An Evaluation of the Research Evidence on the Early Start Denver Model
An Evaluation of the Research Evidence on the Early Start Denver Model
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DOI：
10.1177/1053815117722618
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发表时间：
2017-12-01
影响因子：
1.4
通讯作者：
Humphreys, Betsy P.
中科院分区：
文献类型：
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作者：
Baril, Erika M.;Humphreys, Betsy P.
早期启动丹佛模式（ESDM）作为12至60个月自闭症谱系障碍（ASD）儿童的综合治疗模式越来越受欢迎。本文通过对研究设计和目的的分析来评估ESDM的研究;儿童参与者;设置，干预剂和背景;密度和持续时间;以及整体研究的严谨性，以帮助专业人员进行知识翻译和决策。本系统综述包括10项研究。研究结果表明，在方法，参与者和干预的特点，和研究的严谨性的变化。ESDM显示出作为ASD幼儿循证实践的希望，并且有初步证据支持ESDM的实施。儿童在教育和社会发展措施的干预下正在取得进展，在社区环境中实现了忠实的执行。儿童的改善程度是由于ESDM干预本身并不完全清楚。需要进行更多的研究，包括由独立研究人员进行复制，以确定活性成分，有效性水平以及ESDM是否优于其他治疗方案。这篇综述强调了扩大专业人员对ESDM有效性的认识的研究机会。通过更多的知识和理解，将加强社区采用和实施可行性的临床决策。
The Early Start Denver Model (ESDM) has been gaining popularity as a comprehensive treatment model for children ages 12 to 60 months with autism spectrum disorders (ASD). This article evaluates the research on the ESDM through an analysis of study design and purpose; child participants; setting, intervention agents, and context; density and duration; and overall research rigor to assist professionals with knowledge translation and decisions around adoption of the practices. Ten research studies are included in this systematic review. Findings indicate variability in methodologies, participant and intervention characteristics, and research rigor. The ESDM shows promise as an evidence-based practice for young children with ASD and there is preliminary evidence to support implementation of the ESDM. Children are progressing with ESDM intervention and fidelity of implementation has been achieved in community-based settings. The extent to which child improvements are due to the ESDM intervention alone is not fully known. Additional studies are needed including replication by independent researchers to determine active ingredients, level of effectiveness, and whether the ESDM is better than other treatment options. This review highlights research opportunities to expand professionals' knowledge of the ESDM's effectiveness. Clinical decisions around adoption and feasibility of implementation in communities will be enhanced with greater knowledge and understanding.