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Wiley InterScience

Journal of Child Psychology and Psychiatry

Journal of Child Psychology and Psychiatry

Volume 48 Issue 8, Pages 803 - 812

Published Online: 19 Jul 2007

Journal Compilation © 2010 ACAMH



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A two-year prospective follow-up study of community-based early intensive behavioural intervention and specialist nursery provision for children with autism spectrum disorders
Iliana Magiati 1 , Tony Charman 2 , and Patricia Howlin 1
  1 Institute of Psychiatry, King's College London, UK ;   2 UCL Institute of Child Health, London, UK
Correspondence to Patricia Howlin, Department of Psychology, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK; Tel: 020 7848 0243; Email: Patricia.Howlin@iop.kcl.ac.uk; Iliana.Magiati@islingtonpct.nhs.uk
 

Conflict of interest statement: No conflicts declared.

Copyright 2007 The Authors Journal compilation 2007 Association for Child and Adolescent Mental Health.
KEYWORDS
Autism Spectrum Disorders (ASD) • Early Intensive Behavioural Intervention (EIBI) • autism-specific nursery provision • outcome

ABSTRACT

Background: This prospective study compared outcome for pre-school children with autism spectrum disorders (ASD) receiving autism-specific nursery provision or home-based Early Intensive Behavioural Interventions (EIBI) in a community setting.

Methods: Forty-four 23- to 53-month-old children with ASD participated (28 in EIBI home-based programmes; 16 in autism-specific nurseries). Cognitive, language, play, adaptive behaviour skills and severity of autism were assessed at intake and 2 years later.

Results: Both groups showed improvements in age equivalent scores but standard scores changed little over time. At follow-up, there were no significant group differences in cognitive ability, language, play or severity of autism. The only difference approaching significance (p = .06), in favour of the EIBI group, was for Vineland Daily Living Skills standard scores. However, there were large individual differences in progress, with intake IQ and language level best predicting overall progress.

Conclusions: Home-based EIBI, as implemented in the community, and autism-specific nursery provision produced comparable outcomes after two years of intervention.


Manuscript accepted 27 February 2007

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1469-7610.2007.01756.x About DOI

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