Answers HTA and scoping

TICO question for ABA for children with autism:

  • Technology (What technology will be assessed?): Any behavioural or social skills interventions, including those labelled “applied behavioural analysis,” specifically developed for children with autism, that aim to improve the behaviour and/or functional skills or child development.

  • Indication:

What condition / disease is targeted? Autism spectrum disorder (ASD) as defined by the DSM-V.

What population / group of patients does it concern? Who would receive the treatment or service? Children between the ages of 0 and 18 years, diagnosed with autism spectrum disorder.

What is the purpose of the use of the technology? To provide social and functional skills for children to improve their confidence and ability in performing day-to-day activities including interacting in social situations and communication.

  • Comparison: what are the alternatives to the technology? Comparator interventions include behvioural or skills training programs and usual practice (no specific training program).
  • Outcome: what relevant endpoints or outcome measures are used:

Any outcomes relevant to assessing the effectiveness of the programs including daily living skills, expressive language and communication, and confidence.

Quality of life should also be assessed using a condition-specific questionnaire such the ASQoL which has been designed as an ‘add-on’ set of 9 items, to be used alongside the WHO quality of life measure, WHOQoL-BREF.

The effect of any potential treatment modifiers including “dose of therapy,” duration, length of program, the setting of program delivery (home, school, etc.), and the provider delivering the program (therapist, teacher, parent), etc.