SLPSystematic ReviewJournal of autism and developmental disorders2021

Evidence-Based Practices for Children, Youth, and Young Adults with Autism: Third Generation Review.

Kara Hume, Jessica R Steinbrenner, Samuel L Odom and 7 others

PMID 33449225

WHAT IT FOUND

Twenty-eight focused intervention practices, including AAC, prompting, reinforcement, and sensory integration, had enough evidence to be called evidence-based for autistic children and youth.

It did not report how large the benefits were.

Key findings

01Twenty-eight focused intervention practices met the review's criteria for evidence-based practice.

02Five new evidence-based practice categories included Augmentative and Alternative Communication and Sensory Integration.

03Ten manualized interventions had sufficient evidence and were classified within six evidence-based practice categories.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The review only included peer-reviewed English journal articles, so dissertations, conference papers, and non-English studies were excluded. Only studies with positive effects were included, and studies with null findings were not included. The review was not a meta-analysis, so it did not examine the size of effects. The literature search ended in 2017, so newer studies were not included. Most included articles used single case design studies (83%), and group designs made up 17%. The review excluded comprehensive program models, medical or psychopharmacological interventions, and interventions requiring specialized equipment or medical supervision. Participants were mostly preschool and elementary-aged children, and 84% of participants in studies reporting gender or sex were male. Race/ethnicity/nationality was reported in only 30% of studies, and Hispanic/Latino participants were 8% of participants in studies reporting this information. Co-occurring conditions were not reported in 55% of studies, and intellectual disability was the most frequent reported co-occurring condition (21%).

Declared interests

Funding was named from the Institute of Education Sciences, National Institutes of Health, Ireland Foundation, Mr. John E Rucker, and the Frank Porter Graham Child Development Institute.

The easy way to misread this

Do not read the 28 evidence-based practices as guaranteed to work for every autistic child. The review counted studies that met criteria and showed positive effects, did not examine effect size, and excluded null findings.

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