Autism & Developmental

Treatment Gains from Early and Intensive Behavioral Intervention (EIBI) are Maintained 10 Years Later.

Smith et al. (2021) · Behavior modification 2021
★ The Verdict

Kids who got two years of EIBI still had their cognitive and adaptive gains ten years later with no new mental health problems.

✓ Read this if BCBAs who discharge preschoolers from EIBI clinics or consult on long-term autism plans.
✗ Skip if Practitioners who only serve school-age or adult clients with no EIBI history.

01Research in Context

01

What this study did

The team tracked kids who finished two years of Early Intensive Behavioral Intervention. They wanted to know if the gains stuck around ten years later.

They checked cognitive scores, daily living skills, and looked for new mental health diagnoses or medication use.

02

What they found

All the early gains in thinking and self-help skills were still there a decade later.

No child had picked up new psychiatric labels or needed new meds.

03

How this fits with other research

Kovshoff et al. (2011) looked at the same kids after only two years without extra help. Most skills had faded. The new 10-year data seem opposite, but the kids here got steady parent-run services after the program ended. That extra support likely kept the gains alive.

Reichow et al. (2009) and Howlin et al. (2009) pooled many EIBI studies and saw average IQ and adaptive boosts. This single long cohort now shows those average gains can last if you keep some maintenance plan going.

Rodgers et al. (2021) found small-to-medium effects across 491 kids after two years. The present study says, 'Stick with it—those small wins can still matter ten years out.'

04

Why it matters

If you run or supervise EIBI, build a hand-off plan before kids leave. Schedule yearly check-ins, train parents to run short booster sessions, and track adaptive scores. A little upkeep beats starting over.

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Add a one-page parent booster guide to every EIBI discharge packet and book a six-month follow-up call.

02At a glance

Intervention
comprehensive aba program
Design
pre post no control
Sample size
19
Population
autism spectrum disorder
Finding
positive

03Original abstract

This study reports outcome in adolescents with autism who in their childhood received Early and Intensive Behavioral Intervention (EIBI). Nineteen children (16 boys) who had received two years of EIBI starting at a mean age of 2-years-and-11-months were followed up, on average, 12 years later. Results showed the participants significantly increased their cognitive and adaptive standard scores during the two years of EIBI, and that these gains were maintained at follow-up, 10 years after the EIBI had ended. Participants also showed a significant reduction in autism symptoms between intake and follow-up. At follow-up, none of the participants had received any additional psychiatric diagnoses, and none were taking any psychotropic medication. Results indicate that treatment gains achieved in EIBI are maintained into adolescence.

Behavior modification, 2021 · doi:10.1177/0145445519882895