Assessment & Research

Brief Report: Machine Learning for Estimating Prognosis of Children with Autism Receiving Early Behavioral Intervention-A Proof of Concept.

Préfontaine et al. (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

Machine-learning models can forecast how much a preschooler with autism will gain from early ABA, giving families realistic expectations sooner.

✓ Read this if BCBAs who run intake assessments for early-intervention autism programs.
✗ Skip if BCBAs who only serve school-age or adult clients.

01Research in Context

01

What this study did

The team built five computer models to guess how much 3- to young learners with autism would improve after early ABA.

They fed each model the same intake data: ADOS scores, Vineland scores, and child details.

Then they tested which model made the best forecasts about later adaptive skills and autism symptoms.

02

What they found

Every model beat random guessing.

The best one got closer to the real outcomes than flipping a coin would.

This shows computers can give families a clearer picture of what to expect from therapy.

03

How this fits with other research

Kremkow et al. (2022) already showed tablet games can spot autism risk in toddlers. Préfontaine et al. (2024) moves the same idea forward — instead of just flagging who has autism, it predicts how far each child will go.

Bailey et al. (2021) used ML to sharpen QABF results. Préfontaine et al. (2024) uses the same trick, but for long-term prognosis instead of short-term function.

Lanovaz et al. (2020) proved ML can read single-case graphs better than the naked eye. The new study widens the lens from one child’s daily data to many children’s yearly outcomes.

Rivard et al. (2023) found that grouping kids by developmental profiles also predicts adaptive gains. Préfontaine et al. (2024) keeps the same goal but swaps hand-made groups for computer-built models.

04

Why it matters

You can start giving parents data-driven hope. Ask your intake team to save clean ADOS and Vineland scores. When easy ML tools hit the clinic, you will be ready to plug them in and set realistic goals from day one.

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Start saving tidy intake ADOS and Vineland scores in a simple spreadsheet so you can feed future ML tools.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
positive

03Original abstract

Although early behavioral intervention is considered as empirically-supported for children with autism, estimating treatment prognosis is a challenge for practitioners. One potential solution is to use machine learning to guide the prediction of the response to intervention. Thus, our study compared five machine algorithms in estimating treatment prognosis on two outcomes (i.e., adaptive functioning and autistic symptoms) in children with autism receiving early behavioral intervention in a community setting. Each machine learning algorithm produced better predictions than random sampling on both outcomes. Those results indicate that machine learning is a promising approach to estimating prognosis in children with autism, but studies comparing these predictions with those produced by qualified practitioners remain necessary.

Journal of autism and developmental disorders, 2024 · doi:10.1177/1745691617693393