchers have drawn attention to the abundance of conflicts of interest in ABA research, which are seldom fully disclosed.
“Researchers have also drawn attention to the abundance of conflicts of interest in ABA research, which are seldom fully disclosed (Bottema-Beutel et al., 2021b).”
From Neurodiversity and Autism Intervention: Reconciling Perspectives Through a Naturalistic Developmental Behavioral Intervention Framework (2022) · cites this paper as Bottema-Beutel et al., 2021b
The Results (page unavailable) report COIs in 70% of the autism early-intervention reports studied, with only 5.7% of reports with coded COIs fully disclosing them. The Discussion says under-reporting appears across intervention types, including behavioral interventions, but the study does not establish the same prevalence or disclosure pattern for ABA research as a whole. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe circumscribed conflict of interest reporting has been commonplace in ABA research.
“the circumscribed conflict of interest reporting that has been commonplace in ABA research (Bottema-Beutel et al., 2021b)”
From Neurodiversity and Autism Intervention: Reconciling Perspectives Through a Naturalistic Developmental Behavioral Intervention Framework (2022) · cites this paper as Bottema-Beutel et al., 2021b
The Discussion section ('Prevalence of COIs and reporting practices'; page not supplied) says COI reporting in autism early intervention research was usually restricted to direct financial transactions and often omitted other conflicts. The Results show that the study included behavioral interventions, but the cited passages do not establish that this reporting pattern was commonplace specifically in ABA research. (LLM, conf=0.83)
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Project AIM: Autism intervention meta-analysis for studies of young children.
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Schuck, R. K., Tagavi, D. M., Baiden, K. M. P., Dwyer, P., Williams, Z. J., Osuna, A., Ferguson, E. F., Jimenez Muñoz, M., Poyser, S. K., Johnson, J. F., et al. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05316-x · Cited by 208 · see citing works
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“…autistic features and improving cognitive and language development (Sandbank et al., 2020), its biases and conflicts of interest in intervention research (Bottema-Beutel et al., 2020) and its poorly studied potential negative side effects (Dawson and Fletcher-Watson, 2021; Schuck et al., 2022).”
Background
- Authors
- Bottema‐Beutel, K., Crowley, S., Sandbank, M., & Woynaroski, T. G.
- Affiliations
- Boston College (US)
- The University of Texas at Austin (US)
- Vanderbilt University Medical Center (US)
- Corresponding author
- Bottema‐Beutel, Kristen
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2020-04-30
- Volume
- 62
- Issue
- 1
- Pages
- 5-15
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- PMC
- PMC7606324
- OpenAlex
- W3021450028
- Cited by
- 137
- References
- 2
- Citations by year
- 2026: 81 · 2025: 6 · 2024: 11 · 2023: 6 · 2022: 16 · 2021: 15 · 2020: 2
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54HD083211)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmaceutical industry and healthcare
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Safety Research › Academic integrity and plagiarism
- Keywords
- conflicts of interest, autism spectrum disorder, early intervention, conflict of interest disclosure, research transparency, non-pharmacological treatment, commercialization of research, funding sources, intervention effects
- MeSH terms
- Autistic Disorder, Humans, Conflict of Interest, Early Intervention, Educational, Disclosure
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