Cochrane · systematic review · CD009260

Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD)

Reichow, B, Hume, K, Barton, EE, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 2 · 28.6%Low 4 · 57.1%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD)

Population: patients with young children (less than six years old) with autism spectrum disorders (ASD)
CD009260.PUB3 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Adaptive behavior Measured by: Vineland Adaptive Behavior Scales (parent‐reported scale; mean = 100 (SD = 15); higher score equates to better outcomes)
no estimate extracted5 studies · 202 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Autism symptom severity Measured by: parent‐reported autism symptoms on standardised autism screening and diagnostic instruments (lower scores indicate less severe autism symptoms)
no estimate extracted2 studies · 81 participantsVery low
Downgraded: imprecision, publication bias
Adverse effects Measured by: worsening of adaptive behavior or autism symptom severity
no estimate extractedNRNo studies
Intelligence Measured by: standardized IQ tests (mean = 100 (SD = 15); higher scores indicate higher IQ)
no estimate extracted5 studies · 202 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Communication and language skills: expressive language Measured by: standardized measures of expressive language (higher scores indicate better expressive language skills)
no estimate extracted4 studies · 165 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Communication and language skills: receptive language Measured by: standardized measures of receptive language (higher scores indicate better receptive language skills)
no estimate extracted4 studies · 164 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Problem behavior Measured by: standardized parent‐report measures and checklists (lower scores indicate lower levels or less severe problem behavior)
no estimate extracted2 studies · 67 participantsVery low
Downgraded: imprecision, publication bias

Early intensive behavioral intervention for increasing functional behaviors and skills for young children with autism spectrum disorders (ASD)

Population: Young children with ASD
CD009260.PUB2 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Adaptive behavior (composite) Vineland Adaptive Behavior Scales
no estimate extracted5 studies · 171 participantsLow
Downgraded: risk of bias, imprecision, publication bias

Early intensive behavioral intervention for decreasing psychopathology and symptom severity for young children with autism spectrum disorders (ASD)

Population: Young children with ASD
CD009260.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Symptom severity Autism diagnostic instruments and screeners1
no estimate extracted2 studies · 70 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Problem behavior Standardized behavior checklists6
no estimate extracted2 studies · 39 participantsLow
Downgraded: risk of bias, imprecision, publication bias

Early intensive behavioral intervention for increasing intelligence and cognition for young children with autism spectrum disorders (ASD)

Population: Young children with ASD
CD009260.PUB2 · 1 question
OutcomeEffectEvidenceStatus / GRADE
IQ Standardized tests of intelligence
no estimate extracted5 studies · 172 participantsLow
Downgraded: risk of bias, imprecision, publication bias

Early intensive behavioral intervention for increasing communication and language skills for young children with autism spectrum disorders (ASD)

Population: Young children with ASD
CD009260.PUB2 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Expressive Language Reynell
no estimate extracted4 studies · 124 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Receptive Language Reynell
no estimate extracted4 studies · 124 participantsLow
Downgraded: risk of bias, imprecision, publication bias
VABS Communication Domain Vineland Adaptive Behavior Scales
no estimate extracted5 studies · 171 participantsLow
Downgraded: risk of bias, imprecision, publication bias

Early intensive behavioral intervention for increasing social competence and skills for young children with autism spectrum disorders (ASD)

Population: Young children with ASD
CD009260.PUB2 · 1 question
OutcomeEffectEvidenceStatus / GRADE
VABS Socialization Domain Vineland Adaptive Behavior Scales
no estimate extracted5 studies · 171 participantsLow
Downgraded: risk of bias, imprecision, publication bias

Early intensive behavioral intervention for increasing quality of life for young children with autism spectrum disorders (ASD)

Population: Young children with ASD and their parents
CD009260.PUB2 · 4 questions
OutcomeEffectEvidenceStatus / GRADE
VABS Daily Living Skills Vineland Adaptive Behavior Scales
no estimate extracted5 studies · 171 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Parental Stress Questionnaire on Resources and Stress Friedrich‐short form
no estimate extracted1 study · 44 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Parental Anxiety and Depression Hospital Anxiety and Depression Scale
no estimate extracted1 study · 44 participantsLow
Downgraded: risk of bias, imprecision, publication bias
Parental Positive Perceptions Kansas Inverntory of Parental Perceptions Positive Contributions Scale
no estimate extracted1 study · 44 participantsLow
Downgraded: risk of bias, imprecision, publication bias