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Faire une suggestionMaximizing accurate detection of divergence from normative expectation in behavioral intervention outcome assessment / Katie HUBA ; Allison R. FRAZIER ; Rebecca A. WOMACK ; Eric A. YOUNGSTROM ; Lacey CHETCUTI ; Antonio Y. HARDAN ; Mirko ULJAREVIC in Research in Autism, 126 (August 2025)
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[article]
Titre : Maximizing accurate detection of divergence from normative expectation in behavioral intervention outcome assessment Type de document : texte imprimé Auteurs : Katie HUBA, Auteur ; Allison R. FRAZIER, Auteur ; Rebecca A. WOMACK, Auteur ; Eric A. YOUNGSTROM, Auteur ; Lacey CHETCUTI, Auteur ; Antonio Y. HARDAN, Auteur ; Mirko ULJAREVIC, Auteur Article en page(s) : p.202646 Langues : Anglais (eng) Mots-clés : Norms Behavioral intervention Outcomes Progress monitoring Generalized additive models Index. décimale : PER Périodiques Résumé : Behavioral interventions have shown substantial positive effects at the group level in improving the developmental trajectory of individuals with autism spectrum disorder (ASD), including a wide range of benefits from symptom reductions to skill development. However, there remain pronounced individual differences in the response to interventions and substantial practice variability in the choice and implementation of outcome assessments to evaluate progress for individual cases. Unfortunately, legacy outcome assessments were not specifically designed for the behavioral intervention context or for use with individuals with ASD. Furthermore, legacy instruments have been normed using traditional approaches that are often very inefficient and have limited sensitivity to divergence from neurotypical expectation. Recently, new measures, specifically designed for ASD and related neurodevelopmental conditions, have been developed and revised for use as behavioral intervention outcome assessments. To maximize the value of these measures, the present study aimed to identify optimal norming methods by comparing five distinct continuous norming models. Results indicated that more complex models that include estimation of non-linear age trends fit better and appear to provide more accurate identification of deviation from normative expectation, especially at younger ages where normative data is dense. For some symptom and skill domains, inclusion of sex-specific age-trends was necessary for best fit and most accurate performance. These findings support the use of continuous norming methods using non-linear modeling of developmental trends in the norming of outcome measures for behavioral intervention. Behavior intervention outcome assessments would benefit from implementing these norming approaches to improve the ability to detect deviation from neurotypical symptom and skill levels. En ligne : https://doi.org/10.1016/j.reia.2025.202646 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=565
in Research in Autism > 126 (August 2025) . - p.202646[article] Maximizing accurate detection of divergence from normative expectation in behavioral intervention outcome assessment [texte imprimé] / Katie HUBA, Auteur ; Allison R. FRAZIER, Auteur ; Rebecca A. WOMACK, Auteur ; Eric A. YOUNGSTROM, Auteur ; Lacey CHETCUTI, Auteur ; Antonio Y. HARDAN, Auteur ; Mirko ULJAREVIC, Auteur . - p.202646.
Langues : Anglais (eng)
in Research in Autism > 126 (August 2025) . - p.202646
Mots-clés : Norms Behavioral intervention Outcomes Progress monitoring Generalized additive models Index. décimale : PER Périodiques Résumé : Behavioral interventions have shown substantial positive effects at the group level in improving the developmental trajectory of individuals with autism spectrum disorder (ASD), including a wide range of benefits from symptom reductions to skill development. However, there remain pronounced individual differences in the response to interventions and substantial practice variability in the choice and implementation of outcome assessments to evaluate progress for individual cases. Unfortunately, legacy outcome assessments were not specifically designed for the behavioral intervention context or for use with individuals with ASD. Furthermore, legacy instruments have been normed using traditional approaches that are often very inefficient and have limited sensitivity to divergence from neurotypical expectation. Recently, new measures, specifically designed for ASD and related neurodevelopmental conditions, have been developed and revised for use as behavioral intervention outcome assessments. To maximize the value of these measures, the present study aimed to identify optimal norming methods by comparing five distinct continuous norming models. Results indicated that more complex models that include estimation of non-linear age trends fit better and appear to provide more accurate identification of deviation from normative expectation, especially at younger ages where normative data is dense. For some symptom and skill domains, inclusion of sex-specific age-trends was necessary for best fit and most accurate performance. These findings support the use of continuous norming methods using non-linear modeling of developmental trends in the norming of outcome measures for behavioral intervention. Behavior intervention outcome assessments would benefit from implementing these norming approaches to improve the ability to detect deviation from neurotypical symptom and skill levels. En ligne : https://doi.org/10.1016/j.reia.2025.202646 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=565 Advances in Our Understanding of Behavioral Intervention: 1980 to 2020 for Individuals Diagnosed with Autism Spectrum Disorder / Justin B. LEAF in Journal of Autism and Developmental Disorders, 51-12 (December 2021)
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Titre : Advances in Our Understanding of Behavioral Intervention: 1980 to 2020 for Individuals Diagnosed with Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Justin B. LEAF, Auteur ; Joseph H. CIHON, Auteur ; Julia L. FERGUSON, Auteur ; C. M. MILNE, Auteur ; Ron LEAF, Auteur ; John MCEACHIN, Auteur Article en page(s) : p.4395-4410 Langues : Anglais (eng) Mots-clés : Applied Behavior Analysis Autism Spectrum Disorder/diagnosis/therapy Behavior Therapy Humans Applied behavior analysis Behavior analysis Behavioral intervention Certification Intensive behavioral intervention Index. décimale : PER Périodiques Résumé : There are three branches of science of behavior analysis [i.e., experimental analysis of behavior, behavior analysis, and applied behavior analysis (ABA)]. ABA can be defined as a systematic approach to understanding behavior of social interest. For the past 40 plus years, researchers have evaluated ABA and ABA based procedures (e.g., behavioral intervention) as they relate to individuals diagnosed with autism spectrum disorder (ASD) and have implemented behavioral intervention in clinical settings for individuals diagnosed with ASD. In this paper, we discuss some of the pivotal contributions in the field of ABA in research and clinical practice. Additionally, we provide recommendations for the science and clinical practice of behavioral intervention in the next 40 years. En ligne : http://dx.doi.org/10.1007/s10803-020-04481-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=454
in Journal of Autism and Developmental Disorders > 51-12 (December 2021) . - p.4395-4410[article] Advances in Our Understanding of Behavioral Intervention: 1980 to 2020 for Individuals Diagnosed with Autism Spectrum Disorder [texte imprimé] / Justin B. LEAF, Auteur ; Joseph H. CIHON, Auteur ; Julia L. FERGUSON, Auteur ; C. M. MILNE, Auteur ; Ron LEAF, Auteur ; John MCEACHIN, Auteur . - p.4395-4410.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-12 (December 2021) . - p.4395-4410
Mots-clés : Applied Behavior Analysis Autism Spectrum Disorder/diagnosis/therapy Behavior Therapy Humans Applied behavior analysis Behavior analysis Behavioral intervention Certification Intensive behavioral intervention Index. décimale : PER Périodiques Résumé : There are three branches of science of behavior analysis [i.e., experimental analysis of behavior, behavior analysis, and applied behavior analysis (ABA)]. ABA can be defined as a systematic approach to understanding behavior of social interest. For the past 40 plus years, researchers have evaluated ABA and ABA based procedures (e.g., behavioral intervention) as they relate to individuals diagnosed with autism spectrum disorder (ASD) and have implemented behavioral intervention in clinical settings for individuals diagnosed with ASD. In this paper, we discuss some of the pivotal contributions in the field of ABA in research and clinical practice. Additionally, we provide recommendations for the science and clinical practice of behavioral intervention in the next 40 years. En ligne : http://dx.doi.org/10.1007/s10803-020-04481-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=454 Advantages and Challenges of a Home- and Clinic-Based Model of Behavioral Intervention for Individuals Diagnosed with Autism Spectrum Disorder / Justin B. LEAF in Journal of Autism and Developmental Disorders, 48-6 (June 2018)
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Titre : Advantages and Challenges of a Home- and Clinic-Based Model of Behavioral Intervention for Individuals Diagnosed with Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Justin B. LEAF, Auteur ; Ron LEAF, Auteur ; John MCEACHIN, Auteur ; Joseph H. CIHON, Auteur ; Julia L. FERGUSON, Auteur Article en page(s) : p.2258-2266 Langues : Anglais (eng) Mots-clés : Autism Behavioral intervention Clinic-based Home-based Index. décimale : PER Périodiques Résumé : Researchers have demonstrated that comprehensive behavioral intervention can result in significant improvements in the lives of individuals diagnosed with autism spectrum disorder (ASD; e.g.; Lovaas, Journal of Consulting and Clinical Psychology 55(1):3-9, 1987; McEachin et al., American Journal of Mental Retardation 97(4):359-372, 1993). This intervention has occurred in a variety of settings (e.g., school, home, and clinic). Even though procedures based upon the principles of applied behavior analysis (ABA) can be implemented across a variety of settings, there is often confusion about the differences and relative advantages of home- versus clinic-based settings. The purpose of this paper is to provide a discussion of home- and clinic-based intervention within the context of a progressive approach to ABA and discus possible advantages of each type of setting. En ligne : http://dx.doi.org/10.1007/s10803-017-3443-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=362
in Journal of Autism and Developmental Disorders > 48-6 (June 2018) . - p.2258-2266[article] Advantages and Challenges of a Home- and Clinic-Based Model of Behavioral Intervention for Individuals Diagnosed with Autism Spectrum Disorder [texte imprimé] / Justin B. LEAF, Auteur ; Ron LEAF, Auteur ; John MCEACHIN, Auteur ; Joseph H. CIHON, Auteur ; Julia L. FERGUSON, Auteur . - p.2258-2266.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-6 (June 2018) . - p.2258-2266
Mots-clés : Autism Behavioral intervention Clinic-based Home-based Index. décimale : PER Périodiques Résumé : Researchers have demonstrated that comprehensive behavioral intervention can result in significant improvements in the lives of individuals diagnosed with autism spectrum disorder (ASD; e.g.; Lovaas, Journal of Consulting and Clinical Psychology 55(1):3-9, 1987; McEachin et al., American Journal of Mental Retardation 97(4):359-372, 1993). This intervention has occurred in a variety of settings (e.g., school, home, and clinic). Even though procedures based upon the principles of applied behavior analysis (ABA) can be implemented across a variety of settings, there is often confusion about the differences and relative advantages of home- versus clinic-based settings. The purpose of this paper is to provide a discussion of home- and clinic-based intervention within the context of a progressive approach to ABA and discus possible advantages of each type of setting. En ligne : http://dx.doi.org/10.1007/s10803-017-3443-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=362 Comparative effectiveness trial: Modular behavior approach for young autistic children compared to comprehensive behavioral intervention / Cynthia ANDERSON in Autism Research, 17-11 (November 2024)
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Titre : Comparative effectiveness trial: Modular behavior approach for young autistic children compared to comprehensive behavioral intervention Type de document : texte imprimé Auteurs : Cynthia ANDERSON, Auteur ; Samantha HOCHHEIMER, Auteur ; Zachary WARREN, Auteur ; Eric BUTTER, Auteur ; Susan L. HYMAN, Auteur ; Hongyue WANG, Auteur ; Lisa WALLACE, Auteur ; Lynne LEVATO, Auteur ; Ryan MARTIN, Auteur ; Kevin G. STEPHENSON, Auteur ; Megan NORRIS, Auteur ; Wynn JACQUELINE, Auteur ; Tristram SMITH, Auteur ; Cynthia JOHNSON, Auteur Article en page(s) : p.2430-2446 Langues : Anglais (eng) Mots-clés : applied behavior analysis autism behavioral intervention comprehensive behavior intervention (CBI) discrete trial training (DTT) early intensive Behavioral intervention (EIBI) naturalistic developmental Behavioral interventions (NDBIs) noninferiority design randomized clinical trial (RCT) Index. décimale : PER Périodiques Résumé : Abstract This 24-week single-blind trial tested a modular approach for young autistic children (MAYAC) that was delivered for fewer hours per week and modified based on child progress and parental input compared to comprehensive behavioral intervention treatment as usual (CBI, TAU). Participants were autistic children, ages 18 60 months of age. MAYAC was initially 5 h of intervention per week, one of which was parent training and the other four direct therapy focusing on social communication and engagement, but additional modules could be added for up to 10 h per week. Comprehensive behavior intervention was delivered for 15 h per week. Outcome measures included the Vineland Adaptive Behavior Scales; VABS, the Ohio Autism Clinical Improvement Scale ? Autism Severity; OACIS ? AS and the Pervasive Developmental Disorder Behavior Inventory ? Parent; PDDBI-P. Implementation and parent satisfaction measures were also collected. Fifty-six children, mean age of 34 months, were randomized. Within-group analysis revealed significant improvements from baseline to week 24 for both MAYAC (p?< 0.0001) and CBI, TAU (p?< 0.0001) on the VABS. The noninferiority test was performed to test between group differences and MAYAC was not inferior to CBI, TAU on the VABS (p 0.0144). On the OACIS ? AS, 48.0% of MAYAC and 45.5% of CBI were treatment responders there were no significant changes on the PDDBI-P, for either group. Treatment fidelity was high for both groups (>95%) as was parent satisfaction. Findings from this small trial are promising and suggest MAYAC may be an alternative for some young autistic children and their families to CBI, TAU. En ligne : https://doi.org/10.1002/aur.3240 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=542
in Autism Research > 17-11 (November 2024) . - p.2430-2446[article] Comparative effectiveness trial: Modular behavior approach for young autistic children compared to comprehensive behavioral intervention [texte imprimé] / Cynthia ANDERSON, Auteur ; Samantha HOCHHEIMER, Auteur ; Zachary WARREN, Auteur ; Eric BUTTER, Auteur ; Susan L. HYMAN, Auteur ; Hongyue WANG, Auteur ; Lisa WALLACE, Auteur ; Lynne LEVATO, Auteur ; Ryan MARTIN, Auteur ; Kevin G. STEPHENSON, Auteur ; Megan NORRIS, Auteur ; Wynn JACQUELINE, Auteur ; Tristram SMITH, Auteur ; Cynthia JOHNSON, Auteur . - p.2430-2446.
Langues : Anglais (eng)
in Autism Research > 17-11 (November 2024) . - p.2430-2446
Mots-clés : applied behavior analysis autism behavioral intervention comprehensive behavior intervention (CBI) discrete trial training (DTT) early intensive Behavioral intervention (EIBI) naturalistic developmental Behavioral interventions (NDBIs) noninferiority design randomized clinical trial (RCT) Index. décimale : PER Périodiques Résumé : Abstract This 24-week single-blind trial tested a modular approach for young autistic children (MAYAC) that was delivered for fewer hours per week and modified based on child progress and parental input compared to comprehensive behavioral intervention treatment as usual (CBI, TAU). Participants were autistic children, ages 18 60 months of age. MAYAC was initially 5 h of intervention per week, one of which was parent training and the other four direct therapy focusing on social communication and engagement, but additional modules could be added for up to 10 h per week. Comprehensive behavior intervention was delivered for 15 h per week. Outcome measures included the Vineland Adaptive Behavior Scales; VABS, the Ohio Autism Clinical Improvement Scale ? Autism Severity; OACIS ? AS and the Pervasive Developmental Disorder Behavior Inventory ? Parent; PDDBI-P. Implementation and parent satisfaction measures were also collected. Fifty-six children, mean age of 34 months, were randomized. Within-group analysis revealed significant improvements from baseline to week 24 for both MAYAC (p?< 0.0001) and CBI, TAU (p?< 0.0001) on the VABS. The noninferiority test was performed to test between group differences and MAYAC was not inferior to CBI, TAU on the VABS (p 0.0144). On the OACIS ? AS, 48.0% of MAYAC and 45.5% of CBI were treatment responders there were no significant changes on the PDDBI-P, for either group. Treatment fidelity was high for both groups (>95%) as was parent satisfaction. Findings from this small trial are promising and suggest MAYAC may be an alternative for some young autistic children and their families to CBI, TAU. En ligne : https://doi.org/10.1002/aur.3240 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=542 Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior / Sarah DEVLIN in Journal of Autism and Developmental Disorders, 41-10 (October 2011)
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Titre : Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior Type de document : texte imprimé Auteurs : Sarah DEVLIN, Auteur ; Olive HEALY, Auteur ; Geraldine LEADER, Auteur ; Brian M. HUGHES, Auteur Année de publication : 2011 Article en page(s) : p.1303-1320 Langues : Anglais (eng) Mots-clés : Autism Challenging behavior Behavioral intervention Sensory-integration therapy Cortisol Stress-responsivity Index. décimale : PER Périodiques Résumé : The objective of the current study was to compare the effects of sensory-integration therapy (SIT) and a behavioral intervention on rates of challenging behavior (including self-injurious behavior) in four children diagnosed with Autism Spectrum Disorder. For each of the participants a functional assessment was conducted to identify the variables maintaining challenging behavior. Results of these assessments were used to design function-based behavioral interventions for each participant. Recommendations for the sensory-integration treatment were designed by an Occupational Therapist, trained in the use of sensory-integration theory and techniques. The sensory-integration techniques were not dependent on the results of the functional assessments. The study was conducted within an alternating treatments design, with initial baseline and final best treatment phase. For each participant, results demonstrated that the behavioral intervention was more effective than the sensory integration therapy in the treatment of challenging behavior. In the best treatment phase, the behavioral intervention alone was implemented and further reduction was observed in the rate of challenging behavior. Analysis of saliva samples revealed relatively low levels of cortisol and very little stress-responsivity across the SIT condition and the behavioral intervention condition, which may be related to the participants’ capacity to perceive stress in terms of its social significance. En ligne : http://dx.doi.org/10.1007/s10803-010-1149-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=143
in Journal of Autism and Developmental Disorders > 41-10 (October 2011) . - p.1303-1320[article] Comparison of Behavioral Intervention and Sensory-Integration Therapy in the Treatment of Challenging Behavior [texte imprimé] / Sarah DEVLIN, Auteur ; Olive HEALY, Auteur ; Geraldine LEADER, Auteur ; Brian M. HUGHES, Auteur . - 2011 . - p.1303-1320.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 41-10 (October 2011) . - p.1303-1320
Mots-clés : Autism Challenging behavior Behavioral intervention Sensory-integration therapy Cortisol Stress-responsivity Index. décimale : PER Périodiques Résumé : The objective of the current study was to compare the effects of sensory-integration therapy (SIT) and a behavioral intervention on rates of challenging behavior (including self-injurious behavior) in four children diagnosed with Autism Spectrum Disorder. For each of the participants a functional assessment was conducted to identify the variables maintaining challenging behavior. Results of these assessments were used to design function-based behavioral interventions for each participant. Recommendations for the sensory-integration treatment were designed by an Occupational Therapist, trained in the use of sensory-integration theory and techniques. The sensory-integration techniques were not dependent on the results of the functional assessments. The study was conducted within an alternating treatments design, with initial baseline and final best treatment phase. For each participant, results demonstrated that the behavioral intervention was more effective than the sensory integration therapy in the treatment of challenging behavior. In the best treatment phase, the behavioral intervention alone was implemented and further reduction was observed in the rate of challenging behavior. Analysis of saliva samples revealed relatively low levels of cortisol and very little stress-responsivity across the SIT condition and the behavioral intervention condition, which may be related to the participants’ capacity to perceive stress in terms of its social significance. En ligne : http://dx.doi.org/10.1007/s10803-010-1149-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=143 Parent Outcomes from a Randomized Controlled Trial Investigating a Modular Behavioral Intervention for Young Autistic Children / Lynne LEVATO in Autism Research, 18-3 (March 2025)
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PermalinkPlay skills taught via behavioral intervention generalize, maintain, and persist in the absence of socially mediated reinforcement in children with autism / Russell B. LANG in Research in Autism Spectrum Disorders, 8-7 (July 2014)
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PermalinkNarrowing the gap: Effects of intervention on developmental trajectories in autism / Lars KLINTWALL in Autism, 19-1 (January 2015)
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PermalinkThe effectiveness of an attention-based intervention for school-aged autistic children with anger regulating problems: A randomized controlled trial / Pamela CLIFFORD in Autism Research, 15-10 (October 2022)
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PermalinkConcerns About ABA-Based Intervention: An Evaluation and Recommendations / Justin B. LEAF in Journal of Autism and Developmental Disorders, 52-6 (June 2022)
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