Abstract
Use of empirically unsupported practices is a challenge in the field of autism spectrum disorder (ASD). We explored whether attitudes and perceived evidence were linked to intended practice use in early intervention staff. Seventy-one participants completed ratings of the evidence base, current and future use of six ASD intervention practices, and reported attitudes to research and evidence-based practice. Participants reported greater use and rated the evidence base higher for the empirically supported practices. However, variability in accuracy of evidence base ratings was observed across individuals. Higher perceived evidence was linked to greater future use intentions for empirically supported and unsupported practices. The need for accurate information across practice types is highlighted. Self-report methodology limitations and future research directions are discussed.
References
Aarons, G. A. (2004). Mental health provider attitudes towards adoption of evidence-based practice: The evidence-based practice attitude scale (EBPAS). Mental Health Services Research,6(2), 61–74. https://doi.org/10.1023/B:MHSR.0000024351.12294.65.
Callahan, K., Hughes, H. L., Mehta, S., Toussaint, K. A., Nichols, S. M., Ma, P. S., … Wang, H.-T. (2017). Social validity of evidence-based practices and emerging interventions in autism. Focus on Autism and Other Developmental Disabilities, 32(3), 188–197. https://doi.org/10.1177/1088357616632446.
Carter, M., Stephenson, J., & Hopper, T. (2015). Factors in instructional decision-making, ratings of evidence and intended instructional practices of Australian final year teacher education students. Australian Journal of Teacher Education,40(6), 85–103.
Dixon, G. N., McKeever, B. W., Holton, A. E., Clarke, C., & Eosco, G. (2015). The power of a picture: Overcoming scientific misinformation by communicating weight-of-evidence information with visual exemplars. Journal of Communication,65(4), 639–659. https://doi.org/10.1111/jcom.12159.
Laerd Statistics. (2015). Friedman test using SPSS Statistics. Retrieved October 4, 2019, from https://statistics.laerd.com/.
Lilienfeld, S. O., Marshall, J., Todd, J. T., & Shane, H. C. (2014). The persistence of fad interventions in the face of negative scientific evidence: Facilitated communication for autism as a case example. Evidence-Based Communication Assessment and Intervention,8(2), 62–101. https://doi.org/10.1080/17489539.2014.976332.
McDonald, M. E., Pace, D., Blue, E., & Schwartz, D. (2012). Critical issues in causation and treatment of autism: Why fads continue to flourish. Child & Family Behavior Therapy,34(4), 290–304. https://doi.org/10.1080/07317107.2012.732849.
National Autism Center. (2015). Findings and conclusions: National standards project, phase 2. Randolph, MA: Author.
Paynter, J., Ecker, U. K. H., Trembath, D., Sulek, R., & Keen, D. (2019a). Misinformation in autism spectrum disorder and education. In P. Kendeou, D. H. Robinson, & M. McCrudden (Eds.), Misinformation, ‘Quackery’, and ‘Fake News’ in Education (pp. 205–225). Charlotte, NC: Information Age Publishing.
Paynter, J., Ferguson, S., Fordyce, K., Joosten, A., Paku, S., Stephens, M., … Keen, D. (2017). Utilisation of evidence-based practices by ASD early intervention service providers. Autism, 21(2), 167-180. https://doi.org/10.1177/1362361316633032.
Paynter, J., & Keen, D. (2015). Knowledge and use of intervention practices by community-based early intervention service providers. Journal of Autism and Developmental Disorders,45(6), 1614–1623. https://doi.org/10.1007/s10803-014-2316-2.
Paynter, J., Luskin-Saxby, S., Keen, D., Fordyce, K., Frost, G., Imms, C., et al. (2019b). Evaluation of a template for countering misinformation—Real-world Autism treatment myth debunking. PLOS ONE, 14(1):e0210746. https://doi.org/10.1371/journal.pone.0210746.
Paynter, J., Sulek, R., Luskin-Saxby, S., Trembath, D., & Keen, D. (2018). Allied health professionals’ knowledge and use of ASD intervention practices. Journal of Autism and Developmental Disorders,48(7), 2335–2349. https://doi.org/10.1007/s10803-018-3505-1.
Research Autism. (2018). Alphabetic list of interventions, treatments and therapies. Retrieved December 20, 2019, from http://researchautism.net/autism-interventions/alphabetic-list-interventions.
Ridge, K., & Guerin, S. (2011). Irish clinicians’ views of interventions for children with autistic spectrum disorders. Autism,15(2), 239–252. https://doi.org/10.1177/1362361310364141.
Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn’t. British Medical Journal, 312(7023), 71–72. https://doi.org/10.1136/bmj.312.7023.71.
Stahmer, A. C., Collings, N. M., & Palinkas, L. A. (2005). Early intervention practices for children with autism: Descriptions from community providers. Focus on Autism and Other Developmental Disabilities,20(2), 66–79. https://doi.org/10.1177/10883576050200020301.
Vismara, L. A., & Rogers, S. J. (2008). The early start Denver model. Journal of Early Intervention,31(1), 91–108. https://doi.org/10.1177/1053815108325578.
Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, S., … Schultz, T. R. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review. Journal of Autism and Developmental Disorders, 45(7), 1951–1966. https://doi.org/10.1007/s10803-014-2351-z.
Acknowledgments
We thank the early intervention staff who gave their time to participate in this research. Thank you also to Antonio De Blasio for your input into planning meetings and project development.
Funding
This research received funding from the Australian Department of Social Services to Jessica Paynter, a grant from the Australian Research Council to Ullrich Ecker (Grant No. DP160103596), and a grant from the National Health and Medical Research Council to David Trembath (Grant No. GNT1071811).
Author information
Authors and Affiliations
Contributions
JP developed the initial study concept. SL, DK, KF, GF, CI, SM, DT, MT, and UE contributed to the study design and development of questionnaire materials including selection of measures and specific practices to target. Recruitment was conducted by KF, GF, SM, and MT. Data collection and extraction was performed by SL. Data analysis was conducted by SM and JP. All authors contributed to preparation of the manuscript and approved the final version of the manuscript for submission.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Paynter, J., Luskin-Saxby, S., Keen, D. et al. Brief Report: Perceived Evidence and Use of Autism Intervention Strategies in Early Intervention Providers. J Autism Dev Disord 50, 1088–1094 (2020). https://doi.org/10.1007/s10803-019-04332-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-019-04332-2