Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 12/2022

13-01-2022 | Original Paper

A Randomized, Community-Based Feasibility Trial of Modified ESDM for Toddlers with Suspected Autism

Auteurs: Pat Mirenda, Paola Colozzo, Veronica Smith, Ed Kroc, Karen Kalynchuk, Sally J. Rogers, Wendy J. Ungar

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

A randomized feasibility trial of a parent coaching (PC) intervention was conducted across 16 community agencies in a Canadian province. Parents of toddlers with suspected autism were assigned to either a PC group (n = 24) or an enhanced community treatment (ECT) group (n = 25). PC participants received 24 weeks of coaching support from community service providers trained in the project. Children in both groups also received available community services and supplementary materials. PC children made significantly greater gains in word understanding and PC parents had significantly higher quality of life, satisfaction, and self-efficacy scores. Results are discussed in terms of the challenges of conducting feasibility studies in community settings and the lessons learned in the project.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Voetnoten
1
In line with recommendations from autistic adults about the use of non-ableist language in research manuscripts (e.g., Bottema-Beutel et al., 2020), we refer to “autistic child” or “child on the autism spectrum” whenever possible, rather than “child with ASD” or “child with autism.” We also use “suspected autism, “suspected of having autism,” or “with increased likelihood of autism” instead of “at risk for autism” and we avoided use of “autism spectrum disorder: and “ASD” entirely.
Reference: Bottema-Beutel, K., Kapp, S., Lester, J., Sasson, N., & Hand, B. (2020). Avoiding ableist language: Suggestions for autism researchers. Autism in Adulthood, 3, 18–19. https://​doi.​org/​10.​1089/​aut.​2020.​0014.
 
2
Additional components of the project are summarized elsewhere, including the results of a community-based approach to parent coach training (Mirenda et al., 2021), a qualitative evaluation of factors affecting implementation (Smith et al., 2021); and a cost analysis (Tsiplova et al., 2021).
 
Literatuur
go back to reference Adamson, L. B., Bakeman, R., & Suma, K. (2019, May). The Joint Engagement Rating Inventory: Adaptation for the PACE Coaching Project (Technical Report 25g). Georgia State University. Adamson, L. B., Bakeman, R., & Suma, K. (2019, May). The Joint Engagement Rating Inventory: Adaptation for the PACE Coaching Project (Technical Report 25g). Georgia State University.
go back to reference Brian, J., Smith, I. M., Zwaigenbaum, L., & Bryson, S. (2017). Cross-site randomized control trial of the Social ABCs caregiver-mediated intervention for toddlers with autism spectrum disorder. Autism Research, 10, 1700–1711.CrossRefPubMed Brian, J., Smith, I. M., Zwaigenbaum, L., & Bryson, S. (2017). Cross-site randomized control trial of the Social ABCs caregiver-mediated intervention for toddlers with autism spectrum disorder. Autism Research, 10, 1700–1711.CrossRefPubMed
go back to reference Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, & Social Sciences and Humanities Research Council. (2018, December). Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. Secretariat on Responsible Conduct of Research. Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, & Social Sciences and Humanities Research Council. (2018, December). Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. Secretariat on Responsible Conduct of Research.
go back to reference Dempsey, E., Smith, I. M., Flanagan, H., Duku, E., Lawrence, M., & Szatmari, P,…, Bennett, T. (2020). Psychometric properties of the Merrill–Palmer-Revised Scales of Development in preschool children with autism spectrum disorder. Assessment, 27, 1796–1809. https://doi.org/10.1177/1073191118818754 Dempsey, E., Smith, I. M., Flanagan, H., Duku, E., Lawrence, M., & Szatmari, P,…, Bennett, T. (2020). Psychometric properties of the Merrill–Palmer-Revised Scales of Development in preschool children with autism spectrum disorder. Assessment, 27, 1796–1809. https://​doi.​org/​10.​1177/​1073191118818754​
go back to reference Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.CrossRefPubMed Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.CrossRefPubMed
go back to reference Fenson, L., Dale, P. S., Reznick, J. S., Thal, D., Bates, E., Hartung, J. P,…,Reilly, J. S. (1993). MacArthur–Bates Communicative Development Inventory: Users guide and technical manual. Singular Publishing Company. Fenson, L., Dale, P. S., Reznick, J. S., Thal, D., Bates, E., Hartung, J. P,…,Reilly, J. S. (1993). MacArthur–Bates Communicative Development Inventory: Users guide and technical manual. Singular Publishing Company.
go back to reference Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. FMHI Publication #231. University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network. Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. FMHI Publication #231. University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.
go back to reference Fulton, E., Eapen, V., Črnčec, R., Walter, A., & Rogers, S. (2014). Reducing maladaptive behaviors in preschool-aged children with autism spectrum disorder using the Early Start Denver Model. Frontiers in Pediatrics, 2(Article 40), 1–10. https://doi.org/10.3389/fped.2014.00040 Fulton, E., Eapen, V., Črnčec, R., Walter, A., & Rogers, S. (2014). Reducing maladaptive behaviors in preschool-aged children with autism spectrum disorder using the Early Start Denver Model. Frontiers in Pediatrics, 2(Article 40), 1–10. https://​doi.​org/​10.​3389/​fped.​2014.​00040
go back to reference Green, J., Pickles, A., Pasco, G., Bedford, R., Wan, M. W., Elsabbagh, M.,…, British Autism Study of Infant Siblings (BASIS) Team. (2017). Randomised trial of a parent-mediated intervention for infants at high risk for autism: Longitudinal outcomes to age 3 years. Journal of Child Psychology and Psychiatry, 58, 1330–1340. https://doi.org/10.1111/jcpp.12728 Green, J., Pickles, A., Pasco, G., Bedford, R., Wan, M. W., Elsabbagh, M.,…, British Autism Study of Infant Siblings (BASIS) Team. (2017). Randomised trial of a parent-mediated intervention for infants at high risk for autism: Longitudinal outcomes to age 3 years. Journal of Child Psychology and Psychiatry, 58, 1330–1340. https://​doi.​org/​10.​1111/​jcpp.​12728
go back to reference Hanft, B., Rush, D. D., & Shelden, M. L. (2004). Coaching families and colleagues in early childhood. Brookes Publishing Co. Hanft, B., Rush, D. D., & Shelden, M. L. (2004). Coaching families and colleagues in early childhood. Brookes Publishing Co.
go back to reference Lord, C., Risi, S., & Pickles, A. (2008). Trajectory of language development in autistic spectrum disorders. In M. Rice & S. Warren (Eds.), Developmental language disorders: From phenotypes to etiologies (pp. 7–29). Lawrence Erlbaum Associates. Lord, C., Risi, S., & Pickles, A. (2008). Trajectory of language development in autistic spectrum disorders. In M. Rice & S. Warren (Eds.), Developmental language disorders: From phenotypes to etiologies (pp. 7–29). Lawrence Erlbaum Associates.
go back to reference Micheletti, M., McCracken, C., Constantino, J., Mandell, D., Jones, W., & Klin, A. (2020). Research review: Outcomes of 24- to 36-month-old children with autism spectrum disorder vary by ascertainment strategy: A systematic review and meta-analysis. Journal of Child Psychology and Psychiatry, 61, 4–17. https://doi.org/10.1111/jccp.13057CrossRefPubMed Micheletti, M., McCracken, C., Constantino, J., Mandell, D., Jones, W., & Klin, A. (2020). Research review: Outcomes of 24- to 36-month-old children with autism spectrum disorder vary by ascertainment strategy: A systematic review and meta-analysis. Journal of Child Psychology and Psychiatry, 61, 4–17. https://​doi.​org/​10.​1111/​jccp.​13057CrossRefPubMed
go back to reference Mirenda, P., Smith, V., Colozzo, P., Vismara, L. A., Ungar, W. J., & Kalynchuk, K. (2021). Training coaches in community agencies to support parents of children with suspected autism: Outcomes, facilitators, and barriers. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-021-05363-4 Mirenda, P., Smith, V., Colozzo, P., Vismara, L. A., Ungar, W. J., & Kalynchuk, K. (2021). Training coaches in community agencies to support parents of children with suspected autism: Outcomes, facilitators, and barriers. Journal of Autism and Developmental Disorders. https://​doi.​org/​10.​1007/​s10803-021-05363-4
go back to reference Robins, D., Fein, D., & Barton, M. (2009). The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F). Retrieved on February 18, 2021, from https://mchatscreen.com/ Robins, D., Fein, D., & Barton, M. (2009). The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F). Retrieved on February 18, 2021, from https://​mchatscreen.​com/​
go back to reference Rogers, S., & Dawson, G. (2010). Early Start Denver Model for young children with autism. Guilford. Rogers, S., & Dawson, G. (2010). Early Start Denver Model for young children with autism. Guilford.
go back to reference Rogers, S. J., Dawson, G., & Vismara, L. (2012a). An early start for your child with autism: Using everyday activities to help kids connect, communicate, and learn. Guilford Press. Rogers, S. J., Dawson, G., & Vismara, L. (2012a). An early start for your child with autism: Using everyday activities to help kids connect, communicate, and learn. Guilford Press.
go back to reference Rogers, S. J., Dawson, G., Zierhut, C., Winter, J., McCormick, C., & Holly, E. (2013). Community ESDM (C-ESDM) Curriculum Checklist for Young Children. University of California-Davis MIND Institute. Rogers, S. J., Dawson, G., Zierhut, C., Winter, J., McCormick, C., & Holly, E. (2013). Community ESDM (C-ESDM) Curriculum Checklist for Young Children. University of California-Davis MIND Institute.
go back to reference Rogers, S., Estes, A., Lord, C., Vismara, L., Winter, J., & Fitzpatrick, A,…., Dawson, G. (2012b). Effects of a brief Early Start Denver Model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1052–1065. https://doi.org/10.1016/j.jaac.2012.08.003 Rogers, S., Estes, A., Lord, C., Vismara, L., Winter, J., & Fitzpatrick, A,…., Dawson, G. (2012b). Effects of a brief Early Start Denver Model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1052–1065. https://​doi.​org/​10.​1016/​j.​jaac.​2012.​08.​003
go back to reference Rogers, S., Estes, A., Vismara, L., Munson, J., Zierhut, C., & Greenson, J.,…, Talbott, M. (2019). Enhancing low-intensity coaching in parent implemented Early Start Denver Model intervention for early autism: A randomized comparison treatment trial. Journal of Autism and Developmental Disorders, 49, 632–646. https://doi.org/10.1007/s10803-018-3740-5 Rogers, S., Estes, A., Vismara, L., Munson, J., Zierhut, C., & Greenson, J.,…, Talbott, M. (2019). Enhancing low-intensity coaching in parent implemented Early Start Denver Model intervention for early autism: A randomized comparison treatment trial. Journal of Autism and Developmental Disorders, 49, 632–646. https://​doi.​org/​10.​1007/​s10803-018-3740-5
go back to reference Rogers, S. J., Vismara, L. A., & Dawson, G. (Eds.) (2021). Coaching parents of young children with autism: Promoting connection, communication, and learning. Guilford Press. Rogers, S. J., Vismara, L. A., & Dawson, G. (Eds.) (2021). Coaching parents of young children with autism: Promoting connection, communication, and learning. Guilford Press.
go back to reference Roid, G. H., & Sampers, J. L. (2004). Merrill–Palmer-Revised Scales of Development. Stoelting Co. Roid, G. H., & Sampers, J. L. (2004). Merrill–Palmer-Revised Scales of Development. Stoelting Co.
go back to reference Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G., & G.,…, Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 2411–2428. https://doi.org/10.1007/s10803-015-2407-8 Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G., & G.,…, Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 2411–2428. https://​doi.​org/​10.​1007/​s10803-015-2407-8
go back to reference Smith, V., Mirenda, P., Colozzo, P., Ungar, W. J., Kalynchuk, K., Denomey, N., Trafford, L., & Altani, A. (2021b). Advancing the uptake of community autism early intervention with the use of implementation frameworks (manuscript submitted for publication). Smith, V., Mirenda, P., Colozzo, P., Ungar, W. J., Kalynchuk, K., Denomey, N., Trafford, L., & Altani, A. (2021b). Advancing the uptake of community autism early intervention with the use of implementation frameworks (manuscript submitted for publication).
go back to reference Statistics Canada. (2016). Table 17–10–0122–01 Census indicator profile, based on the 2016 Census short-form questionnaire, Canada, provinces and territories, and health regions (2017 boundaries). Retrieved February 6, 2021, from https://doi.org/10.25318/1710012201-eng Statistics Canada. (2016). Table 17–10–0122–01 Census indicator profile, based on the 2016 Census short-form questionnaire, Canada, provinces and territories, and health regions (2017 boundaries). Retrieved February 6, 2021, from https://​doi.​org/​10.​25318/​1710012201-eng
go back to reference Suma, K., Adamson, L., & Bakeman, R. (2017, October). Training and reliability procedures for the Joint Engagement Rating Inventory (JERI), Technical Report 27. Georgia State University. Suma, K., Adamson, L., & Bakeman, R. (2017, October). Training and reliability procedures for the Joint Engagement Rating Inventory (JERI), Technical Report 27. Georgia State University.
go back to reference Tsiplova, K., Jegathisawaran, J., Mirenda, P., Kalynchuk, K., Colozzo, P., Smith, V., & Ungar, W. J., (2021). Parent coaching intervention for children with suspected autism spectrum disorder: Cost analysis (manuscript submitted for publication). Tsiplova, K., Jegathisawaran, J., Mirenda, P., Kalynchuk, K., Colozzo, P., Smith, V., & Ungar, W. J., (2021). Parent coaching intervention for children with suspected autism spectrum disorder: Cost analysis (manuscript submitted for publication).
go back to reference Vivanti, G., Dissanayake, C., Duncan, E., Capes, J., Upson, S., Bent, C,…, The Victorian ASELCC Team. (2019). Outcomes of children receiving Group-Early Start Denver Model in an inclusive versus autism-specific setting: A pilot randomized controlled trial. Autism, 23, 1165–1175. https://doi.org/10.1177/1362361318801341 Vivanti, G., Dissanayake, C., Duncan, E., Capes, J., Upson, S., Bent, C,…, The Victorian ASELCC Team. (2019). Outcomes of children receiving Group-Early Start Denver Model in an inclusive versus autism-specific setting: A pilot randomized controlled trial. Autism, 23, 1165–1175. https://​doi.​org/​10.​1177/​1362361318801341​
go back to reference Vivanti, G., Paynter, J., Duncan, E., Fothergill, H., Dissanayake, C., Rogers, S., & The Victorian ASELCC Team. (2014). Effectiveness and feasibility of the Early Start Denver Model implemented in a group-based community childcare setting. Journal of Autism and Developmental Disorders, 44, 3140–3153. https://doi.org/10.1007/s10803-014-2168-9CrossRefPubMed Vivanti, G., Paynter, J., Duncan, E., Fothergill, H., Dissanayake, C., Rogers, S., & The Victorian ASELCC Team. (2014). Effectiveness and feasibility of the Early Start Denver Model implemented in a group-based community childcare setting. Journal of Autism and Developmental Disorders, 44, 3140–3153. https://​doi.​org/​10.​1007/​s10803-014-2168-9CrossRefPubMed
go back to reference Whitehouse, A., Varcin, K., Pillar, S., Billingham, W., Alvares, G., Barbaro, J,…, Hudry, K. (2021). Effect of preemptive intervention on developmental outcomes among infants showing early signs of autism: A randomized clinical trial of outcomes to diagnosis. JAMA Pediatrics, e213298. https://doi.org/10.1001/jamapediatrics.2021.3298 Whitehouse, A., Varcin, K., Pillar, S., Billingham, W., Alvares, G., Barbaro, J,…, Hudry, K. (2021). Effect of preemptive intervention on developmental outcomes among infants showing early signs of autism: A randomized clinical trial of outcomes to diagnosis. JAMA Pediatrics, e213298. https://​doi.​org/​10.​1001/​jamapediatrics.​2021.​3298
go back to reference Zhou, B., Xu, Q., Li, H., Zhang, Y., Wang, Y., Rogers, S. J., & Xu, X. (2018). Effects of parent-implemented Early Start Denver Model intervention on Chinese toddlers with autism spectrum disorder: A non-randomized controlled trial. Autism Research, 11, 654–666.CrossRefPubMed Zhou, B., Xu, Q., Li, H., Zhang, Y., Wang, Y., Rogers, S. J., & Xu, X. (2018). Effects of parent-implemented Early Start Denver Model intervention on Chinese toddlers with autism spectrum disorder: A non-randomized controlled trial. Autism Research, 11, 654–666.CrossRefPubMed
go back to reference Zwaigenbaum, L., Bauman, M., Choueiri, R., Kasari, C., Carter, A., & Granpeesheh, D.,…, Natowicz, M. (2015). Early intervention for children with autism spectrum disorder under 3 years of age: Recommendations for practice and research. Pediatrics, 136, S62–S81. https://doi.org/10.1542/peds.2014-3667E Zwaigenbaum, L., Bauman, M., Choueiri, R., Kasari, C., Carter, A., & Granpeesheh, D.,…, Natowicz, M. (2015). Early intervention for children with autism spectrum disorder under 3 years of age: Recommendations for practice and research. Pediatrics, 136, S62–S81. https://​doi.​org/​10.​1542/​peds.​2014-3667E
go back to reference Zwaigenbaum, L., Bryson, S., Lord, C., Rogers, S., Carter, A., & Carver, L,…, Yirmiya, N. (2009). Clinical assessment and management of toddlers with suspected autism spectrum disorder: Insights from studies of high-risk infants. Pediatrics, 123, 1383–1391. https://doi.org/10.1542/peds.2008-1606 Zwaigenbaum, L., Bryson, S., Lord, C., Rogers, S., Carter, A., & Carver, L,…, Yirmiya, N. (2009). Clinical assessment and management of toddlers with suspected autism spectrum disorder: Insights from studies of high-risk infants. Pediatrics, 123, 1383–1391. https://​doi.​org/​10.​1542/​peds.​2008-1606
Metagegevens
Titel
A Randomized, Community-Based Feasibility Trial of Modified ESDM for Toddlers with Suspected Autism
Auteurs
Pat Mirenda
Paola Colozzo
Veronica Smith
Ed Kroc
Karen Kalynchuk
Sally J. Rogers
Wendy J. Ungar
Publicatiedatum
13-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 12/2022
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-021-05390-1

Andere artikelen Uitgave 12/2022

Journal of Autism and Developmental Disorders 12/2022 Naar de uitgave