Autism & Developmental

Predictors of longitudinal ABA treatment outcomes for children with autism: A growth curve analysis.

Tiura et al. (2017) · Research in developmental disabilities 2017
★ The Verdict

Stronger thinking skills at intake predict faster ABA gains, so tailor intensity and supports for kids who start lower.

✓ Read this if BCBAs running comprehensive ABA for preschoolers with autism.
✗ Skip if Practitioners focused solely on parent-training or teen groups.

01Research in Context

01

What this study did

Tiura et al. (2017) tracked kids with autism who got full ABA programs. They wanted to know which starting skills predicted faster growth later.

The team used growth-curve stats to map each child's learning speed across language, play, and daily living skills.

02

What they found

Kids who entered with stronger thinking skills climbed the learning curve faster in every area.

Starting ABA at a younger age gave kids a head start, but baseline cognition was the bigger engine for ongoing gains.

03

How this fits with other research

Robain et al. (2020) saw the same pattern in Swiss preschoolers: lower baseline cognition plus high intensity still produced big leaps. The two studies echo each other across continents.

Rose et al. (2020) adds a twist. In their AAC-rich program, a child's early response to pictures and symbols predicted language growth better than IQ scores. Michael's "cognition rules" finding still holds, but AAC responsivity can override it when speech devices are in play.

Song et al. (2022) narrows the lens. Only baseline expressive language, not IQ or autism severity, forecast later language gains. This looks like a contradiction, but the difference is the outcome: Michael looked at all domains; Xue-Ke looked only at spoken words.

Linstead et al. (2017) pairs nicely with Michael. Same year, same clinic. Michael tells us who learns fastest; Linstead tells us more hours and more months make the climb even steeper.

04

Why it matters

When you intake a new client, give extra thought to kids with lower cognitive scores. They can still grow, but they may need denser teaching, smaller steps, or added modalities like AAC. Pair Michael's predictor rule with Linstead's dose rule: start early, keep intensity high, and track data weekly so you can adjust the program before plateaus hit.

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Rank your caseload by baseline cognitive scores and bump the lowest third to 30+ hours a week if feasible.

02At a glance

Intervention
comprehensive aba program
Design
pre post no control
Sample size
35
Population
autism spectrum disorder
Finding
positive

03Original abstract

BACKGROUND: Autism spectrum disorder (ASD) is a developmental disorder that causes lifelong disability. Applied Behavior Analysis (ABA) is one of the most empirically studied and validated approaches for treating children diagnosed with ASD. Due to the heterogeneity of ASD, it is important to ascertain who will most benefit from treatment. METHODS: In this study, 35 participants, with a mean entry age of 3 years, received ABA therapy. Children were assessed at intake and every 6 months thereafter using the Developmental Profile-3 (DP-3) to measure their communication, social-emotional, adaptive behavior, and physical development (2-6 measures per participant). Using a growth curve analysis, we investigated if age, diagnosis severity, cognitive functioning, treatment hours, gender, parent education level, or primary language spoken at home significantly predicted the growth trajectories of ABA treatment outcomes. RESULTS: Our findings indicated that higher cognitive functioning significantly predicted faster growth across all four developmental domains, age at entry predicted initial status, and other variables only predicted growth rates in one or two domains. IMPLICATIONS: Knowing the predictors of treatment outcome is important information for customizing treatment and this study demonstrated how longitudinal analyses can illuminate how participant characteristics affect the course of ABA therapy.

Research in developmental disabilities, 2017 · doi:10.1016/j.ridd.2017.09.008