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Quality Care Beats Theoretical Model for Autistic Preschoolers

Quality Care Beats Theoretical Model for Autistic PreschoolersAn investigation shows that preschoolers with autism spectrum disorder (ASD) improve developmentally when high-quality early intervention is delivered — regardless of the treatment model used.

Experts say this surprising result may have important implications for special-education programs and school classrooms across the country.

“This is the first study designed to compare long-standing comprehensive treatment models for young children with ASD,” said Dr. Brian Boyd, a fellow at the University of North Carolina and one of the study’s co-principal investigators. Boyd also is an assistant professor in occupational science and occupational therapy in UNC’s School of Medicine.

“We know that more children are being diagnosed with ASD each year, and that it can cost an estimated $3.2 million to treat each child over a lifetime. Understanding that a child can benefit from a high-quality program, rather than a specialized program, may help reduce those costs by decreasing the need for teachers and other school practitioners to be trained to deliver multiple specialized services,” Boyd said.

He stressed it remains important to ensure educators are trained to provide high-quality programs that meet the special behavioral, communication and other needs of children with ASD.

Previous research has shown that when children with ASD have access to early intervention via treatment programs, they improve developmentally.

Until now, however, debate has persisted over which approach to use, said Boyd. The study appeared in the June issue of Journal of Autism and Developmental Disorders.

Two frequently used comprehensive treatment models have a long history: LEAP (Learning Experiences and Alternative Program for Preschoolers and their Parents) and TEACCH (now known only by its acronym).

The study examined the relative effects of the LEAP and TEACCH school-based comprehensive treatment models when compared to each other and to special-education programs that do not use a specific model.

The multisite study took place only in high-quality classrooms and enrolled 74 teachers and 198 3- to 5-year-olds in public school districts.

The study found that children made gains over the school year regardless of the classroom’s use of LEAP, TEACCH or no specific comprehensive treatment model.

“Each group of children showed significant positive change in autism severity, communication and fine- motor skills,” said co-author Kara Hume, Ph.D.

“No statistically significant differences were found among models, which challenged our initial expectations—and likely the field’s.”

“This study may shift the field’s thinking about comprehensive treatment models designed for young children with ASD,” said co-author Samuel L. Odom, Ph.D., the study’s principal investigator.

“Perhaps it’s not the unique features of the models that most contribute to child gains but the common features of the models that most influence child growth.”

Source: University of North Carolina

Quality Care Beats Theoretical Model for Autistic Preschoolers

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Quality Care Beats Theoretical Model for Autistic Preschoolers. Psych Central. Retrieved on August 15, 2018, from https://psychcentral.com/news/2013/07/17/quality-care-beats-theoretical-model-for-autistic-preschoolers/57296.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.