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Journal of Autism and Developmental Disorders
Gepubliceerd in:

05-05-2015 | Original Paper

Cost-Effectiveness Analysis Comparing Pre-diagnosis Autism Spectrum Disorder (ASD)-Targeted Intervention with Ontario’s Autism Intervention Program

Auteurs: Melanie Penner, Meera Rayar, Naazish Bashir, S. Wendy Roberts, Rebecca L. Hancock-Howard, Peter C. Coyte

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 9/2015

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Abstract

Novel management strategies for autism spectrum disorder (ASD) propose providing interventions before diagnosis. We performed a cost-effectiveness analysis comparing the costs and dependency-free life years (DFLYs) generated by pre-diagnosis intensive Early Start Denver Model (ESDM-I); pre-diagnosis parent-delivered ESDM (ESDM-PD); and the Ontario Status Quo (SQ). The analyses took government and societal perspectives to age 65. We assigned probabilities of Independent, Semi-dependent or Dependent living based on projected IQ. Costs per person (in Canadian dollars) were ascribed to each living setting. From a government perspective, the ESDM-PD produced an additional 0.17 DFLYs for $8600 less than SQ. From a societal perspective, the ESDM-I produced an additional 0.53 DFLYs for $45,000 less than SQ. Pre-diagnosis interventions targeting ASD symptoms warrant further investigation.
vorige artikel Autism Symptomatology in Boys with Fragile X Syndrome: A Cross Sectional Developmental Trajectories Comparison with Nonsyndromic Autism Spectrum Disorder
volgende artikel The Empathy and Systemizing Quotient: The Psychometric Properties of the Dutch Version and a Review of the Cross-Cultural Stability
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Literatuur
Auditor General of Ontario. (2011). Chapter 3, section 3.14. Supportive Service for People with Disabilities. 2011 Annual report of the Office of the Auditor General of Ontario. Government of Ontario, Queen’s Park, Toronto.
Auditor General of Ontario. (2013). Ministry of Child and Youth Services: Autism services and supports for children. 2013 Annual Report of the Office of the Auditor General of Ontario (Section 3.01). Queen’s Park, Toronto.
Barrett, B., Byford, S., Sharac, J., Hudry, K., Leadbitter, K., Temple, K., et al. (2012). Service and wider societal costs of very young children with autism in the UK. Journal of Autism and Developmental Disorders, 42(5), 797–804.CrossRefPubMed
Buescher, A., Cidav, Z., Knapp, M., & Mandell, D. S. (2014). Costs of autism spectrum disorders in the United Kingdom and the United States. JAMA Pediatrics, E1–E8 (Published online June 9, 2014).
Canadian Agency for Drugs and Technology in Health. (2006). Guidelines for economic evaluation of health technologies: Canada (3rd ed.). Ottawa: CADTH.
Cederlund, M., Hagberg, B., Billstedt, E., Gillberg, I. C., & Gillberg, C. (2008). Asperger syndrome and autism: A comparative longitudinal follow-up study more than 5 years after original diagnosis. Journal of Autism and Developmental Disorders, 38(1), 72–85.CrossRefPubMed
Charman, T., Pickles, A., Simonoff, E., Chandler, S., Loucas, T., & Baird, G. (2011). IQ in children with autism spectrum disorders: Data from the special needs and autism project (SNAP). Psychological Medicine, 41(3), 619–627.CrossRefPubMed
Cidav, Z., Marcus, S. C., & Mandell, D. S. (2012). Implications of childhood autism for parental employment and earnings. Pediatrics, 129(4), 617–623.PubMedCentralCrossRefPubMed
Cimera, R. E., & Cowan, R. J. (2009). The costs of services and employment outcomes achieved by adults with autism in the US. Autism, 13(3), 285–302.CrossRefPubMed
Coplan, J., & Jawad, A. F. (2005). Modeling clinical outcome of children with autistic spectrum disorders. Pediatrics, 116(1), 117–122.CrossRefPubMed
Dawson, G. (2008). Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Development and Psychopathology, 20(3), 775–803.CrossRefPubMed
Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The early start Denver model. Pediatrics, 125(1), e17–e23.CrossRefPubMed
Drummond, M., Sculpher, M., Torrance, G., O’Brien, B., & Stoddart, G. (2005). Methods for the economic evaluation of health care programmes (3rd ed.). New York: Oxford University Press.
Dudley, C., & Emery, J. C. H. (2014). The value of caregiver time: Costs of support and care for individuals living with autism spectrum disorder. The School of Public Policy Research Papers, 7(1), 1–48.
Eldevik, S., Hastings, R. P., Hughes, J. C., Jahr, E., Eikeseth, S., & Cross, S. (2009). Meta-analysis of early intensive behavioral intervention for children with autism. Journal of Clinical Child & Adolescent Psychology, 38(3), 439–450.CrossRef
Engstrom, I., Ekstrom, L., & Emilsson, B. (2003). Psychosocial functioning in a group of Swedish adults with Asperger syndrome or high-functioning autism. Autism, 7(1), 99–110.PubMed
Farley, M. A., McMahon, W. M., Fombonne, E., Jenson, W. R., Miller, J., Gardner, M., et al. (2009). Twenty-year outcome for individuals with autism and average or near-average cognitive abilities. Autism Research: Official Journal of the International Society for Autism Research, 2(2), 109–118.CrossRef
Flanagan, H., Perry, A., & Freeman, N. (2012). Effectiveness of large-scale community-based intensive behavioral intervention: A waitlist comparison study exploring outcomes and predictors. Research in Autism Spectrum Disorders, 6, 673–682.CrossRef
Freeman, N., & Perry, A. (2010). Outcomes of intensive behavioral intervention in the Toronto preschool autism service. Journal on Developmental Disabilities, 16(2), 17–32.
Gillberg, C., & Steffenburg, S. (1987). Outcome and prognostic factors in infantile autism and similar conditions: A population-based study of 46 cases followed through puberty. Journal of Autism and Developmental Disorders, 17(2), 273–287.CrossRefPubMed
Granpreesheh, D., Dixon, D., Tarbox, J., Kaplan, A., & Wilke, A. (2009). The effects of age and treatment intensity on behavioral intervention outcomes for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3, 1014–1022.CrossRef
Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45(2), 212–229.CrossRefPubMed
Howlin, P., Mawhood, L., & Rutter, M. (2000). Autism and developmental receptive language disorder—a follow-up comparison in early adult life. II: Social, behavioural, and psychiatric outcomes. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41(5), 561–578.CrossRef
Howlin, P., & Moss, P. (2012). Adults with autism spectrum disorders. Canadian Journal of Psychiatry - Revue Canadienne De Psychiatrie, 57(5), 275–283.PubMed
Knapp, M., Romeo, R., & Beecham, J. (2009). Economic cost of autism in the UK. Autism, 13(3), 317–336.CrossRefPubMed
Larsen, F. W., & Mouridsen, S. E. (1997). The outcome in children with childhood autism and Asperger syndrome originally diagnosed as psychotic. A 30-year follow-up study of subjects hospitalized as children. European Child and Adolescent Psychiatry, 6(4), 181–190.CrossRefPubMed
Lavelle, T. A., Weinstein, M. C., Newhouse, J. P., Munir, K., Kuhlthau, K. A., & Prosser, L. A. (2014). Economic burden of childhood autism spectrum disorders. Pediatrics, 133(3), e520–e529.CrossRefPubMed
Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55(1), 3–9.CrossRefPubMed
Motiwala, S., Gupta, S., Lilly, M., Ungar, W., & Coyte, P. (2006). The cost-effectiveness of expanding intensive behavioural intervention to all autistic children in Ontario. Healthcare Policy, 1(2), 135–151.PubMedCentralPubMed
Munson, J., Dawson, G., Sterling, L., Beauchaine, T., Zhou, A., Koehler, E., et al. (2008). Evidence for latent classes of IQ in young children with autism spectrum disorder. American Journal on Mental Retardation, 113(6), 439–452.PubMedCentralCrossRefPubMed
Ontario Ministry of Child and Youth Services. (2006). Autism intervention program—Program guidelines.
Payakachat, N., Tilford, J. M., Kovacs, E., & Kuhlthau, K. (2012). Autism spectrum disorders: A review of measures for clinical, health services and cost-effectiveness applications. Expert Review of Pharmacoeconomics & Outcomes Research, 12(4), 485–503.CrossRef
Perry, A., Cummings, A., Dunn Geier, J., Freeman, N., Hughes, S., Managhan, T., et al. (2011). Predictors of outcome for children receiving intensive behavioral intervention in a large, community-based program. Research in Autism Spectrum Disorders, 5, 592–603.CrossRef
Robins, D. L., Casagrande, K., Barton, M., Chen, A., Dumont-Mathieu, T., & Fein, D. (2014). Validation of the modified checklist for autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 133(1), 37–45.PubMedCentralCrossRefPubMed
Rogers, S. J., & Dawson, G. (2009). Early Start Denver Model for young children with autism: Promoting language, learning and engagement. New York: The Guilford Press.
Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., et al. (2012). 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(10), 1052–1065.PubMedCentralCrossRefPubMed
Rogers, S. J., Vismara, L., Wagner, A., McCormick, C., Young, G., & Ozonoff, S. (2014). Autism treatment in the first year of life: A pilot study of Infant Start, a parent-implemented intervention for symptomatic infants. Journal of Autism & Developmental Disorders, 44(12), 2981–2995.CrossRef
Rumsey, J. M., Rapoport, J. L., & Sceery, W. R. (1985). Autistic children as adults: Psychiatric, social, and behavioral outcomes. Journal of the American Academy of Child Psychiatry, 24(4), 465–473.CrossRefPubMed
Szatmari, P., Bartolucci, G., Bremner, R., Bond, S., & Rich, S. (1989). A follow-up study of high-functioning autistic children. Journal of Autism and Developmental Disorders, 19(2), 213–225.CrossRefPubMed
The Standing Senate Committee on Social Affairs, Science and Technology. (2007). Pay now or pay later: Autism families in crisis. Ottawa: Government of Canada.
Tilford, J. M., Payakachat, N., Kovacs, E., Pyne, J. M., Brouwer, W., Nick, T. G., et al. (2012). Preference-based health-related quality-of-life outcomes in children with autism spectrum disorders: A comparison of generic instruments. PharmacoEconomics, 30(8), 661–679.PubMedCentralCrossRefPubMed
Turygin, N., Matson, J., Williams, L., & Belva, B. (2014). The relationship of parental first concerns and autism spectrum disorder in an early intervention sample. Research in Autism Spectrum Disorders, 8(2), 53–60.CrossRef
Virues-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta-regression and dose-response meta-analysis of multiple outcomes. Clinical Psychology Review, 30(4), 387–399.CrossRefPubMed
Metagegevens
Titel
Cost-Effectiveness Analysis Comparing Pre-diagnosis Autism Spectrum Disorder (ASD)-Targeted Intervention with Ontario’s Autism Intervention Program
Auteurs
Melanie Penner
Meera Rayar
Naazish Bashir
S. Wendy Roberts
Rebecca L. Hancock-Howard
Peter C. Coyte
Publicatiedatum
05-05-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 9/2015
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-015-2447-0

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