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Therapies for Children With Autism Spectrum Disorders

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Figure 2. Disposition of articles addressing therapies <strong>for</strong> children with ASDs<br />

Non-duplicate articles<br />

identified in searches<br />

n = 4,120<br />

● Literature search: n = 3,779<br />

● Hand search/ grey literature<br />

search: n = 341<br />

Full text articles<br />

reviewed<br />

n=714<br />

Unique full text<br />

articles included in<br />

review<br />

n=183 (comprising<br />

159 unique<br />

studies)<br />

154 KQ1<br />

38 KQ2<br />

4 KQ3<br />

1 KQ4<br />

17 KQ5<br />

0 KQ6<br />

4 KQ7<br />

a The total number of articles in the exclusion categories exceeds the number of articles excluded because most of the<br />

articles fit into multiple exclusion categories; KQ=key question<br />

KQ1. Effects of Treatment on Core and Commonly Associated Symptoms<br />

in <strong>Children</strong> <strong>With</strong> ASDs: Behavioral Interventions<br />

A wide range of interventions can be classified as behavioral. For this review, we included<br />

studies of early intensive behavioral and developmental interventions, which comprised<br />

University of Cali<strong>for</strong>nia, Los Angeles (UCLA)/Lovaas-based approaches, the Early Start Denver<br />

Model (ESDM), and parent training approaches incorporating principles of Applied Behavior<br />

Analysis (ABA) to improve outcomes among young children with ASDs; social skills<br />

interventions; focal play-based /interaction-based interventions; behavioral interventions focused<br />

on associated behaviors; and a small group of other behavioral interventions assessing other<br />

interventions in core/associated areas (e.g., sleep workshops). Table 9 summarizes critical<br />

aspects of all studies of behavioral interventions, those addressing key question (KQ) 1 as well as<br />

behavioral studies discussed in the KQ2 and KQ7 sections of the report.<br />

29<br />

Articles excluded<br />

n=3,406<br />

Full text articles excluded<br />

n = 531 a<br />

• Participants not within age range<br />

n = 293<br />

• Not original research<br />

n = 135<br />

• Ineligible study size<br />

n = 406<br />

• Irrelevant to key questions<br />

n = 285<br />

• Unable to abstract data<br />

n = 16

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