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- Title
Feasible Adaptation of ESDM for Statewide Implementation: A Look at Potential Effects, Implementation Conditions, and Cost.
- Authors
Rooks-Ellis, Deborah L.; Scheibel, Gretchen; Mason, Craig; Tu, Shihfen
- 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.
- 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; UNITED States. Individuals with Disabilities Education Act; 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
- Publication
Journal of Early Intervention, 2024, Vol 46, Issue 2, p255
- ISSN
1053-8151
- Publication type
Article
- DOI
10.1177/10538151231218958