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15-11-2021 | Original Paper Open Access

Effectiveness of Responsivity Intervention Strategies on Prelinguistic and Language Outcomes for Children with Autism Spectrum Disorder: A Systematic Review and Meta-Analysis of Group and Single Case Studies

Journal of Autism and Developmental Disorders
Jena McDaniel, Nancy C. Brady, Steven F. Warren
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Supplementary Information

The online version contains supplementary material available at https://​doi.​org/​10.​1007/​s10803-021-05331-y.
Content from this manuscript has been presented at the 2021 Gatlinburg Conference on Research and Theory in Intellectual and Developmental Disabilities, 2021 International Society for Autism Research Annual Meeting, and the 2021 Symposium on Research in Child Language Disorders.

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We conducted a systematic review to identify randomized controlled trials (RCTs) and single case research design (SCRD) studies of children with autism spectrum disorder that evaluate the effectiveness of responsivity intervention techniques for improving prelinguistic and/or language outcomes. Mean effect sizes were moderate and large for RCTs (33 studies; g = 0.36, 95% CI [0.21, 0.51]) and SCRD (34 studies; between-case standardized mean difference = 1.20, 95% CI [0.87, 1.54]) studies, respectively. Visual analysis (37 studies) revealed strong evidence of a functional relation for 45% of the opportunities and no evidence for 53%. Analyses of moderator effects and study quality are presented. Findings provide support for responsivity intervention strategies with more robust support for context-bound outcomes than more generalized outcomes.

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