Autism & Developmental

Applied behavioral analysis for the skill performance of children with autism spectrum disorder.

da Silva et al. (2023) · Frontiers in Psychiatry 2023
★ The Verdict

One year of clinic ABA plus software lifted skill scores for every one of 16 autistic children.

✓ Read this if BCBAs running clinic programs for school-age clients with autism.
✗ Skip if Teams already focused only on brief parent-training packages.

01Research in Context

01

What this study did

da Silva et al. (2023) looked back at 16 children with autism who got ABA in a clinic for 12 months. The team added a computer program called Affective Intelligence to the usual ABA plan. They tracked how the kids' daily living, play, and school skills changed.

02

What they found

Every child showed better skills after the year of treatment. Parents and therapists saw gains in communication, self-care, and play. The clinic kept the same staff and same plan for all 12 months.

03

How this fits with other research

Sappok et al. (2024) ran almost the same study and got the same good results. They looked at 98 charts and saw one month of ABA also helped kids hit their goals. The short time frame still worked, so the effect is not just from long treatment.

Fernell et al. (2011) seems to disagree. In Sweden, 208 toddlers got two years of ABA yet showed tiny adaptive gains. The kids were much younger and got less than 15 hours a week, so the dose and age explain the different outcome.

Garikipati et al. (2024) took the clinic idea and sent it home. Parents trained for 40 hours then ran ABA themselves for 20 weeks. Skill scores still went up, showing the model works without a clinic.

04

Why it matters

You can tell funders and parents that a full year of steady, clinic-based ABA keeps paying off. If a family needs faster proof, show them Sappok et al. (2024) — even one month can show clear gains. When clinic slots are full, offer parent training like Garikipati did. The Swedish data remind you that very young kids may need higher hours to see adaptive change, so adjust dose early.

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Pick one long-term goal on each child's plan and mark where you expect to see progress in one month — track it to show early gains like T et al. did.

02At a glance

Intervention
comprehensive aba program
Design
case series
Sample size
16
Population
autism spectrum disorder
Finding
positive

03Original abstract

Autism spectrum disorder (ASD) has characteristics that have been observed to develop over time, such as the difficulty of affective, sensory, and emotional processing, which trigger some problems during childhood, limiting children's development. Applied behavior analysis (ABA) is among the therapeutic approaches for ASD, in which treatment can be tailored according to the patient's objectives. Based on ABA, we aimed to analyze the therapeutic strategy for independence in different skill performance tasks of patients diagnosed with ASD. This is a retrospective observational case series study including 16 children diagnosed with ASD who received ABA-based treatment at a therapeutic clinic in Santo Andre city, São Paulo State, Brazil. Individual task performance of different skill domains was registered in the ABA+ affective intelligence® software throughout the 12 months (from January 2021 to January 2022) of routine treatment. The evolution of skills was observed between the T0 and T1 intervals, with improved skills over the observed period. The strategy based on the ABA methodology improved children's skill performance over the observed period.

Frontiers in Psychiatry, 2023 · doi:10.3389/fpsyt.2023.1093252