Clinical Outcomes of a Hybrid Model Approach to Applied Behavioral Analysis Treatment

Anurag Garikipati, Madalina Ciobanu, Navan Preet Singh, Gina Barnes, Jenna Decurzio, Qingqing Mao, Ritankar Das, Anurag Garikipati, Madalina Ciobanu, Navan Preet Singh, Gina Barnes, Jenna Decurzio, Qingqing Mao, Ritankar Das

Abstract

Objective This study examines the implementation of a hybrid applied behavioral analysis (ABA) treatment model to determine its impact on autism spectrum disorder (ASD) patient outcomes. Methods Retrospective data were collected for 25 pediatric patients to measure progress before and after the implementation of a hybrid ABA treatment model under which therapists consistently captured session notes electronically regarding goals and patient progress. ABA treatment was streamlined for consistent delivery, with improved software utilization for tracking scheduling and progress. Eleven goals within three domains (behavioral, social, and communication) were examined. Results After the implementation of the hybrid model, the goal success rate improved by 9.7% compared to the baseline; 41.8% of goals showed improvement, 38.4% showed a flat trend, and 19.8% showed deterioration. Multiple goals trended upwards in 76% of the patients. Conclusion This pilot study demonstrated that enhancing the consistency with which ABA treatment is monitored/delivered can improve patient outcomes as seen through improved attainment of goals.

Keywords: applied behavior analysis; autism; hybrid model aba; patient outcomes; treatment.

Conflict of interest statement

The authors have declared financial relationships, which are detailed in the next section.

Copyright © 2023, Garikipati et al.

Figures

Figure 1. Attrition chart for selection and…
Figure 1. Attrition chart for selection and inclusion of patients. All patients associated with Forta at the time of data retrieval (September 2022) were considered for this study, and the total patient population was filtered down to 74 patients that had all the data necessary for evaluating the potential influence of the hybrid model. From this, 25 patients were randomly selected for in-depth analysis of goal data.
*Data was extracted and analyzed beginning in September 2022
Figure 2. Goals performance before (red) and…
Figure 2. Goals performance before (red) and after (blue) implementation of the hybrid model for delivering ABA treatment to ASD patients. Goal success relative to the Q1 baseline was markedly increased upon implementation of the hybrid model.
ABA: applied behavior analysis; ASD: autism spectrum disorder; Q1: quarter 1
Figure 3. Goal trends subsequent to the…
Figure 3. Goal trends subsequent to the implementation of the hybrid model for delivering ABA treatment to ASD patients. The majority of the goals either trended up or did not substantially change in Q2, and less than 20% of the goals trended down.
ABA: applied behavior analysis; ASD: autism spectrum disorder; Q2: quarter 2
Figure 4. Distribution of goal trends for…
Figure 4. Distribution of goal trends for each patient. Each vertical bar represents a patient’s total progress upon introduction of the hybrid model for delivering ABA treatment. For each patient, blue sections indicate the percentage of goals that trended up, orange sections indicate the percentage of goals that trended flat, and red sections indicate the percentage of goals that trended down.
ABA: applied behavior analysis

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