Skill-based treatment for challenging behavior in autism spectrum disorder: A scoping review of treatment characteristics and outcomes / Kristin M. HUSTYI in Research in Autism Spectrum Disorders, 119 (January 2025)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 119 (January 2025) . - p.102523 Titre : Skill-based treatment for challenging behavior in autism spectrum disorder: A scoping review of treatment characteristics and outcomes Type de document : Texte imprimé et/ou numérique Auteurs : Kristin M. HUSTYI, Auteur ; Jesse J. LOGUE, Auteur ; Scott S. HALL, Auteur Article en page(s) : p.102523 Langues : Anglais (eng) Mots-clés : Skill-based treatment  Practical functional assessment  Challenging behavior  Functional communication training  Interview-informed synthesized contingency analysis  Scoping review Index. décimale : PER Périodiques Résumé : Background Behavioral interventions based on the principles of applied behavior analysis (ABA) are considered the gold standard approach for treating challenging behaviors commonly exhibited by children with autism spectrum disorder (ASD). However, questions have arisen concerning the safety of implementing traditional ABA procedures for the treatment of challenging behavior in natural settings. Over the past decade, a treatment package known as skill-based treatment (SBT) has emerged that may allow challenging behaviors in this population to be addressed in a safe, efficient, and effective manner. Methods We reviewed and summarized studies utilizing SBT published in English between 2014 and September 2023 using PsychINFO and PubMed databases. Two independent reviewers screened citations for inclusion. Data abstraction was performed by one reviewer and verified by a second reviewer. Results Twenty-one studies (3 consecutive controlled case series and 18 utilizing single-case experimental designs) met the inclusion criteria describing SBT conducted with 87 individuals. The majority of individuals treated with SBT were autistic children with language levels varying from non-vocal to fully fluent. Treatments were implemented in a variety of settings at least 1-2 times per week, with treatment requiring a range of 4 - 48.5?h of clinician time. Rates of challenging behavior were reported to decrease by 98.2?% (range: 90-100?%) on average. Treatments were implemented via telehealth for 8 individuals (9.2%). Data concerning treatment maintenance was reported for just 7 individuals (8.1?%). Conclusions SBT is a potentially effective treatment procedure for challenging behavior that can be conducted in a variety of settings including the child?s home, school, and via telehealth. However, future research is needed to understand the long-term effectiveness of SBT. Randomized controlled trials of SBT are also necessary in order to study the safety and efficacy of this treatment approach. En ligne : https://dx.doi.org/10.1016/j.rasd.2024.102523 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Skill-based treatment for challenging behavior in autism spectrum disorder: A scoping review of treatment characteristics and outcomes [Texte imprimé et/ou numérique] / Kristin M. HUSTYI, Auteur ; Jesse J. LOGUE, Auteur ; Scott S. HALL, Auteur . - p.102523. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 119 (January 2025) . - p.102523 Mots-clés : Skill-based treatment  Practical functional assessment  Challenging behavior  Functional communication training  Interview-informed synthesized contingency analysis  Scoping review Index. décimale : PER Périodiques Résumé : Background Behavioral interventions based on the principles of applied behavior analysis (ABA) are considered the gold standard approach for treating challenging behaviors commonly exhibited by children with autism spectrum disorder (ASD). However, questions have arisen concerning the safety of implementing traditional ABA procedures for the treatment of challenging behavior in natural settings. Over the past decade, a treatment package known as skill-based treatment (SBT) has emerged that may allow challenging behaviors in this population to be addressed in a safe, efficient, and effective manner. Methods We reviewed and summarized studies utilizing SBT published in English between 2014 and September 2023 using PsychINFO and PubMed databases. Two independent reviewers screened citations for inclusion. Data abstraction was performed by one reviewer and verified by a second reviewer. Results Twenty-one studies (3 consecutive controlled case series and 18 utilizing single-case experimental designs) met the inclusion criteria describing SBT conducted with 87 individuals. The majority of individuals treated with SBT were autistic children with language levels varying from non-vocal to fully fluent. Treatments were implemented in a variety of settings at least 1-2 times per week, with treatment requiring a range of 4 - 48.5?h of clinician time. Rates of challenging behavior were reported to decrease by 98.2?% (range: 90-100?%) on average. Treatments were implemented via telehealth for 8 individuals (9.2%). Data concerning treatment maintenance was reported for just 7 individuals (8.1?%). Conclusions SBT is a potentially effective treatment procedure for challenging behavior that can be conducted in a variety of settings including the child?s home, school, and via telehealth. However, future research is needed to understand the long-term effectiveness of SBT. Randomized controlled trials of SBT are also necessary in order to study the safety and efficacy of this treatment approach. En ligne : https://dx.doi.org/10.1016/j.rasd.2024.102523 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

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