Beruflich Dokumente
Kultur Dokumente
HIGH
Typical
Development
Cognitive & Social Development
Trajectory
ZONE OF MODIFIABILITY
Developmentally
Delayed
Trajectory
LOW
Birth Kindergarten High School Adulthood
EXPRESSIVE LANGUAGE TRAJECTORIES
60
typical
Developmental Equivalent
“Catching Up
2 months/
45 is hard to do” month
(Months)
1 month
30 per month
15 predicted
from
baseline
0
0 12 24 36 48 60
Past
practice
Scientific Market
evidence forces
Chosen
treatment
Economic Political
factors factors
Cultural Other
factors factors
6
How are Treatments Chosen?
Brief
Eclectic
EIBT behavioral Medications
approach
intervention
7
PARTICIPANT CHARACTERISTICS
Mother’s level of
14 13 13
education (years)
PROGRAM CHARACTERISTICS
• Generalized imitation
• “Comparison” to others
NUMBER OF ANNUAL GOALS AND OBJECTIVES
225
169
IBT
113 Generic (G
Autism (AP
56
0
language cognitive social other
COGNITIVE FUNCTIONING HOWARD ET AL (2014)
OUTCOMES IN NORMAL RANGE
OUTCOMES IN NORMAL RANGE
OUTCOMES IN NORMAL RANGE
OUTCOMES IN NORMAL RANGE
OUTCOMES IN NORMAL RANGES
OUTCOMES IN NORMAL RANGE
PROBABILITY RATIO IN NORMAL RANGE
6x 5x
5x
2x
IBT
160
135
110
Composite
adaptive 85
score
60
35
10
10 35 60 85 110 135 160
Cognitive score
Eclectic Treatment
160
Baseline
Final assessment
135
110
Composite
adaptive 85
score
60
35
10
10 35 60 85 110 135 160
Cognitive score
ABA Treatment
160
Baseline
Final assessment
135
110
Composite
adaptive 85
score
60
35
10
10 35 60 85 110 135 160
Cognitive score
All Scores for IBT Children
7.4%
85.7%
41.1%
5.4%
3
92.6%
14
.3
%
58.9%
64.6%
Baseline Year 1
Score is 85 Score is
or higher below 85
All Scores for IBT Children
7.4%
85.7% 73.6%
41.1% 47.7%
5.4%
3 6%
.
28
26
92.6% .4
14
%
.3
%
58.9% 52.3%
64.6% 71.4%
Score is 85 Score is
or higher below 85
All Scores for IBT Children
7.4%
85.7% 73.6%
85.1%
41.1% 47.7% 50.4%
5.4%
3 6%
. %
28 26
.0
26
92.6% .4
14
% 14
.9
.3
%
%
Score is 85 Score is
or higher below 85
All Scores for IBT Children
7.4%
85.7% 73.6%
85.1%
41.1% 47.7% 50.4%
5.4%
3 6%
. %
28 26
.0
26
92.6% .4
14
% 14
.9
.3
%
%
Score is 85 Score is
or higher below 85
COMPARISON OF TRANSITIONAL PROBABILITIES
IBT
CHILDREN
AP & GP
CHILDREN
WHY ECLECTIC MODELS DON’T WORK
• Parents and some professionals don’t know the model does not
work
ABA
janeshoward@tpathways.org