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Feasible Adaptation of ESDM for Statewide Implementation: A Look at Potential Effects, Implementation Conditions, and Cost.
- Source :
-
Journal of Early Intervention . Jun2024, Vol. 46 Issue 2, p255-275. 21p. - Publication Year :
- 2024
-
Abstract
- This article describes the development and use of a first of its kind statewide implementation of an adapted Early Start Denver Model (ESDM). Supported by a collaborative partnership between stakeholders that included families, state agencies, and a state university, the intervention was implemented within the existing framework of a northeastern state's relationship-based Individuals with Disabilities Education Act (IDEA) Part C early intervention program. Participants were 194 families. The study examined the effectiveness and implementation costs of an adaptation of the ESDM using a coaching model to inform statewide implementation to improve outcomes for young children with autism spectrum disorder (ASD) in rural and low-resource states. Results indicated 194 children who received a monthly average of 10.90 hr of adapted ESDM for an average of 12 months demonstrated an improvement in the frequency of ASD symptomology for a total cost of US$2,511/child. Intervention intensity and child factors demonstrated varying influence on outcomes. This study contributes to the literature by demonstrating the potential for positive impact of an evidence-based practice scaled to a statewide model of early intervention for young children with ASD. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TREATMENT of autism
*MULTITRAIT multimethod techniques
*HUMAN services programs
*INTERPROFESSIONAL relations
*PROFESSIONAL practice
*GOVERNMENT agencies
*COST analysis
*EVALUATION of human services programs
*STATISTICAL sampling
*AFFINITY groups
*AUTISM
*FAMILIES
*DESCRIPTIVE statistics
*CLASSIFICATION of mental disorders
*PARENT attitudes
*TREATMENT duration
*EARLY intervention (Education)
*PRE-tests & post-tests
*EXPERIMENTAL design
*RURAL conditions
*RESEARCH
*STATISTICAL reliability
*PSYCHOMETRICS
*COMMUNICATION
*CONCEPTUAL structures
*THEORY
*RESOURCE-limited settings
*EVIDENCE-based medicine
*HEALTH outcome assessment
*DATA analysis software
*INTERPERSONAL relations
*MEDICAL care costs
*BEHAVIOR therapy
*EDUCATION
*SYMPTOMS
UNITED States. Individuals with Disabilities Education Act
Subjects
Details
- Language :
- English
- ISSN :
- 10538151
- Volume :
- 46
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of Early Intervention
- Publication Type :
- Academic Journal
- Accession number :
- 177316171
- Full Text :
- https://doi.org/10.1177/10538151231218958