Behavioural and Developmental Interventions for Autism Spectrum Disorder: A Clinical Systematic Review
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{"title"=>"Behavioural and developmental interventions for autism spectrum disorder: A clinical systematic review", "type"=>"generic", "authors"=>[{"first_name"=>"Maria B.", "last_name"=>"Ospina", "scopus_author_id"=>"10141803400"}, {"first_name"=>"Jennifer Krebs", "last_name"=>"Seida", "scopus_author_id"=>"56780076000"}, {"first_name"=>"Brenda", "last_name"=>"Clark", "scopus_author_id"=>"7401725537"}, {"first_name"=>"Mohammad", "last_name"=>"Karkhaneh", "scopus_author_id"=>"24335086900"}, {"first_name"=>"Lisa", "last_name"=>"Hartling", "scopus_author_id"=>"7003502722"}, {"first_name"=>"Lisa", "last_name"=>"Tjosvold", "scopus_author_id"=>"11640349200"}, {"first_name"=>"Ben", "last_name"=>"Vandermeer", "scopus_author_id"=>"8892847100"}, {"first_name"=>"Veronica", "last_name"=>"Smith", "scopus_author_id"=>"16302695400"}], "year"=>2008, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-56649115703", "pui"=>"352722023", "doi"=>"10.1371/journal.pone.0003755", "isbn"=>"1932-6203 (Electronic)", "sgr"=>"56649115703", "pmid"=>"19015734"}, "id"=>"a588024b-94f6-360c-97f3-d4c71d6620c7", "abstract"=>"Much controversy exists regarding the clinical efficacy of behavioural and developmental interventions for improving the core symptoms of autism spectrum disorders (ASD). We conducted a systematic review to summarize the evidence on the effectiveness of behavioural and developmental interventions for ASD.\\n\\nComprehensive searches were conducted in 22 electronic databases through May 2007. Further information was obtained through hand searching journals, searching reference lists, databases of theses and dissertations, and contacting experts in the field. Experimental and observational analytic studies were included if they were written in English and reported the efficacy of any behavioural or developmental intervention for individuals with ASD. Two independent reviewers made the final study selection, extracted data, and reached consensus on study quality. Results were summarized descriptively and, where possible, meta-analyses of the study results were conducted. One-hundred-and-one studies at predominantly high risk of bias that reported inconsistent results across various interventions were included in the review. Meta-analyses of three controlled clinical trials showed that Lovaas treatment was superior to special education on measures of adaptive behaviour, communication and interaction, comprehensive language, daily living skills, expressive language, overall intellectual functioning and socialization. High-intensity Lovaas was superior to low-intensity Lovaas on measures of intellectual functioning in two retrospective cohort studies. Pooling the results of two randomized controlled trials favoured developmental approaches based on initiative interaction compared to contingency interaction in the amount of time spent in stereotyped behaviours and distal social behaviour, but the effect sizes were not clinically significant. No statistically significant differences were found for: Lovaas versus special education for non-verbal intellectual functioning; Lovaas versus Developmental Individual-difference relationship-based intervention for communication skills; computer assisted instruction versus no treatment for facial expression recognition; and TEACCH versus standard care for imitation skills and eye-hand integration.\\n\\nWhile this review suggests that Lovaas may improve some core symptoms of ASD compared to special education, these findings are based on pooling of a few, methodologically weak studies with few participants and relatively short-term follow-up. As no definitive behavioural or developmental intervention improves all symptoms for all individuals with ASD, it is recommended that clinical management be guided by individual needs and availability of resources.", "link"=>"http://www.mendeley.com/research/behavioural-developmental-interventions-autism-spectrum-disorder-clinical-systematic-review", "reader_count"=>397, "reader_count_by_academic_status"=>{"Unspecified"=>11, "Professor > Associate Professor"=>15, "Librarian"=>9, "Researcher"=>42, "Student > Doctoral Student"=>22, "Student > Ph. D. Student"=>76, "Student > Postgraduate"=>25, "Student > Master"=>87, "Other"=>27, "Student > Bachelor"=>49, "Lecturer"=>5, "Lecturer > Senior Lecturer"=>4, "Professor"=>25}, "reader_count_by_user_role"=>{"Unspecified"=>11, "Professor > Associate Professor"=>15, "Librarian"=>9, "Researcher"=>42, "Student > Doctoral Student"=>22, "Student > Ph. D. Student"=>76, "Student > Postgraduate"=>25, "Student > Master"=>87, "Other"=>27, "Student > Bachelor"=>49, "Lecturer"=>5, "Lecturer > Senior Lecturer"=>4, "Professor"=>25}, "reader_count_by_subject_area"=>{"Unspecified"=>20, "Agricultural and Biological Sciences"=>30, "Arts and Humanities"=>5, "Philosophy"=>1, "Business, Management and Accounting"=>1, "Chemical Engineering"=>2, "Chemistry"=>1, "Computer Science"=>21, "Economics, Econometrics and Finance"=>1, "Engineering"=>3, "Environmental Science"=>1, "Nursing and Health Professions"=>13, "Biochemistry, Genetics and Molecular Biology"=>3, "Mathematics"=>1, "Medicine and Dentistry"=>69, "Neuroscience"=>7, "Design"=>1, "Sports and Recreations"=>9, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Psychology"=>145, "Social Sciences"=>53, "Immunology and Microbiology"=>1, "Linguistics"=>7}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>69}, "Social Sciences"=>{"Social Sciences"=>53}, "Sports and Recreations"=>{"Sports and Recreations"=>9}, "Psychology"=>{"Psychology"=>145}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>20}, "Environmental Science"=>{"Environmental Science"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}, "Chemical Engineering"=>{"Chemical Engineering"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>5}, "Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>3}, "Chemistry"=>{"Chemistry"=>1}, "Neuroscience"=>{"Neuroscience"=>7}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>30}, "Computer Science"=>{"Computer Science"=>21}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>13}, "Linguistics"=>{"Linguistics"=>7}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>3}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"United States"=>3, "United Kingdom"=>8, "Spain"=>3, "Canada"=>4, "Sweden"=>1, "Norway"=>1, "China"=>1, "Poland"=>1, "Brazil"=>1, "Italy"=>3, "Australia"=>1, "Germany"=>1, "Indonesia"=>1}, "group_count"=>29}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/915858"], "description"=>"<p>Study Flow Chart.</p>", "links"=>[], "tags"=>["evidence-based healthcare", "neurological disorders/developmental and pediatric neurology", "pediatrics and child health/developmental and pediatric neurology"], "article_id"=>586306, "categories"=>["Medicine", "Infectious Diseases", "Neuroscience"], "users"=>["Maria B. Ospina", "Jennifer Krebs Seida", "Brenda Clark", "Mohammad Karkhaneh", "Lisa Hartling", "Lisa Tjosvold", "Ben Vandermeer", "Veronica Smith"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0003755.g001", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Study_Flow_Chart_/586306", "title"=>"Study Flow Chart.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-11-18 01:45:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/915970"], "description"=>"<p>Classification of the Behavioural and Developmental Continuum of Interventions for ASD Included in the Review.</p>", "links"=>[], "tags"=>["behavioural", "continuum", "interventions", "asd", "included"], "article_id"=>586421, "categories"=>["Medicine", "Infectious Diseases", "Neuroscience"], "users"=>["Maria B. Ospina", "Jennifer Krebs Seida", "Brenda Clark", "Mohammad Karkhaneh", "Lisa Hartling", "Lisa Tjosvold", "Ben Vandermeer", "Veronica Smith"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0003755.g002", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Classification_of_the_Behavioural_and_Developmental_Continuum_of_Interventions_for_ASD_Included_in_the_Review_/586421", "title"=>"Classification of the Behavioural and Developmental Continuum of Interventions for ASD Included in the Review.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2008-11-18 01:47:01"}
  • {"files"=>["https://ndownloader.figshare.com/files/916222"], "description"=>"<p>ABA = applied behavioural analysis; DT = discrete trial; IT = incidental teaching; ND = not described; PCS = prospective cohort study; RCS = retrospective cohort study; SI = sensory integration.</p>", "links"=>[], "tags"=>["observational"], "article_id"=>586679, "categories"=>["Medicine", "Infectious Diseases", "Neuroscience"], "users"=>["Maria B. Ospina", "Jennifer Krebs Seida", "Brenda Clark", "Mohammad Karkhaneh", "Lisa Hartling", "Lisa Tjosvold", "Ben Vandermeer", "Veronica Smith"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0003755.t003", "stats"=>{"downloads"=>8, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Methodological_quality_of_observational_studies_/586679", "title"=>"Methodological quality of observational studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-18 01:51:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/916116"], "description"=>"<p>CCT = controlled clinical trials; DIR = Developmental Individual-difference relationship-based intervention; NT = no treatment; RCS = retrospective cohort studies; RCT = randomized clinical trail; SMD = standardized mean difference; WMD = weighted mean difference</p>", "links"=>[], "tags"=>["meta-analyses", "behavioural", "interventions"], "article_id"=>586569, "categories"=>["Medicine", "Infectious Diseases", "Neuroscience"], "users"=>["Maria B. Ospina", "Jennifer Krebs Seida", "Brenda Clark", "Mohammad Karkhaneh", "Lisa Hartling", "Lisa Tjosvold", "Ben Vandermeer", "Veronica Smith"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0003755.t004", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Summary_of_the_meta_analyses_of_the_effects_of_behavioural_and_developmental_interventions_for_ASD_/586569", "title"=>"Summary of the meta-analyses of the effects of behavioural and developmental interventions for ASD.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-18 01:49:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/452650", "https://ndownloader.figshare.com/files/452741"], "description"=>"<div><h3>Background</h3><p>Much controversy exists regarding the clinical efficacy of behavioural and developmental interventions for improving the core symptoms of autism spectrum disorders (ASD). We conducted a systematic review to summarize the evidence on the effectiveness of behavioural and developmental interventions for ASD.</p><h3>Methods and Findings</h3><p>Comprehensive searches were conducted in 22 electronic databases through May 2007. Further information was obtained through hand searching journals, searching reference lists, databases of theses and dissertations, and contacting experts in the field. Experimental and observational analytic studies were included if they were written in English and reported the efficacy of any behavioural or developmental intervention for individuals with ASD. Two independent reviewers made the final study selection, extracted data, and reached consensus on study quality. Results were summarized descriptively and, where possible, meta-analyses of the study results were conducted. One-hundred-and-one studies at predominantly high risk of bias that reported inconsistent results across various interventions were included in the review. Meta-analyses of three controlled clinical trials showed that Lovaas treatment was superior to special education on measures of adaptive behaviour, communication and interaction, comprehensive language, daily living skills, expressive language, overall intellectual functioning and socialization. High-intensity Lovaas was superior to low-intensity Lovaas on measures of intellectual functioning in two retrospective cohort studies. Pooling the results of two randomized controlled trials favoured developmental approaches based on initiative interaction compared to contingency interaction in the amount of time spent in stereotyped behaviours and distal social behaviour, but the effect sizes were not clinically significant. No statistically significant differences were found for: Lovaas versus special education for non-verbal intellectual functioning; Lovaas versus Developmental Individual-difference relationship-based intervention for communication skills; computer assisted instruction versus no treatment for facial expression recognition; and TEACCH versus standard care for imitation skills and eye-hand integration.</p><h3>Conclusions</h3><p>While this review suggests that Lovaas may improve some core symptoms of ASD compared to special education, these findings are based on pooling of a few, methodologically weak studies with few participants and relatively short-term follow-up. As no definitive behavioural or developmental intervention improves all symptoms for all individuals with ASD, it is recommended that clinical management be guided by individual needs and availability of resources.</p></div>", "links"=>[], "tags"=>["behavioural", "interventions", "autism", "systematic"], "article_id"=>149162, "categories"=>["Medicine", "Cancer", "Neuroscience"], "users"=>["Maria B. Ospina", "Jennifer Krebs Seida", "Brenda Clark", "Mohammad Karkhaneh", "Lisa Hartling", "Lisa Tjosvold", "Ben Vandermeer", "Veronica Smith"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0003755.s001", "https://dx.doi.org/10.1371/journal.pone.0003755.s002"], "stats"=>{"downloads"=>38, "page_views"=>41, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Behavioural_and_Developmental_Interventions_for_Autism_Spectrum_Disorder_A_Clinical_Systematic_Review/149162", "title"=>"Behavioural and Developmental Interventions for Autism Spectrum Disorder: A Clinical Systematic Review", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2008-11-18 02:32:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/916191"], "description"=>"<p>ABA = applied behavioural analysis; AIT = auditory integration training; DT = discrete trial; IT = incidental teaching; NA = not applicable; ND = not described; PCS = prospective cohort study; PECS = picture exchange communication system; RCS = retrospective cohort study; SI = sensory integration.</p>", "links"=>[], "tags"=>["rcts"], "article_id"=>586647, "categories"=>["Medicine", "Infectious Diseases", "Neuroscience"], "users"=>["Maria B. Ospina", "Jennifer Krebs Seida", "Brenda Clark", "Mohammad Karkhaneh", "Lisa Hartling", "Lisa Tjosvold", "Ben Vandermeer", "Veronica Smith"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0003755.t002", "stats"=>{"downloads"=>6, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Methodological_quality_of_RCTs_and_CCTs_/586647", "title"=>"Methodological quality of RCTs and CCTs.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-18 01:50:47"}
  • {"files"=>["https://ndownloader.figshare.com/files/916163"], "description"=>"<p>ABA = applied behaviour analysis; AIT = auditory integration training; ASD = autism spectrum disorders; CBT = cognitive behaviour therapy; CCT = controlled clinical trial; CFI = communication-focused intervention; DCI = developmental contingency interaction; DIT = developmental incidental teaching; DIR = developmental individual-difference relationship-based intervention; DT = discrete trial training; EM = environmental modification; ERP = event-related potential; IBT = intensive behaviour analytic treatment; IQ = Intellectual quotient; IT = incidental teaching; LEAP = learning experiences, an alternative program for preschoolers and their parents; LT = language therapy; LUFAP = Lancashire under fives autism programme; M = number of males; mo =  month(s); MR = mental retardation; ND = not described; NR = not reported; NT = no treatment; OCD = obsessive compulsive disorder; PCS = prospective cohort study; PDD = pervasive developmental disorder; PECS = picture exchange communication system; PRT = pivotal response training; RCS = retrospective cohort study; RCT = randomized controlled trial; REST = restricted environmental stimulation therapy; RI = regular instruction; RPMT = responsive education and prelinguistic milieu teaching; SC = standard care; SE = special education ; SLT = speech language therapy; TEACCH = treatment and education of autistic and related communication-handicapped children; UCLA = University of California, Los Angeles wk = week(s); WL = wait-list; yr = year(s).</p>", "links"=>[], "tags"=>["studies", "included"], "article_id"=>586617, "categories"=>["Medicine", "Infectious Diseases", "Neuroscience"], "users"=>["Maria B. Ospina", "Jennifer Krebs Seida", "Brenda Clark", "Mohammad Karkhaneh", "Lisa Hartling", "Lisa Tjosvold", "Ben Vandermeer", "Veronica Smith"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0003755.t001", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_studies_included_in_the_review_by_type_of_intervention_and_study_design_/586617", "title"=>"Characteristics of the studies included in the review by type of intervention and study design.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2008-11-18 01:50:17"}

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  • {"unique-ip"=>"83", "full-text"=>"91", "pdf"=>"14", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"1", "year"=>"2018", "month"=>"12"}
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  • {"unique-ip"=>"221", "full-text"=>"243", "pdf"=>"15", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"238", "full-text"=>"276", "pdf"=>"25", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"2", "cited-by"=>"5", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"285", "full-text"=>"322", "pdf"=>"21", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"110", "full-text"=>"125", "pdf"=>"18", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"3", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"129", "full-text"=>"151", "pdf"=>"22", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"170", "full-text"=>"180", "pdf"=>"31", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"3", "cited-by"=>"3", "year"=>"2019", "month"=>"10"}
  • {"unique-ip"=>"168", "full-text"=>"196", "pdf"=>"18", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"2", "cited-by"=>"1", "year"=>"2019", "month"=>"12"}
  • {"unique-ip"=>"312", "full-text"=>"354", "pdf"=>"43", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"1", "cited-by"=>"3", "year"=>"2020", "month"=>"2"}
  • {"unique-ip"=>"370", "full-text"=>"439", "pdf"=>"52", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"3", "cited-by"=>"3", "year"=>"2020", "month"=>"3"}
  • {"unique-ip"=>"493", "full-text"=>"611", "pdf"=>"65", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"4", "cited-by"=>"3", "year"=>"2020", "month"=>"4"}
  • {"unique-ip"=>"368", "full-text"=>"434", "pdf"=>"56", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2020", "month"=>"5"}
  • {"unique-ip"=>"191", "full-text"=>"225", "pdf"=>"16", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"2", "cited-by"=>"1", "year"=>"2020", "month"=>"6"}
  • {"unique-ip"=>"117", "full-text"=>"134", "pdf"=>"17", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2020", "month"=>"7"}
  • {"unique-ip"=>"70", "full-text"=>"87", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"8"}

Relative Metric

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