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Social and Behavioural Outcomes of School Aged Autistic Children Who Received Community-Based Early Interventions.

Journal of autism and developmental disorders2023

Vinen Zoe, Clark Megan, Dissanayake Cheryl

What this study means for families

This study looked at how autistic children were doing at school age after receiving early intervention programs. Researchers compared children who had Group Early Start Denver Model therapy with those who had other community programs. Both groups had similar challenges with daily living skills, social skills, behaviour problems, and attitudes about school. The main difference was that children in the other programs had more disrupted play.

All children still needed ongoing support at school, regardless of which early intervention they received.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This study examined school-age outcomes of 31 autistic children who received community-based Group Early Start Denver Model (G-ESDM) compared to 28 children who received other community interventions. Results showed no significant differences between groups in adaptive functioning, social skills, problem behaviours, or school attitudes. The only difference found was in play disruption, where children receiving other community interventions showed higher levels compared to the G-ESDM group. Both groups demonstrated pervasive challenges across adaptive behaviour, social skills, and play behaviour at school, suggesting that regardless of early intervention type received, ongoing support is needed throughout the school years.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    No significant differences found between G-ESDM and other community interventions in adaptive functioning, social skills, problem behaviours, or school attitudes

    Confidence: moderateRelevance: Suggests similar long-term outcomes across different community-based early intervention approaches
  • 2

    Children receiving other community interventions showed higher play disruption compared to G-ESDM group

    Confidence: moderateRelevance: G-ESDM may provide some advantage in maintaining play skills
  • 3

    Both groups demonstrated pervasive challenges in adaptive behaviour, social and play behaviour at school

    Confidence: moderateRelevance: Highlights need for continued support throughout school years regardless of early intervention type

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Results suggest that while early intervention is important, ongoing support is essential throughout school years. Different community-based early interventions may yield similar long-term outcomes, though G-ESDM may offer some advantages for play skills. Clinicians should prepare families for continued support needs beyond early intervention period.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Small sample size (59 total participants) limits generalisability. Study type not specified, preventing assessment of methodological quality. No information provided about intervention duration, intensity, or specific outcome measures used. Lack of control group without early intervention limits conclusions about intervention effectiveness overall.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

The school-age outcomes of autistic children who received early interventions (EI) remains limited. Adaptive functioning, social, peer play skills, problem behaviours, and attitudes towards school of 31 autistic children who received community-based group early start Denver model (G-ESDM) were compared to 28 age matched autistic children who received other community interventions. Similar adaptive behaviours, social skills, problem behaviours and attitudes towards school were found. Play disruption was the only dimension of play to differ; children that received community interventions demonstrated higher levels of play disruption compared to the G-ESDM group.

Children had pervasive challenges in adaptive behaviour, social and play behaviour at school, irrespective of EI type. Thus, ongoing provisions are needed to support development into the school years.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Journal of autism and developmental disorders
Year
2023
PMID
35182258
DOI
10.1007/s10803-022-05477-3

MeSH Terms

HumansChildAutistic DisorderAutism Spectrum DisorderAttitudeLongitudinal StudiesAdaptation, Psychological