Journal article
Feasibility and Outcomes of the Early Start Denver Model Implemented with Low Intensity in a Community Setting in Austria
Journal of developmental and behavioral pediatrics, v 40(5), pp 354-363
01 Jun 2019
PMID: 31107360
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: To investigate the feasibility and effectiveness of early autism intervention with the Early Start Denver Model (ESDM) implemented with low intensity in a community service in Europe. Methods: Subjects were boys (n = 13, ages 34-54 months, mean age 43.3 months) consecutively diagnosed with autism spectrum disorder in a regional autism center in Austria. The subjects either received the ESDM intervention for 4.6 hours weekly over 12 months (n = 7) or intervention as usual (n = 6). Feasibility of the ESDM intervention was evaluated by parent and teacher questionnaires, ESDM fidelity measures, and therapists' feedback. Developmental status was assessed through standardized instruments (Mullen Scales of Early Learning [MSEL], Vineland Adaptive Behavior Scales Second Edition, Communicative Development Inventory, Pervasive Developmental Disorder Behavior Inventory [PDDBI], Parenting Sense of Competence Scale) at baseline and after intervention. Results: The ESDM intervention was delivered with high fidelity (>80%) by a newly trained multiprofessional team. Acceptability by parents was rated as high. The ESDM was considered to be compatible with both family and preschool routines without any major adaptations. The ESDM group showed a trend toward improved receptive language (MSEL receptive language; p = 0.09, effect size [ES] = 0.72) and reduction in parent-reported core autism symptoms (PDDBI Autism Composite Score; p = 0.04; ES = 0.95). No such improvement was noted in the control group. Conclusion: Low-intensity implementation of the ESDM in a non-English-speaking community service context is feasible. Although outcomes from this small feasibility study should be interpreted with caution, our findings suggest a more favorable response to the ESDM intervention group compared with the control group.
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Details
- Title
- Feasibility and Outcomes of the Early Start Denver Model Implemented with Low Intensity in a Community Setting in Austria
- Creators
- Daniel Holzinger - St John of God Health CareDominik Laister - St John of God Health CareGiacomo Vivanti - Drexel UniversityWilliam Joseph Barbaresi - Boston Children's HospitalJohannes Fellinger - St John of God Health Care
- Publication Details
- Journal of developmental and behavioral pediatrics, v 40(5), pp 354-363
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Grant note
- 999020098009 / Hauptverband der osterreichischen Sozialversicherungstrager
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000480750800005
- Scopus ID
- 2-s2.0-85068427097
- Other Identifier
- 991019168376104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Behavioral Sciences
- Pediatrics
- Psychology, Developmental