56697
document
Effects of a brief Early Start Denver model ( ESDM ) -based parent intervention on toddlers at risk for autism spectrum disorders : a randomized controlled trial . OBJECTIVE This study was carried out to examine the efficacy of a 12-week , low-intensity ( 1-hour/wk of therapist contact ) , parent-delivered intervention for toddlers at risk for autism spectrum disorders ( ASD ) aged 14 to 24 months and their families . METHOD A randomized controlled trial involving 98 children and families was carried out in three different sites investigating the efficacy of a parent delivery of the Early Start Denver model ( P-ESDM ) , which fosters parental use of a child-centered responsive interaction style that embeds many teaching opportunities into play , compared to community treatment as usual . Assessments were completed at baseline and 12 weeks later , immediately after the end of parent coaching sessions . RESULTS There was no effect of group assignment on parent-child interaction characteristics or on any child outcomes . Both groups of parents improved interaction skills , and both groups of children demonstrated progress . Parents receiving P-ESDM demonstrated significantly stronger working alliances with their therapists than did the community group . Children in the community group received significantly more intervention hours than those in the P-ESDM group . For the group as a whole , both younger child age at the start of intervention and a greater number of intervention hours were positively related to the degree of improvement in children 's behavior for most variables . CONCLUSIONS Parent-implemented intervention studies for early ASD thus far have not demonstrated the large effects seen in intensive-treatment studies . Evidence that both younger age and more intervention hours positively affect developmental rates has implications for clinical practice , service delivery , and public policy .
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Intervention_Psychological
brief Early Start Denver model ( ESDM ) -based parent intervention on toddlers
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Intervention_Psychological
low-intensity ( 1-hour/wk of therapist contact ) , parent-delivered intervention for toddlers
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Intervention_Psychological
Early Start Denver model ( P-ESDM )
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Intervention_Control
compared to community treatment as usual .
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Outcome_Other
efficacy
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Outcome_Other
no effect
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Outcome_Mental
interaction skills
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Outcome_Mental
demonstrated
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Outcome_Other
progress
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Outcome_Mental
stronger
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Outcome_Other
working alliances
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Outcome_Other
intervention hours
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Outcome_Other
number of intervention hours
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Participant_Age
toddlers
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Participant_Condition
autism spectrum disorders
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Participant_Condition
autism spectrum disorders
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Participant_Condition
ASD
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Participant_Age
14 to 24 months
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Participant_Sample-size
98