Journal of Autism and Developmental Disorders

, Volume 48, Issue 5, pp 1673–1683 | Cite as

School Age Outcomes of Children with Autism Spectrum Disorder Who Received Community-Based Early Interventions

  • Zoe Vinen
  • Megan Clark
  • Jessica Paynter
  • Cheryl Dissanayake
Original Paper

Abstract

This study followed children with Autism Spectrum Disorder (ASD) from early intervention into their early schooling years, when they were aged between 6 and 9 years, on autism symptom severity and cognitive functioning. The children, matched at pre-intervention, were compared on type of community provided service: 31 were in receipt of community-based group Early Start Denver Model and 28 had received other community provisions for ASD. Irrespective of groups, cognitive functioning was found to have significantly improved by school age compared to pre-intervention. Autism symptom severity increased during the same developmental period, seemingly driven by an increase in restricted and repetitive behaviours over time. In contrast, both groups displayed improved social affect by school age.

Keywords

Autism spectrum disorder Early Start Denver Model Community Early intervention Long-term School age 

Notes

Acknowledgments

We thank Dr Giacomo Vivanti, the team at the Victorian Autism Specific Early Learning and Care Centre (ASELCC), Victoria, Australia, and the AEIOU Foundation (AEIOU), Queensland, Australia, for their contribution.

Author Contributions

All authors made a considerable contribution to the conception, design, drafting, and revising of the paper prior to publication. Authors have been listed in order of their contribution.

Supplementary Materials

Research materials related to the paper may be accessed by contacting the corresponding author.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Akshoomoff, N. (2006). Use of the Mullen Scales of Early Learning for the assessment of young children with autism spectrum disorders. Child Neuropsychology, 12(4–5), 269–277.  https://doi.org/10.1080/09297040500473714.CrossRefPubMedPubMedCentralGoogle Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revised (4th Edn.). Washington, DC: American Psychiatric Association.Google Scholar
  3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th Edn.). Arlington, VA: American Psychiatric Association.CrossRefGoogle Scholar
  4. Australian Government. (2010). Early Learning and Care Centres Program Guidelines. Retrieved May 4, 2017, from https://www.dss.gov.au/sites/default/files/documents/06_2015/early_learning_and_care_centres_program_guidelines.pdf.
  5. Barbaro, J., & Dissanayake, C. (2013). Early markers of autism spectrum disorders in infants and toddlers prospectively identified in the Social Attention and Communication Study. Autism, 17(1), 64–86.  https://doi.org/10.1177/1362361312442597.CrossRefPubMedGoogle Scholar
  6. Boyd, B. A., Hume, K., McBee, M. T., Alessandri, M., Gutierrez, A., Johnson, L., … Odom, S. L. (2014). Comparative efficacy of LEAP, TEACCH and non-model-specific special education programs for preschoolers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44(2), 366–380.  https://doi.org/10.1007/s10803-013-1877-9.CrossRefPubMedGoogle Scholar
  7. Burns, T. G., King, T. Z., & Spencer, K. S. (2012). Mullen Scales of Early Learning: The utility in assessing children diagnosed with autism spectrum disorders, cerebral palsy, and epilepsy. Applied Neuropsychology, 2(1), 33–42.  https://doi.org/10.1080/21622965.2012.682852.CrossRefPubMedGoogle Scholar
  8. Clark, M. L. E., Barbaro, J., & Dissanayake, C. (2017). Continuity and change in cognition and autism severity from toddlerhood to school age. Journal of Autism and Developmental Disorders, 47(2), 328–339.  https://doi.org/10.1007/s10803-016-2954-7.CrossRefPubMedGoogle Scholar
  9. Clark, M. L. E., Vinen, Z., Barbaro, J., & Dissanayake, C. (2017). School age outcomes of children diagnosed early and later with autism spectrum disorder. Journal of Autism and Developmental Disorders.  https://doi.org/10.1007/s10803-017-3279-x.Google Scholar
  10. Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., … Varley, J. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), 17–23.  https://doi.org/10.1542/peds.2009-0958.CrossRefGoogle Scholar
  11. Eapen, V., Črnčec, R., & Walter, A. (2013). Clinical outcomes of an early intervention program for preschool children with autism spectrum disorder in a community group setting. BMC Pediatrics, 13(3).  https://doi.org/10.1186/1471-2431-13-3.
  12. Estes, A., Munson, J., Rogers, S. J., Greenson, J., Winter, J., & Dawson, G. (2015). Long-term outcomes of early intervention in 6-year-old children with autism spectrum disorder. Adolescent Psychiatry, 54(7), 580–587.  https://doi.org/10.1016/j.jaac.2015.04.005.CrossRefGoogle Scholar
  13. Frost, L. A., & Bondy, A. S. (1994). The picture exchange communication system training manual. Cherry Hill, NJ: PECs, Inc.Google Scholar
  14. Gotham, K., Risi, S., Pickles, A., & Lord, C. (2007). The autism diagnostic observation schedule: Revised algorithms for improved diagnostic validity. Journal of Autism and Developmental Disorders, 37(4), 613–627.  https://doi.org/10.1007/s10803-006-0280-1.CrossRefPubMedGoogle Scholar
  15. Granpeesheh, D., Dixon, D. R., Tarbox, J., Kaplan, A. M., & Wilke, A. E. (2009). The effects of age and treatment intensity on behavioral intervention outcomes for children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(4), 1014–1022.  https://doi.org/10.1016/j.rasd.2009.06.007.CrossRefGoogle Scholar
  16. Hayward, D., Eikeseth, S., Gale, C., & Morgan, S. (2009). Assessing progress during treatment for young children with autism receiving intensive behavioural interventions. Autism, 13(6), 613–633.  https://doi.org/10.1177/1362361309340029.CrossRefPubMedGoogle Scholar
  17. Hume, K., Boyd, B., McBee, M., Coman, D., Gutierrez, A., Shaw, E. … Odom, S. (2011). Assessing implementation of comprehensive treatment models for young children with ASD: Reliability and validity of two measures. Research in Autism Spectrum Disorders, 5(4), 1430–1440.  https://doi.org/10.1016/j.rasd.2011.02.002.CrossRefGoogle Scholar
  18. Lincoln, A. J., Allen, M. H., & Kilman, A. (1995). The assessment and interpretation of intellectual abilities in people with autism. In E. Schopler & G. B. Mesibov (Eds.), Learning and cognition in autism (pp. 89–117). New York: Springer.CrossRefGoogle Scholar
  19. Lord, C., Risi, S., Lambrecht, L., Cook, E. Jr., Leventhal, B., DiLavore, P., … Rutter, M. (2000). The autism diagnostic observation schedule—generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.  https://doi.org/10.1023/a:1005592401947.CrossRefPubMedGoogle Scholar
  20. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule manual. Los Angeles, CA: Western Psychological Services.Google Scholar
  21. Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. L. (2012). Autism diagnostic observation schedule: ADOS-2. CA: Western Psychological Services.Google Scholar
  22. Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.  https://doi.org/10.1007/BF02172145.CrossRefPubMedGoogle Scholar
  23. Mayes, S. D., & Calhoun, S. L. (2003). Analysis of WISC-III, Stanford-Binet: IV, and academic achievement test scores in children with autism. Journal of Autism and Developmental Disorders, 33(3), 329–341.  https://doi.org/10.1023/A:1024462719081.CrossRefPubMedGoogle Scholar
  24. Mullen, E. M. (1995). Mullen scales of early learning manual. Circle Pines, MN: American Guidance Service.Google Scholar
  25. Paynter, J. M., Riley, E. P., Beamish, W., Scott, J. G., & Heussler, H. S. (2015). Brief report: An evaluation of an Australian autism-specific, early intervention programme. International Journal of Special Education, 30(2), 13–19.Google Scholar
  26. Perry, A., Cummings, A., Geier, J. D., Freeman, N. L., Hughes, S., Managhan, T., … Williams, J. (2011). Predictors of outcome for children receiving intensive behavioral intervention in a large, community-based program. Research in Autism Spectrum Disorders, 5(1), 592–603.  https://doi.org/10.1016/j.rasd.2010.07.003.CrossRefGoogle Scholar
  27. Prior, M., Roberts, J. M. A., Rodger, S., & Williams, K. (2011). A review of the research to identify the most effective models of practice in early intervention of children with autism spectrum disorders. Australian Government Department of Families, Housing, Community Services and Indigenous Affairs, Australia.Google Scholar
  28. Productivity Commission. (2011). Disability care and support (Report no. 54). Canberra: Productivity Commission.Google Scholar
  29. Reichow, B. (2012). Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(4), 512–520.  https://doi.org/10.1007/s10803-011-1218-9.CrossRefPubMedGoogle Scholar
  30. Rogers, S. (2013). Early Start Denver Model. In F. R. Volkmar (Ed.), Encyclodedia of autism spectrum disorders. New York: Springer Publishing.Google Scholar
  31. Rogers, S. J., & Dawson, G. (2010). Early Start Denver Model for young children with autism: Promoting language, learning, and engagement. New York: The Gilford Press.Google Scholar
  32. Rogers, S. J., Dawson, G., & Vismara, L. A. (2012). An early start for your child with autism: Using everyday activities to help kids connect, communicate, and learn. New York: The Guilford Press.Google Scholar
  33. Rutter, M., Bailey, A., & Lord, C. (2003). Social communication questionnaire (SCQ). Los Angeles, CA: Western Psychological Services.Google Scholar
  34. Sallows, G. O., & Graupner, T. D. (2005). Intensive behavioral treatment for children with autism: Four-year outcome and predictors. American Journal on Mental Retardation, 110(6), 417–438.  https://doi.org/10.1352/0895-8017(2005)110[417:IBTFCW]2.0.CO;2 CrossRefPubMedGoogle Scholar
  35. Schopler, E. (1994). A statewide program for the Treatment and Education of Autistic and related Communication Handicapped Children (TEACCH). Psychoses and Pervasive Developmental Disorders, 3, 91–103.Google Scholar
  36. Schreibman, L., Dawson, G., Stahmer, A. C., et al. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428.  https://doi.org/10.1007/s10803-015-2407-8.CrossRefPubMedPubMedCentralGoogle Scholar
  37. Smith, T., & Iadarola, S. (2015). Evidence base update for autism spectrum disorder. Journal of Clinical Child and Adolescent Psychology, 44(6), 897–922.  https://doi.org/10.1080/15374416.2015.1077448.CrossRefPubMedGoogle Scholar
  38. Smith, T., Groen, A. D., & Wynn, J. W. (2000). Randomized trial of intensive early intervention for children with pervasive developmental disorder. American Journal of Mental Retardation, 105(4), 269–285.  https://doi.org/10.1352/0895-8017(2000)105<0269:RTOIEI>2.0.CO;2 CrossRefPubMedGoogle Scholar
  39. Starr, E. M., Popovic, S., & McCall, B. P. (2016). Supporting children with autism spectrum disorder at primary school: Are the promises of early intervention maintained? Current Developmental Disorders Reports, 3(1), 46–56.  https://doi.org/10.1007/s40474-016-0069-7.CrossRefGoogle Scholar
  40. Vivanti, G., Duncan, E., Dawson, G., & Rogers, S. J. (2017). Implementing the group-based Early Start Denver Model for preschoolers with autism. New York: Springer.CrossRefGoogle Scholar
  41. Vivanti, G., Manzi, B., Benvenuto, A., Battan, B., & Curatolo, P. (2011). An Italian prospective study on autism treatment: The earlier, the better?. Autism.  https://doi.org/10.4172/2165-7890.1000102.Google Scholar
  42. Vivanti, G., Paynter, J., Duncan, E., Fothergill, H., Dissanayake, C., & Rogers, S. J. (2014). Feasibility and effectiveness of the Early Start Denver Model implemented in a group-based community childcare setting. Journal of Autism and Developmental Disorders, 44(12), 3140–3153.  https://doi.org/10.1007/s10803-014-2168-9.CrossRefPubMedGoogle Scholar
  43. Warren, Z., McPheeters, M. L., Sathe, N., Foss-Feig, J. H., Glasser, A., & Veenstra-VanderWeele, J. (2011). A systematic review of early intensive intervention for autism spectrum disorders. Pediatrics, 127(5), 1303–1311.  https://doi.org/10.1542/peds.2011-0426.CrossRefGoogle Scholar
  44. Wechsler, D. (1999). Wechsler abbreviated scale of intelligence. San Antonio, TX: The Psychological Corporation.Google Scholar
  45. Wechsler, D. (2011). Wechsler abbreviated scale of intelligence (2nd Edn.). San Antonio, TX: Pearson.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  • Zoe Vinen
    • 1
  • Megan Clark
    • 1
  • Jessica Paynter
    • 2
  • Cheryl Dissanayake
    • 1
  1. 1.Olga Tennison Autism Research CentreLa Trobe UniversityMelbourneAustralia
  2. 2.Griffith UniversityNathanAustralia

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