Application of the Early Care Program Based on the Early Start Denver Model for Children with ASD

521

Abstract

Currently, there are no standards for early care in Russia, and therefore the introduction of successful foreign practices of work with young children is relevant. The article presents the experience of implementing an early care program for children with ASD. Presented program developed and tested during 6 months of 2020 in the Center for Mental Health of the Privolzhsky Research Medical University in 2020. The program was established on the basis of the Early Start Denver Model program for children with ASD. The study involved 19 children from 1 to 4 years old with a diagnosis of autism. For 6 months, all children were engaged in the developed program. Frequency of the program — 2—3 hours in a week, parents were also trained. As a result of the dynamic assessment of skills according to the RCDI-2000, the rates of target skills in the Denver model showed improvement in all areas of child development. For example, as a result of classes, 9 children (47.4%) demonstrated positive dynamics in the development of social skills, their “age” in this area improved by the end of the project from 3 to more than 20 months. 12 children (63.2%) showed an improvement in the development of speech skills in the range from 1 to more than 28 months. The results of the dynamic assessment based on repeated diagnostics of the list of target skills of the Denver model demonstrate an improvement in children’s skills in all areas of age development. The greatest changes in indicators are detected in the areas of receptive communication (improvement of skills by an average of 40%), games (an increase of 30%), cognitive skills (an increase of 30.5%), household skills (an increase of 33%). That is, the effectiveness of the developed training program has been proven. A low-intensity early care program based on the Denver model is promising for use in public educational and social institutions involved in the early care system.

General Information

Keywords: autism spectrum disorders; ASD; childhood autism; early care; Denver model of early intervention; skills assessment

Journal rubric: Education & Intervention Methods

Article type: scientific article

DOI: https://doi.org/10.17759/autdd.2022200104

Funding. The study was carried out with the financial support of the Ministry of Internal Regional and Municipal Policy of the Nizhny Novgorod region within the framework of the grant “Methodological Center for Early Assistance” FGBOU VO «Privolzhsky Research Medical University»

Received: 23.02.2022

Accepted:

For citation: Starikova O.V., Dvoryninova V.V., Balandina O. Application of the Early Care Program Based on the Early Start Denver Model for Children with ASD. Autizm i narusheniya razvitiya = Autism and Developmental Disorders, 2022. Vol. 20, no. 1, pp. 29–36. DOI: 10.17759/autdd.2022200104. (In Russ., аbstr. in Engl.)

References

  1. Karyakin N., Al’bitskaya Zh.V., Balandina O.V. et al. Opisanie psikhologo-pedagogicheskikh metodik s dokazannoi effektivnost’yu, rekomenduemykh dlya okazaniya pomoshchi detyam s RAS: uchebnoe posobie [Description of psychological and educational methodologies with proven efficiency recommended for use in support for children with ASD: manual]. Nizhnii Novgorod: Publ. Privolzhsky Research Medical University, 2020. 92 p. ISBN 978-5-7032-1360-5.
  2. Rasporyazhenie Pravitel’stva RF ot 17 dekabrya 2016 g. № 2723-р «Ob utverzhdenii plana meropriyatii po realizatsii Kontseptsii razvitiya rannei pomoshchi v RF na period do 2020 » [Order of the Government of Russia from December 17, 2016 “On the approval of the plan of actions on realizing the Guidelines for developing early support in the Russian Federation for the period until 2020”] [Web resource]. 6 p. URL: https://mintrud.gov.ru/docs/government/181 (Accessed 22.02.2022).
  3. Rasporyazhenie Pravitel’stva RF ot 12.2021 № 3711-р «Ob utverzhdenii Kontseptsii razvitiya v RF sistemy kompleksnoi reabilitatsii i abilitatsii invalidov, v tom chisle detei-invalidov, na period do 2025 goda» [Order of the Government of Russia from 18.12.2021 no. 3711-р “On approving the Guidelines of developing a system of comprehensive rehabilitation and habilitation for disabled people, including children, in Russia for the period until 2025”] [Web resource]. URL: https://www.garant.ru/products/ipo/prime/doc/403212204/ (Accessed 22.02.2022).
  4. Rogers S., Dawson G., Vismara L.A. Denverskaya model’ rannego vmeshatel’stva dlya detei s autizmom: Kak v protsesse povsednevnogo vzaimodeistviya nauchit’ rebenka igrat’, obshchat’sya i uchit’sya [An Early Start for Your Child with Autism: Using Everyday Activities to Help Kids Connect, Communicate And Learn]. Ekaterinburg: Publ. Rama Pablishing, 416 p. ISBN 978-5-91743-067-6.
  5. Rogers S., Dawson G. Uchebnik po Denverskoi modeli rannego vmeshatel’stva dlya detei s autizmom. Razvivaem rech’, umenie uchit’sya i motivatsiyu [Early Start Denver Model for Young Children with Autism: Promoting Language, Learning, and Engagement]. Moscow: IP Tolkachev, 2019. 432 p. ISBN 978-5-9907565-9-5.
  6. Simashkova N.V. et al. Kliniko-biologicheskie aspekty rasstroistv autisticheskogo spectra [Clinical and biological aspects of autism spectrum disorders]. Moscow: Geotar-Media, 2016. 288 p. ISBN 978-5-9704-3841-1.
  7. Chistovich , Reiter Zh., Shapiro Ya. Rukovodstvo po otsenke razvitiya mladentsev do 16 mesyatsev na osnove rusifitsirovannoi shkaly KID [Guide on evaluating development of toddlers aged up to 16 months by the KID scale, adapted for Russia]. 2nd ed. Saint Petersburg: Publ. Saint Petersburg Institute of Early Intervention, 2000. 64 p. ISBN 5-8049-0038-2.
  8. Shapiro Ya., Chistovich I. Rukovodstvo po otsenke urovnya razvitiya detei ot 1 goda 2 mesyatsev do 3 let 6 mesyatsev po rusifitsirovannoi shkale RCDI-2000 [Guide on evaluating development of babies aged from 1 year 2 months to 3 years 6 months by the RCDI-2000 scale, adapted for Russia]. Saint Petersburg: Saint Petersburg Institute of Early Intervention, 2016. 62 p. ISBN 5-8049-0039-0.
  9. Colombi C., Narzisi A., Ruta L. et al. Implementation of the Early Start Denver Model in an Italian community. Autism, 2016, vol. 22, 2, pp. 126—133. DOI:10.1177/1362361316665792
  10. Dawson G., Rogers S., Munson J. et al. Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Pediatrics, 2010, vol. 125, no. 1, pp. e17—e23. DOI:10.1542/peds.2009-0958
  11. Fuller E.A., Oliver K., Vejnoska S.F. et al. The Effects of the Early Start Denver Model for Children With Autism Spectrum Disorder: A Meta-Analysis. Brain Sciences, 2020, 10, no. 6, article no. 368. 17 p. DOI:10.3390/brainsci10060368
  12. Holzinger , Laister D., Vivanti G. et al. Feasibility and outcomes of the Early Start Denver Model implemented with low intensity in a community setting in Austria. Journal of Developmental and Behavioral Pediatrics, 2019, vol. 40, no. 5, pp. 354—363. DOI:10.1097/DBP.0000000000000675
  13. Lin -L., Chiang C.-H., Ho S.Y. et al. Preliminary clinical outcomes of a short-term low-intensity Early Start Denver Model implemented in the Taiwanese public health system. Autism, 2020, vol. 24, no. 5, 1300—1306. DOI:10.1177/1362361319897179
  14. Tateno Y., Kumagai K., Monden R. et al. The Efficacy of Early Start Denver Model Intervention in Young Children with Autism Spectrum Disorder Within Japan: A Preliminary Study. Journal of Child and Adolescent Psychiatry, 2021, vol. 32, no. 1, pp. 35—40. DOI:10.5765/jkacap.200040
  15. Vivanti G., Paynter J., Duncan E. et al. Effectiveness and feasibility of the Early Start Denver Model implemented in a group-based community childcare setting. Journal of Autism and Developmental Disorders, 2014, vol. 44, no. 12, pp. 3140—3153. DOI:10.1007/s10803-014-2168-9
  16. Zhou B., Xu Q., Li H. et al. Effects of Parent-Implemented Early Start Denver Model Intervention on Chinese Toddlers with Autism Spectrum Disorder: A Non-Randomized Controlled Trial. Autism Research, 2018, vol. 11, no. 4, pp. 654— 666. DOI:10.1002/aur.1917

Information About the Authors

Oksana V. Starikova, special teacher of the Mental Health Center, Privolzhsky Research Medical University (FGBOU VO PIMU of the Ministry of Health of Russia), Nizhniy Novgorod, Russia, ORCID: https://orcid.org/0000-0001-9033-1871, e-mail: anima_doc@mail.ru

Veronika V. Dvoryninova, PhD in Medicine, Psychiatrist of the Mental Health Center, Privolzhsky Research Medical University (FGBOU VO PIMU of the Ministry of Health of Russia), Nizhniy Novgorod, Russia, ORCID: https://orcid.org/0000-0003-3336-2051, e-mail: dvoryaninova.nika@yandex.ru

Oxana Balandina, The Head of Mental Health Center, Federal State Budgetary Educational Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Health of the Russian Federation, Nizhniy Novgorod, Russia, ORCID: https://orcid.org/0000-0002-3486-1162, e-mail: neurorazvitie@yandex.ru

Metrics

Views

Total: 1677
Previous month: 52
Current month: 36

Downloads

Total: 521
Previous month: 12
Current month: 7