Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders.
Meta-analyses agree EIBI raises IQ and daily skills in preschoolers with autism, but only when hours are high and parents help deliver it.
01Research in Context
What this study did
Reichow (2012) looked at five earlier meta-analyses on early intensive behavioral intervention (EIBI).
All studies were with preschoolers diagnosed with autism.
He pooled their numbers to see how strong the evidence really is.
What they found
Four out of five meta-analyses said EIBI works.
Kids gained about half a standard deviation in IQ and daily-living skills.
Effect sizes ranged from small to large, so results are not guaranteed.
How this fits with other research
Bigham et al. (2013) extends the picture: when parents are trained and deliver part of the program, the gains jump to large.
Eldevik et al. (2006) seems to contradict by showing only tiny gains, but they used just 12 hours a week.
Lower hours explain the smaller payoff, so the papers actually agree that intensity matters.
Chen et al. (2001) warned that real-world programs often start late and run fewer hours, foreshadowing why Brian sees wide effect ranges.
Why it matters
You can tell funders that EIBI has solid meta-analytic backing, but sell them on full-time hours plus parent coaching.
Screen each case for the aloof social subtype flagged by Beglinger et al. (2005) and plan extra supports.
If a family can only get 15 hours, don’t promise Lovaas-level recovery; push for parent training to stretch the dose.
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02At a glance
03Original abstract
This paper presents an overview of 5 meta-analyses of early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASDs) published in 2009 and 2010. There were many differences between meta-analyses, leading to different estimates of effect and overall conclusions. The weighted mean effect sizes across meta-analyses for IQ and adaptive behavior ranged from g = .38-1.19 and g = .30-1.09, respectively. Four of five meta-analyses concluded EIBI was an effective intervention strategy for many children with ASDs. A discussion highlighting potential confounds and limitations of the meta-analyses leading to these discrepancies and conclusions about the efficacy of EIBI as an intervention for young children with ASDs are provided.
Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1218-9