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Intensive Behavioural Intervention (IBI) seems to be an umbrella-like term used to describe behavioural programs that are intensive (up to 40 hours per week) for autistic children. Induded under the term IBI is Lovaas therapy. Three critical reviews of intensive intervention programs for autism by ECRI, BCOHTA and Smith were summarized. Of the three reviews, the one by ECRI was the most inclusive, analyzing studies on Lovaas therapy, TEACCH, the Rutgers Progran, the Denver Program, LEAP and the Autism Pre-school rogram. All critical reviews analyzed studies on Lovaas therapy and concluded that these studies were methodologically flawed. It appears that children improve in functioning with intensive intervention programs, but it remains to be determined if any one program is more effective than another. There is insufficient evidence to establish a relationship between amount (intensity and duration) of any intensive intervention treatment program and outcomes measures (intelligence tests, language development, adaptive behaviour tests).
The effectiveness and methodological rigor of intensive intervention programs for children with autism are critically examined. This report summarizes three critical reviews of intensive behavioral intervention (IBI), a term encompassing up to 40 hours per week of therapy for autistic children, including Lovaas therapy. While children appear to improve with these programs, the reviews found methodological flaws in studies, particularly those on Lovaas therapy. The analysis indicates insufficient evidence to definitively link the intensity or duration of any specific program to improved outcomes in intelligence, language development, or adaptive behavior, and it remains unclear if one program is superior to another.
This publication synthesizes critical reviews of intensive intervention programs for autism, highlighting methodological concerns within existing research. It points to a general improvement in functioning for children undergoing these therapies but underscores the lack of definitive evidence to establish the superiority of any single program or to correlate treatment intensity with specific developmental outcomes. The work serves as a critical overview for understanding the current state of evidence for intensive behavioral interventions in autism.
Page Count:
40
Publication Date:
2001-01-01
Publisher:
Alberta Heritage Foundation for Medical Research
ISBN-10:
1896956408
ISBN-13:
9781896956404
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