Service Delivery

Use of complementary and alternative medicine among children diagnosed with autism spectrum disorder.

Hanson et al. (2007) · Journal of autism and developmental disorders 2007
★ The Verdict

Most families try alternative treatments—ask about them at every intake.

✓ Read this if BCBAs doing intake or parent training in clinic, school, or in-home programs.
✗ Skip if Practitioners who only run skill-acquisition sessions with no parent contact.

01Research in Context

01

What this study did

Ellen’s team mailed a one-page survey to 112 families. All had a child with autism seen at a Midwest autism clinic.

Parents checked yes or no to 15 listed complementary or alternative treatments. They could also write in others.

02

What they found

Seventy-four percent of parents said they had tried at least one CAM therapy. The list ranged from special diets to chelation.

The survey only asked, “Are you using it?” It did not track if the child got better, worse, or stayed the same.

03

How this fits with other research

Höfer et al. (2017) later pooled 20 studies and found CAM use ranged from 28 % to 95 %. Ellen’s 74 % sits right in the middle, so the older number still rings true.

Bent et al. (2011) gave omega-3 pills to autistic kids in a real trial. The pills did not beat placebo. That RCT shows why asking about CAM matters—parents may be spending time and money on things with no proven gain.

Fahmie et al. (2013) found 70 % of kids had unusual sensory interests. Like CAM use, these extras are common but easy to miss unless you ask.

04

Why it matters

Three out of four families already use CAM before they walk into your clinic. Add one question to your intake: “Are you giving any vitamins, special diets, or other non-prescription treatments?” Write the answer in the plan. This keeps you in the loop, prevents clashes with prescribed meds, and builds trust.

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Add one line to your intake form: “List any vitamins, diets, or other non-doctor treatments your child gets.”

02At a glance

Intervention
not applicable
Design
survey
Sample size
112
Population
autism spectrum disorder
Finding
not reported

03Original abstract

This study examined the prevalence of the use of different types of conventional, complementary and alternative therapies by children diagnosed with an autism spectrum disorder (ASD). Of 112 families surveyed, 74% were using complementary and alternative medicine (CAM) for their child with ASD. CAM use was most strongly associated with parent report of child's diagnosis. Most CAM was reported by families to be either helpful or without effect, but not harmful. The main reasons for choosing CAM were related to concerns with the safety and side effects of prescribed medications. Conventional health care providers should be aware of the high prevalence of use among children with ASD and be prepared to discuss the use of CAM with families.

Journal of autism and developmental disorders, 2007 · doi:10.1007/s10803-006-0192-0