Feasibility and Outcomes of the Early Start Denver Model Implemented with Low Intensity in a Community Setting in

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Daniel Holzinger1,2,3, Dominik Laister1,2, Giacomo Vivanti4,5

  • 1Hospital of St. John of God, Institute of Neurology of Senses and Language, Linz, Austria.

Journal of Developmental and Behavioral Pediatrics : JDBP
|May 21, 2019
PubMed

Insights

Early Start Denver Model (ESDM) autism intervention is feasible in European community settings. This low-intensity ESDM showed promising results in improving receptive language and reducing autism symptoms in young boys.

Area of Science:

  • Developmental Psychology
  • Clinical Psychology
  • Pediatric Medicine

Background:

  • Early autism intervention is crucial for developmental outcomes.
  • The Early Start Denver Model (ESDM) is an evidence-based intervention for autism spectrum disorder (ASD).
  • Feasibility of implementing ESDM in diverse, non-English speaking community settings requires investigation.

Purpose of the Study:

  • To assess the feasibility and effectiveness of a low-intensity Early Start Denver Model (ESDM) intervention for autism in a European community service.
  • To evaluate the impact of ESDM on developmental status and core autism symptoms in young children.

Main Methods:

  • A cohort of 13 boys (34-54 months) diagnosed with ASD in Austria participated.
  • Intervention group (n=7) received 4.6 hours/week ESDM for 12 months; control group (n=6) received usual care.
  • Feasibility assessed via parent/teacher questionnaires, fidelity measures, and therapist feedback. Development evaluated using standardized instruments (MSEL, Vineland, CDI, PDDBI).

Main Results:

  • ESDM intervention was delivered with high fidelity (>80%) and rated highly acceptable by parents.
  • The ESDM group showed a trend toward improved receptive language (p=0.09, ES=0.72).
  • Significant reduction in parent-reported core autism symptoms was observed in the ESDM group (PDDBI; p=0.04, ES=0.95).

Conclusions:

  • Low-intensity ESDM implementation is feasible in a non-English speaking European community context.
  • Findings suggest a potentially favorable response to ESDM compared to usual care, warranting further research.
  • This feasibility study provides a foundation for wider adoption of ESDM in similar settings.
Abstract

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