| Titre : | Early Intervention Service Intensity and Change in Children’s Functional Capabilities (2020) |
| Auteurs : | Zachary S. Richardson ; Elizabeth A. Scully ; Jodi K. Dooling-Litfin |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 5, 2020) |
| Article en page(s) : | p. 815-821 |
| Note générale : | https://doi.org/10.1016/j.apmr.2019.10.188 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Cognition ; Compétences sociales ; Réadaptation |
| Résumé : |
Objective
To estimate correlates of early intervention (EI) service dosage and gains in children’s functional capabilities from EI entry and discharge. Design Retrospective cohort study. Setting Secondary analyses of a subset of data (N=1005) collected from an EI administrative database on children discharged from a large, urban EI program between October 1, 2014 and September 30, 2016. Participants Children who were EI eligible due to developmental delay, had received an EI care plan and at least 1 billable EI service, and had outcomes data at EI entry and exit (N=1005). Measured child characteristics included age (49.0% 12-24mo; n=492), sex (36.0% female; n=362), number of developmental delays (76.1% had 1 developmental delay; n=765), and number of EI services received (78.5% received multiple; n=789). Intervention Not applicable. Main Outcome Measures Outcomes were EI service intensity (hours per month) and change in functional capabilities as measured via the state-mandated Child Outcomes Summary (COS). Adjusted quantile median regression estimated EI intensity. Adjusted linear regression estimated change in function for social-emotional, cognitive, and adaptive domains of the COS. Measures of children’s developmental delay severity, age at EI entry, race and ethnicity, sex, and language. Results Children older than 24 months old experienced significantly higher EI service intensity (b=0.40; 95% confidence interval, 0.18-0.63). Child age and EI service intensity were significantly linked to gains in social and cognitive COS score changes from EI entry to exit. Conclusions Older children receive a higher intensity of EI services. EI service intensity and age were linked with positive changes in functional gains. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319313899 |
Bibliothèques HE Vinci
