PTOTSLPSurveyJournal of autism and developmental disorders2026

Autism Early Intervention Providers: Their Priorities, Use of Empirically Supported Practices, and Professional Development Needs.

Sarah Luskin-Saxby, Melanie J Zimmer-Gembeck, Rhylee Sulek and 1 others

PMID 40178786

WHAT IT FOUND

Australian early intervention providers mostly used evidence-based practices but often mixed them with unsupported ones, especially for sensory needs.

Confidence in addressing sensory and motor domains was low, while priority and training interest focused on communication, behavior, and social skills.

Key findings

01Over half of providers reported using a mix of empirically supported and unsupported practices, with the highest use of unsupported practices occurring in the sensory domain.

02Providers rated communication, challenging behavior, and adaptive behavior as their highest priorities, but reported the lowest confidence in addressing sensory and motor domains.

03There was no agreement between how providers rated the evidence for their chosen practices and the actual classification of those practices as supported or unsupported.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

High attrition: Only 77 of 136 participants completed the core section on practices used, and even fewer completed training preference questions (n=59-63). This means the results on practice use rely on a subset of the recruited group. Self-selection bias: Participants were recruited via social media and professional networks, which may over-represent providers with specific interests or access to these networks. Coding difficulty: Inter-rater reliability for classifying practices as focused vs. non-focused was initially moderate (kappa = 0.57), requiring a change in definitions to resolve, which introduces some subjectivity in how practices were categorized. Small sample for some disciplines: Only 2 occupational therapists and 12 speech pathologists participated, so the findings cannot be reliably generalized to these specific professions individually.

Declared interests

The study was funded by Griffith University. No other conflicts of interest were declared.

The easy way to misread this

Do not assume that a provider's high confidence or strong belief in the evidence for a practice means the practice is actually supported. The study found zero agreement between what providers believed about the evidence for their chosen strategies and how those strategies were classified by researchers.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →