Toward deeper understanding and wide-scale implementation of naturalistic developmental behavioral interventions.
D'Agostino Sophia R, Dueñas Ana D, Bravo Alice, Tyson Kelsie, Straiton Diondra, Salvatore Giovanna L, Pacia Cressida, Pellecchia Melanie
What this study means for families
This paper looks at why helpful early interventions called NDBIs aren't being used widely for autistic children, even though research shows they work. The main problems seem to be that professionals from different backgrounds don't always agree on approaches, and many practitioners need more training and support. The authors explain what these interventions involve and give suggestions for making them more available to families who could benefit.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Research summary
This paper examines barriers to implementing Naturalistic Developmental Behavioral Interventions (NDBIs) in early autism intervention programs. Despite demonstrated effectiveness, NDBIs are not widely implemented, potentially due to differing theoretical orientations between developmental and behavioral sciences, and practitioners' lack of training and support. The authors clarify common NDBI features, address misconceptions, and provide rationale for wider implementation. They offer recommendations for the autism service community, intervention developers, and researchers to promote broader adoption of these evidence-based approaches in early intervention settings.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Key findings
- 1
NDBIs have demonstrated effectiveness but are not widely implemented in early intervention programs
Confidence: moderateRelevance: High - indicates gap between research evidence and practice implementation - 2
Implementation barriers include differing theoretical orientations and practitioners' lack of training, knowledge, and support
Confidence: moderateRelevance: High - identifies specific targets for improving intervention access
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Clinical implications
Results suggest need for improved training programs, clearer guidance on NDBI implementation, and better integration between developmental and behavioral approaches. Service providers should consider addressing theoretical differences and providing more comprehensive practitioner support to improve access to evidence-based early interventions for autistic children.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Limitations
This appears to be a conceptual/review paper rather than an empirical study. No specific research methodology, sample size, or quantitative data are reported. The findings are based on the authors' analysis rather than systematic research evidence.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Original abstract
Naturalistic Developmental Behavioral Interventions (NDBIs) are a group of early interventions that use a variety of strategies from applied behavioral and developmental sciences. Although Naturalistic Developmental Behavioral Interventions have been demonstrated effective, Naturalistic Developmental Behavioral Interventions are not implemented on a wide scale within early intervention programs for children on the autism spectrum. Potential reasons likely stem from differing theoretical orientations of developmental and behavioral sciences and practitioners' lack training, knowledge, and support for implementing Naturalistic Developmental Behavioral Interventions. In support of efforts to promote wide-scale implementation of Naturalistic Developmental Behavioral Interventions, we (1) clarify their common features, (2) discuss possible misconceptions, and (3) offer reasons why Naturalistic Developmental Behavioral Interventions should be widely implemented.
We also provide recommendations to the autism service community, intervention developers, and researchers.
Evidence Grade
emerging
Grade assigned by AutismInsights based on study type and published abstract.
Study Details
- Journal
- Autism : the international journal of research and practice
- Year
- 2023
- PMID
- 36056601
- DOI
- 10.1177/13623613221121427
MeSH Terms