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Related Experiment Video

Updated: Jul 23, 2025

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research

Published on: July 31, 2017

De-implementation of Low-Value Practices for Autism Spectrum Disorder.

Nicole R Friedman^1,2, Laci Watkins^3,4, Lucy Barnard-Brak³

¹Center for Youth Development and Intervention, University of Alabama, 101 McMillan Bldg, Box 870348, Tuscaloosa, AL, 35487, USA.

Clinical Child and Family Psychology Review

|July 14, 2023

Summary

Autism Spectrum Disorder (ASD) services often use low-value practices (LVP) despite the availability of evidence-supported treatments (EST). This review proposes a data-driven approach to identify and de-implement LVP, aiming to improve care quality for autistic individuals.

Keywords:

Autism spectrum disorder De-implementation Evidence-based practice Low-value practice

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Area of Science:

Clinical Psychology
Implementation Science
Neurodevelopmental Disorders

Background:

Autism Spectrum Disorder (ASD) is disproportionately associated with low-value practices (LVP) compared to other neurodevelopmental conditions.
Despite increased availability of empirically supported treatments (EST) for ASD, the use of LVP has not decreased.
There is a critical need to not only promote EST but also to de-implement ineffective or harmful practices.

Approach:

This review outlines a data-driven methodology for identifying LVP in ASD services.
The approach integrates established criteria for evidence-based treatments (e.g., APA Division 12, SAMHSA) with considerations like social validity, cost, and parsimony.
A framework from implementation science is used to identify facilitators of LVP persistence.

Key Points:

A systematic approach is proposed to identify LVP based on empirical evidence and practical considerations.
Facilitators that contribute to the continued use of LVP in ASD care are identified.
The review emphasizes the importance of social validity, cost-effectiveness, and parsimony in treatment evaluation.

Conclusions:

Implementing a data-driven strategy is crucial for identifying and subsequently de-implementing LVP in ASD services.
Understanding the factors that sustain LVP is essential for developing effective de-implementation strategies.
The ultimate goal is to improve the quality of care and service access for autistic individuals by prioritizing evidence-based interventions.