| Autor: |
Långh U; Department of Women's and Children's Health, Center of Neurodevelopmental Disorders (KIND), Division of Neuropsychiatry, Karolinska Institutet, Stockholm, Sweden.; Autism Center for Young Children, Habilitation & Health, Stockholm County Council, Stockholm, Sweden.; Center for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Perry A; Department of Psychology, York University, Toronto, Ontario, Canada., Eikeseth S; Department of Behavioral Science, Oslo Metropolitan Uninversity, Norway., Bölte S; Department of Women's and Children's Health, Center of Neurodevelopmental Disorders (KIND), Division of Neuropsychiatry, Karolinska Institutet, Stockholm, Sweden.; Center for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.; Child and Adolescent Psychiatry, Region Stockholm, Stockholm, Sweden. |
| Abstrakt: |
Research has directed surprisingly little attention to the quality of Early Intensive Behavioral Intervention (EIBI) in autism spectrum disorder (ASD) as a potential predictor of outcome. Therefore, using a preschool delivery model within a sample of 30 children, we examined the predictive power of EIBI quality on treatment outcome. EIBI quality was assessed at baseline by the York Measure of Quality of Intensive Behavioral Intervention (YMQI) and treatment outcome was evaluated after a period of 4 to 6 months using a battery of behavioral tests and scales to evaluate treatment success. Multinomial logistic regressions demonstrated that general EIBI quality predicted clinically significant change at follow-up. Particularly improvements in basic language and learning skills and global clinical impression were observed. Specific quality indicators that influenced overall treatment success were treatment organization, teaching level and differential reinforcement. In addition to previously examined predictors of EIBI treatment effects, such as child characteristics and intervention quantity, our findings highlight the importance of adequate EIBI quality assurance. |
