A Comparison of Intensive Behaviour Analytic and Eclectic Treatments for Young Children with Autism.


We compared the effects of 3 treatment approaches on preschool-age children with autism spectrum disorders. Twenty-nine children received intensive behavior analytic intervention (IBT; 1:1 adult:child ratio, 25-40 hours per week). A comparison group (n = 16) received intensive “eclectic” intervention (a combination of methods, 1:1 or 1:2 ratio, 30 hours per week) in public special education classrooms (designated the AP group). A second comparison group (GP) comprised 16 children in nonintensive public early intervention programs (a combination of methods, small groups, 15 hours per week). Independent examiners administered standardized tests of cognitive, language, and adaptive skills to children in all 3 groups at intake and about 14 months after treatment began. The groups were similar on key variables at intake. At followup, the IBT group had higher mean standard scores in all skill domains than the AP and GP groups. The differences were statistically significant for all domains except motor skills. There were no statistically significant differences between the mean scores of the AP and GP groups. Learning rates at followup were also substantially higher for children in the IBT group than for either of the other two groups. These findings are consistent with other research showing that IBT is considerably more efficacious than “eclectic” intervention.