Evidence map›Paper›PMID 34076577›Full record

ArticleJMIR medical informatics2021

Unsupervised Machine Learning for Identifying Challenging Behavior Profiles to Explore Cluster-Based Treatment Efficacy in Children With Autism Spectrum Disorder: Retrospective Data Analysis Study.

Julie Gardner-Hoag, Marlena Novack, Chelsea Parlett-Pelleriti, Elizabeth Stevens, Dennis Dixon, Erik Linstead

Open access · goldAbstract read
In one paragraph

Article in JMIR medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Julie Gardner-HoagSchmid College of Science and Technology, Chapman University, Orange, CA, United States.ORCID https://orcid.org/0000-0002-8066-9147
Marlena NovackCenter for Autism and Related Disorders, Woodland Hills, CA, United States.ORCID https://orcid.org/0000-0002-8892-3146
Chelsea Parlett-PelleritiFowler School of Engineering, Chapman University, Orange, CA, United States.ORCID https://orcid.org/0000-0001-9301-1398
Elizabeth Stevens *Fowler School of Engineering, Chapman University, Orange, CA, United States.ORCID https://orcid.org/0000-0002-1408-4845
Dennis Dixon *Center for Autism and Related Disorders, Woodland Hills, CA, United States.ORCID https://orcid.org/0000-0002-1229-9711
Erik Linstead *Fowler School of Engineering, Chapman University, Orange, CA, United States.ORCID https://orcid.org/0000-0003-0174-7002
Chapman University · USCenter for Autism and Related Disorders · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChallenging behaviors are prevalent among individuals with autism spectrum disorder; however, research exploring the impact of challenging behaviors on treatment response is lacking.

objectiveThe purpose of this study was to identify types of autism spectrum disorder based on engagement in different challenging behaviors and evaluate differences in treatment response between groups.

methodsRetrospective data on challenging behaviors and treatment progress for 854 children with autism spectrum disorder were analyzed. Participants were clustered based on 8 observed challenging behaviors using k means, and multiple linear regression was performed to test interactions between skill mastery and treatment hours, cluster assignment, and gender.

resultsSeven clusters were identified, which demonstrated a single dominant challenging behavior. For some clusters, significant differences in treatment response were found. Specifically, a cluster characterized by low levels of stereotypy was found to have significantly higher levels of skill mastery than clusters characterized by self-injurious behavior and aggression (P<.003).

conclusionsThese findings have implications on the treatment of individuals with autism spectrum disorder. Self-injurious behavior and aggression were prevalent among participants with the worst treatment response, thus interventions targeting these challenging behaviors may be worth prioritizing. Furthermore, the use of unsupervised machine learning models to identify types of autism spectrum disorder shows promise.

Indexed as

autismautism spectrum disorderbehaviorchallenging behaviorsdisorderefficacyengagementimpactmachine learningretrospectivesubtypestreatmenttreatment responseunsupervised machine learning

Identifiers

PMID34076577
PMCPMC8209527
OpenAlexW3157263344

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.