A recent study documented the efficacy of the Early Start Denver Model (ESDM) delivered in a 1:1 fashion. In the current study we investigated the effectiveness and feasibility of the ESDM in the context of a long-day care community service, with a child-staff ratio of 1:3. Outcomes of 27 preschoolers with ASD undergoing 15–25 h per week of ESDM over 12 months were compared to those of 30 peers with ASD undergoing a different intervention program delivered in a similar community long-day care service. Children in both groups made gains in cognitive, adaptive and social skills. Participants in the ESDM group showed significantly higher gains in developmental rate and receptive language.
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The present research was supported by the Australian Government Department of Social Services. We thank Parise Gentikoglou, Jenny Mayes, Adriana Zoumbilis, Denise Williams and Anu Massey for their assistance in running the Victorian ASELCC program. We also thank Kristelle Hudry, David Trembath, Josie Barbaro, Wojciech Nadachowski, Elfriede Ihsen, Kat Crea, Nusrat Ahmed, Heather Nuske, Megan Clark, Lisa Rumsey, Megan Grant, Carmela Germano, and Cathy Bent from the Olga Tennison Autism Research Centre for assistance with the assessment and data collection process. Thanks to James Scott, Helen Heussler, and Wendi Beamish, members of the AEIOU Research Advisory Group for their guidance in the initial stages of this project. Thank you also to Prof. Margot Prior for constant encouragement and support. Finally, we thank all the children who took part in the project, as well as the parents who gave so generously of their time by filling forms and questionnaires.
The Victorian ASELCC Team in alphabetical order: Kristy Capes, Jessica Feary, Carolyne Jones, Harpreet Kaur Ahluwalia, Liz Kirby, Benaaz Master, Dianna Pell, Katherine Pye, Harshinee Rajapakse, Jennifer Reynolds, Antonina Trifiletti, Shannon Upson, Cynthia Zierhut.
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Vivanti, G., Paynter, J., Duncan, E. et al. Effectiveness and Feasibility of the Early Start Denver Model Implemented in a Group-Based Community Childcare Setting. J Autism Dev Disord 44, 3140–3153 (2014). https://doi.org/10.1007/s10803-014-2168-9
- Autism spectrum disorder
- Early Start Denver Model
- Community implementation
- Early intervention