IRCCS Stella Maris Foundation, Pisa, Italy.
University of Michigan, USA.
Autism. 2020 Apr;24(3):718-729. doi: 10.1177/1362361319888344. Epub 2019 Nov 21.
Several studies have shown the efficacy and effectiveness of the Early Start Denver Model, both in university and in community-based settings. However, a limited number of studies have investigated predictors of outcomes. In this study, we examined outcomes in 32 children diagnosed with autism spectrum disorder after 1 year of community-based Early Start Denver Model intervention, with the aim to identify predictors of treatment objectives acquisition, as measured by the Early Start Denver Model Curriculum Checklist. At a group level, the participants demonstrated improvement in their communication as well as adaptive functioning skills, while they showed a decrease in symptom severity. The large heterogeneity in outcomes identified was related to the pre-treatment non-verbal abilities, symptom severity, action and gesture repertoire, and lexical comprehension. We discussed our results in terms of implications for developing "personalized" interventions for children with autism spectrum disorder.
多项研究表明,早期丹佛模式在大学和社区环境中都具有疗效和有效性。然而,只有少数研究调查了结果的预测因素。在这项研究中,我们在社区早期丹佛模式干预后 1 年后对 32 名被诊断为自闭症谱系障碍的儿童进行了结果评估,目的是确定治疗目标获取的预测因素,该目标通过早期丹佛模式课程检查表进行测量。在群体水平上,参与者在沟通和适应功能技能方面表现出了改善,而症状严重程度则有所下降。确定的结果的高度异质性与治疗前的非言语能力、症状严重程度、动作和手势范围以及词汇理解有关。我们根据这些结果讨论了为自闭症谱系障碍儿童制定“个性化”干预措施的意义。