Practitioner Development

Public Perception of Autism Treatments: The Role of Credibility and Evidence.

Fleury et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Calling a practice 'evidence-based' out loud makes families and staff more likely to accept it.

✓ Read this if BCBAs who explain treatment plans to parents or train new staff.
✗ Skip if Researchers looking for effect sizes or long-term outcome data.

01Research in Context

01

What this study did

The team ran an online survey with adults in the United States. Each person read short stories about different autism treatments. Some stories said the treatment was evidence-based. Others did not.

The researchers then asked, 'How believable is this treatment?' and 'Would you use it?' They wanted to see if the simple label 'evidence-based' changed answers.

02

What they found

People rated treatments marked 'evidence-based' as more believable. They also said they would use these treatments more often.

Even a short sentence citing a trusted source, like a university study, boosted scores. The label mattered more than the details inside the story.

03

How this fits with other research

Callahan et al. (2008) already showed that parents, teachers, and principals like evidence-based parts of school plans. The new study proves that a quick label is enough to create that liking.

Schreck et al. (2016) found that TV shows praise non-EBP diets and rarely mention ABA. Together, the two papers show families hear mixed messages. Your own clear 'evidence-based' cue can cut through the noise.

Campbell et al. (2021) asked BCBAs the same question. Many said ABA works for everyone, yet some still back non-EBP tools for 'certain kids.' The public survey and the BCBA survey line up: everyone leans on simple credibility hints.

04

Why it matters

You can shape parent buy-in before the first session starts. State out loud, 'This plan is evidence-based, and here is the research.' One sentence raises trust and keeps fad diets off the table. Use the same line in staff meetings when supervisors suggest unproven add-ons.

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Start every parent meeting with one slide: 'This program is evidence-based. Here is the journal article.'

02At a glance

Intervention
not applicable
Design
survey
Sample size
379
Population
not specified
Finding
positive

03Original abstract

We explored the influence of credibility and evidence on public perceptions of ASD treatments using survey methodology. Participants (N = 379) read texts about different ASD treatments. The text presentation was based on a 2 × 2 within-subjects factorial design with treatment status [evidence based practices (EBP) vs. non-EBP] and source credibility in the text (credible vs. non-credible) as the independent variables. An instructional manipulation condition served as a between subjects factor. Respondents were more familiar with non-EBPs than EBPs, but viewed EBPs as being more credible and were more likely to endorse them compared to pseudoscientific practices. Interactions between source credibility and instructional manipulation were found on ratings of credibility and recommendation of both EBP and non-EBP texts. Implications of these findings are discussed.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-03868-z