4.5 Article

Integrating Measurement-Based Care into Treatment for Autism Spectrum Disorder: Insights from a Community Clinic

Journal

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
Volume 51, Issue 10, Pages 3651-3661

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10803-020-04824-6

Keywords

Measurement-based care; Autism spectrum disorder; Evidence-based practice; Hierarchical linear modeling; Community clinic

Funding

  1. Varda Shoham Clinical Science Training Initiative Grant

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This study investigated the use of MBC in clients with Autism Spectrum Disorder and found that autistic clients were less compliant and made less progress with MBC compared to non-autistic clients. Hierarchical linear modeling showed no significant differences in treatment slope, but results indicated a moderate effect size, highlighting the need for targeted measurement and policy implications in community clinics.
Measurement-based care (MBC), an evidence-based approach that has demonstrated efficacy for improving treatment outcomes, has yet to be investigated in clients with Autism Spectrum Disorder. The current paper investigates the use of MBC in autistic (n = 20) and non-autistic (n = 20) clients matched on age, sex, and presenting problem. Results of change score analysis indicated that utilizing routine symptom monitoring can enhance treatment evaluation. Autistic clients participated in significantly more sessions, made significantly less progress, and were less compliant with MBC than non-autistic clients. Though hierarchical linear modeling demonstrated no significant differences in treatment slope, results indicated moderate effect size. These results inform the use of MBC in community clinics, highlighting policy implications and need for targeted measurement.

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