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Outcome for Children Receiving the Early Start Denver Model Before and After 48 Months
Abstract
The Early Start Denver Model (ESDM) is an intervention program recommended for pre-schoolers with autism ages 12-48 months. The rationale for this recommendation is the potential for intervention to affect developmental trajectories during early sensitive periods. We investigated outcomes of 32 children aged 18-48 months and 28 children aged 48-62 months receiving the ESDM for one year (approximately 20 h per week). Younger children achieved superior verbal DQ gains compared to their older counterparts. There were no group differences with respect to non-verbal DQ and adaptive behavior (with both age-groups undergoing significant change), or ASD severity (with neither age-group showing improvements on the ADOS). The association between verbal DQ gains and age at intake was moderated by baseline verbal level.
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“Although autism specific interventions can have benefits at any age, studies show the greatest benefit when intervention is implemented early (e.g., Dawson et al., 2010; Guthrie et al., 2023; Vivanti et al., 2016).”
From Navigating the Challenges: A Commentary on Barriers to Autism Screening in Childcare Centers (2026) · cites this paper as Vivanti et al., 2016
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Ma, C., Chen, L., Li, M., Wu, D., Wang, S., Zhao, Y., Shi, J.-L., Rydell, P. J., Chen, J., & Wang, Y. (2022) · Frontiers in Pediatrics · doi:10.3389/fped.2022.831621 · Cited by 5
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Metadata
- Authors
- The Victorian ASELCC Team, Vivanti, G., & Dissanayake, C.
- Affiliations
- Drexel University (US)
- La Trobe University (AU)
- Corresponding author
- Vivanti, Giacomo
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2016-03-28
- Volume
- 46
- Issue
- 7
- Pages
- 2441-2449
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2324499091
- Cited by
- 174
- References
- 59
- Citations by year
- 2026: 12 · 2025: 18 · 2024: 22 · 2023: 17 · 2022: 24 · 2021: 24 · 2020: 14 · 2019: 16 · 2018: 14 · 2017: 12 · 2016: 1
- FWCI
- 9.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Department of Social Services (AU)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- Early Start Denver Model, autism spectrum disorder, early intervention, preschool children, age at intervention, developmental trajectories, sensitive period, adaptive behavior, ASD severity
- MeSH terms
- Adaptation, Psychological, Autistic Disorder, Behavior Therapy, Child, Child, Preschool, Female, Humans, Male, Treatment Outcome, Early Medical Intervention
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