Review of quasi-experimental studies on the efficiency of the Early Start Denver Model

 
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Abstract

Context and relevance. Early intervention plays a key role in minimizing symptoms and improving adaptation in children with autism spectrum disorders (ASD). Goal. To systematize quasi-experimental studies on the effectiveness of the Early Start Denver Model (ESDM) and the P-ESDM version for parents, in order to determine their impact on the development of children with ASD and their parents. Hypothesis. The use of EDSM and P-EDSM early intervention programs, with a wide range of application intensity (from 1.5 hours to 44 hours per week), can be an effective tool for children with ASD and their parents. Methods and materials. The analysis of the results of studies on the effectiveness of ESDM and P-ESDM models published on the Scispace.com platform between 2020 and 2025 was conducted. Keywords used in the search: parent, family, early intervention, ESDM, autism spectrum disorders (ASD). According to the inclusion/exclusion criteria, 11 articles describing the results were selected from almost 200 publications. A systematic analysis method was used for the study. Results. The study showed that the use of different-intensity correction interventions using ESDM and P-ESDM programs leads to significant improvements in the development of expressive and receptive language, adaptive behavior, daily living skills, and social skills. Parents who participated in the P-ESDM program demonstrated a decrease in stress and high satisfaction with the effectiveness of the program. Conclusions. The results of the study confirm the hypothesis about the effectiveness of ESDM and P-ESDM at different levels of intensity. Systematization of data on quasi-experimental studies within the framework of the Denver model of early intervention will allow for a comparison of the results of studies conducted using other formats. It is necessary to expand access to this type of correctional assistance for families with children with ASD.

General Information

Keywords: autism, autism spectrum disorders (ASD), Early Start Denver Model, ESDM, quasi-experimental studies

Journal rubric: Research of ASD

Article type: review article

DOI: https://doi.org/10.17759/autdd.2026240102

Acknowledgements. The author thanks V. B. Pavlenko for his help in preparing the article.

Received 11.08.2025

Revised 16.03.2026

Accepted

Published

For citation: Berezutskaya, V.P. (2026). Review of quasi-experimental studies on the efficiency of the Early Start Denver Model. Autism and Developmental Disorders, 24(1), 12–19. (In Russ.). https://doi.org/10.17759/autdd.2026240102

© Berezutskaya V.P., 2026

License: CC BY-NC 4.0

References

  1. Березуцкая, В.П. (2024). Необходимость предоставления ранней помощи для детей с расстройствами аутистического спектра. Ученые записки Крымского федерального университета имени В.И. Вернадского. Психология. Педагогика, Том URL: https://elibrary.ru/item.asp?id=75995947 (дата обращения: 10.06.2025).
    Berezutskaya, V.P. (2024). The need to provide early assistance for children with autism spectrum disoders. Scientific notes of the Crimean federal University named after V.I. Vernadsky. Psychology. Pedagogy, Vol. 10. (In Russ.). URL: https://elibrary.ru/item.asp?id=75995947 (дата обращения: 10.06.2025).
  2.  Давыдова, Е.Ю., Тюшкевич, С.А., Давыдов, Д.В., Илюнцева, А.А, Ускова, О.А., Мовчан А.А. (2023). Исследования эффективности применения Денверской модели ранней помощи детям с аутизмом и с риском РАС. Систематический обзор. Современная зарубежная психология, 12(4), 77—90. https://doi.org/10.17759/jmfp.2023120407
    Davydova, E.Yu., Tyushkevich, S.A., Davydov, D.V., Ilyuntseva, A.A., Uskova, O.A., Movchan, A.A. (2023). Research on the effectiveness of the Denver model of early care for children with autism and at risk of ASD. A systematic review. Modern Foreign Psychology, 12(4), 77—90. (In Russ.). https://doi.org/10.17759/jmfp.2023120407
  3. Старикова, О.В., Дворянинова, В.В., Баландина, О.В. (2022). Применение программы ранней помощи на основе Денверской модели раннего вмешательства для детей с РАС. Аутизм и нарушения развития, 20(1). 29—36. https://doi.org/10.17759/autdd.2022200104
    Starikova, O.V., Dvoryaninova, V.V., Balandina, O.V. (2022). Application of the Early Care Program Based on the Early Start Denver Model for Children with ASD. Autism and Developmental Disorders, 20(1), 29—36. (In Russ.). https://doi.org/10.17759/autdd.2022200104
  4. Abidin, R.R. (1995). Parenting Stress Index-Professional Manual, 3rd ed.; Psychological Assessment Resource: Lutz, FL, USA.
  5. Abouzeid, N., Rivard, M., Mello, C., Mestari, Z., Boulé, M., Guay, C. (2020). Parent coaching intervention program based on the Early Start Denver Model for children with autism spectrum disorder: Feasibility and acceptability study. Dev. Disabil., 105, October 2020, (103747). https://doi.org/10.1016/j.ridd.2020.103747
  6. Acar, S., Chen, C.-I., Xie, H. (2021). Parental involvement in developmental disabilities across three cultures: A systematic review. Dev. Disabil., 110, March 21, (103861). https://doi.org/10.1016/j.ridd.2021.103861
  7. Asta, L., Di Bella, T., La Fauci Belponer, F., Bruschetta, M., Martines, S., Basile, E., Boncoddo, M., Bellomo, F., Cucinotta, F., Ricciardello, A., Turriziani, L., Colombi, C., Banchelli, F., Cuoghi Costantini, R., D’Amico, R., Persico, A.M. (2024). Cognitive, behavioral and socio-communication skills as predictors of response to Early Start Denver Model: a prospective study in 32 young children with Autism Spectrum Disorder. Frontiers in Psychiatry, 15, https://doi.org/10.3389/fpsyt.2024.1358419
  8. Benjamin, M.D. (2015). Teacher and Parental Influence on Childhood Learning Outcomes. Unpublished Ph.D. Dissertation, Walden University, Minneapolis, MN, USA.
  9. Dawson, G., Bernier, R. (2013). A quarter century of progress on the early detection and treatment of autism spectrum disorder. Psychopathol., 25(4), 1455—1472. https://doi:10.1017/S0954579413000710
  10. Devescovi, R., Colonna, V., Dissegna, A., Bresciani, G., Carrozzi, M., Colombi, C. (2021). Feasibility and Outcomes of the Early Start Denver Model Delivered within the Public Health System of the Friuli Venezia Giulia Italian Region. Brain Sciences, 11(9), 1191—1198 https://org/10.3390/BRAINSCI11091191
  11. Godel, M., Robain, F., Kojovic, N., Franchini, M., Wood de Wilde, H., Schaer, M. (2022) Distinct Patterns of Cognitive Outcome in Young Children With Autism Spectrum Disorder Receiving the Early Start Denver Model. Front Psychiatry, 22(13). https://doi.org/10.3389/fpsyt.2022.835580
  12. Hosozawa, M., Sacker, A., Mandy, W., Midouhas, E., Flouri, E., Cable, N. (2020). Determinants of an autism spectrum disorder diagnosis in childhood and adolescence: Evidence from the UK Millennium Cohort Study. Autism, 24(6), 1557— https://doi.org/10.1177/1362361320913671
  13. Jhuo, R.-A., Chu, S.-Y. (2022). A Review of Parent-Implemented Early Start Denver Model for Children with Autism Spectrum Disorder. Children, 9(2), 285. https://doi.org/10.3390/children9020285
  14. Lin, T.-L., Chiang, C.-H., Ho, S. Y., Wu, H.-C., Wong, C.-C. (2020). Preliminary clinical outcomes of a short-term low-intensity Early Start Denver Model implemented in the Taiwanese public health system. Autism, 24(5), 1300— https://doi.org/10.1177/1362361319897179
  15. Lord, C.; Rutter, M.; DiLavore, P.C.; Risi, S. (2002). Autism Diagnostic Observation Schedule: ADOS; Western Psychological Services: Los Angeles, CA, USA.
  16. Maglione, M.A., Gans, D., Das, L., Timbie, J., Kasari, C. (2012). Panel, F.T.T.E.; HRSA Autism Intervention Research–Behavioral (AIR-B). Network Nonmedical Interventions for Children With ASD: Recommended Guidelines and Further Research Needs. Pediatrics, 130(2), 169— https://doi.org/10.1542/peds.2012-0900O
  17. Masi, A., Azim, S.I., Khan, F., Karlov, L., Eapen, V. (2022). Dissemination of Early Intervention Program for Preschool Children on the Autism Spectrum into Community Settings: An Evaluation. International Journal of Environmental Research and Public Health, 19(5), 2555. https://doi.org/10.3390/ijerph19052555
  18. Mullen, E.M. (1995). Mullen Scales of Early Learning; AGS: Circle Pines, MN, USA.
  19. Pervin M., Ahmed H. U., Hagmayer Y. (2022). Effectiveness of interventions for children and adolescents with autism spectrum disorder in high-income vs. lower middle-income countries: An overview of systematic reviews and research papers from LMIC. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.834783
  20. Pruneti, C., Coscioni, G., Guidotti, S. (2023). Evaluation of the effectiveness of behavioral interventions for autism spectrum disorders: A systematic review of randomized controlled trials and quasi-experimental studies. Clinical Child Psychology and Psychiatry, 29(1), 213—231. https://doi.org/10.1177/13591045231205614
  21. Reimers, T.M., Wacker, D.P., Cooper, L.J., de Raad, A.O. (1992). Acceptability of behavioral treatments for children: Analog and naturalistic evaluations by parents. Psychol. Rev., 21, 212—229.
  22. Rogers, S.J., Dawson, G. (2020). Early Start Denver Model for Young Children with Autism: Promoting Language, Learning, and Engagement; Guilford Publications: New York, NY, USA.
  23. Rogers,J., Vismara, L.A., Dawson, G. (2021). Coaching Parents of Young Children with Autism Promoting Connection, Communication, and Learning; Guilford Publications: New York, NY, USA.
  24. Ruiz, E.H., Braden, B.B. (2021). Improving a Parent Coaching Model of Music Interventions for Young Autistic Children. Music Ther., 58, 278—309. https://doi.org/10.1093/jmt/thab008
  25. Schopler, E., Lansing, M.D., Reichler, R.J., Marcus, L.M. (2005). Examiner’s Manual of Psychoeducational Profile (3rd ed.). Austin, TX: Pro-ed Incorporation. https://doi.org/10.1037/t52601-000
  26. Sinai-Gavrilov, Y., Gev, T., Mor-Snir, I., Vivanti, G., Golan, O., Golan, O. (2020). Integrating the Early Start Denver Model into Israeli community autism spectrum disorder preschools: Effectiveness and treatment response predictors. Autism, 24(8), 2081— https://doi.org/10.1177/1362361320934221
  27. Steer R.A., Clark D.A., Beck A.T., Ranieri W.F. (1999). Common and specific dimensions of self-reported anxiety and depression: the BDI-II versus the BDI-IA. Behav. Res., 37(2), 183—190. https://doi.org/10.1016/s0005-7967(98)00087-4
  28. Tateno, Y., Kumagai, K., Monden, R., Nanba, K., Yano, A., Shiraishi, E., Teo, A. R., & Tateno, M. (2021). The Efficacy of Early Start Denver Model Intervention in Young Children with Autism Spectrum Disorder Within Japan: A Preliminary Study. J Korean Acad Child Adolesc Psychiatry, 32(1), 35— https://doi.org/10.5765/JKACAP.200040
  29. van Noorden, L.E., Sigafoos, J., Waddington, H.L. (2022). Evaluating a Two-Tiered Parent Coaching Intervention for Young Autistic Children Using the Early Start Denver Model. Neurodev. Disord., 6, 473—493. https://doi.org/10.1007/s41252-022-00264-8
  30. Waddington, H., van der Meer, L., Sigafoos, J., Bowden, C.J. (2020). Mothers’ Perceptions of a Home-Based Training Program Based on the Early Start Denver Model. Neurodev. Disord., 4, 122—133. https://doi.org/10.1007/s41252-019-00146-6

Appendix

The results of quasi-experimental studies on the effectiveness of using the Early Start Denver Model: https://doi.org/10.48612/MSUPE/fv5m-vrra-7zg9 

Information About the Authors

Valentina P. Berezutskaya, postgraduate student of the Department of General Psychology and Psychophysiology, Faculty of Psychology, Crimean Federal University named after V.I. Vernadsky (Federal State Autonomous Educational Institution of Higher Education KFU), ORCID: https://orcid.org/0009-0006-5453-0447, e-mail: 0503906010@mail.ru

Conflict of interest

The author declares that there is no conflict of interest. 

Ethics statement

The study was performed on the basis of the scientific and clinical center “Technologies of Health and Rehabilitation” of the V.I. Vernadsky KFU. Protocol of the Ethics Committee no 1 dated 2022.01.25. 

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