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Published on: June 20, 2020
Predictors of effectiveness of early intervention on children with intellectual disability: a retrospective cohort
Der-Chung Lai, Chung-Hsin Chiang, Yuh-Ming Hou
1Language Education Center, Chang Jung Christian University, Tainan, Taiwan. yvonneyct@yahoo.com.
Insights
Early intervention significantly improves intellectual quotient (IQ) in children with intellectual disability. The earlier the intervention, the greater the IQ gains, especially for boys and those with lower maternal education.
Area of Science:
- Child Development
- Neuroscience
- Public Health
Background:
- Taiwanese government initiatives promote early intervention for intellectual disability.
- Limited data exist on the effectiveness of these early intervention programs.
Purpose of the Study:
- To evaluate the effectiveness of early intervention in improving IQ scores in children with intellectual disability.
- To identify predictors of intervention effectiveness.
Main Methods:
- Recruited children diagnosed with intellectual disability from a teaching hospital.
- Administered two IQ tests between 2001 and 2005.
- Used the change in IQ scores as the primary measure of effectiveness.
Main Results:
- IQ scores increased significantly from 57.0 ± 8.0 to 65.1 ± 12.3 (p < 0.001).
- Younger age at initial testing, male gender, and lower maternal education level were independent predictors of greater IQ improvement.
- Intervention effectiveness was observed in boys and was more pronounced in children with lower maternal educational backgrounds.
Conclusions:
- Early intervention is effective in enhancing the IQ of children with intellectual disability.
- Earlier intervention yields better outcomes.
- Socioeconomic factors, such as maternal education level, influence intervention effectiveness.
Background:
The Taiwanese government has been promoting early intervention to children with intellectual disability for years, but data on its effectiveness are limited.
Methods:
We recruited children who were treated for intellectual disability at a teaching hospital and had two IQ tests from 2001 to 2005 and used the difference between the two tests as the indicator of effectiveness.
Results:
The participants included 23 boys and 13 girls 56.5 ± 5.9 months of age at the first test and 73.4 ± 4.9 months at the second. The IQ increased from 57.0 ± 8.0 to 65.1 ± 12.3 (p < 0.001). Multi-variate regressions showed that a low maternal educational level, male gender, and a younger age at the first test were significant independent predictors of the effectiveness.
Conclusions:
Early intervention can improve the IQ of children with intellectual disability, and the earlier the intervention the better. The effectiveness is demonstrable in boys and more prominent in children whose mothers had a low educational level.
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