Outcome of Home-Based Early Intervention for Autism in Sri Lanka: Follow-Up of a Cohort and Comparison with a Nonintervention GroupReportar como inadecuado




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BioMed Research International - Volume 2016 2016, Article ID 3284087, 6 pages -

Clinical Study

University of Colombo, Colombo, Sri Lanka

Department of Family Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Colombo, Sri Lanka

Faculty of Medicine, University of Colombo, Colombo, Sri Lanka

National Hospital, Colombo, Sri Lanka

Received 14 January 2016; Revised 15 March 2016; Accepted 24 May 2016

Academic Editor: Paul Ashwood

Copyright © 2016 Hemamali Perera et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This paper presents the outcome of a home-based autism intervention program HBAIP in 18- to 40-month-old children newly diagnosed and treatment naïve. Intervention was exclusively implemented at home. Outcome was measured at 3 months and 6 months after intervention and compared with a group of newly diagnosed children with autism who were >40 months at intake but had not received any autism specific clinical management. Aim was also to estimate whether natural development would contribute to gain in skills and compare with the effect of intervention. Five selected parameters of behavior representing social interaction and social communication were used to assess outcome. Results showed a statistically significant improvement between preintervention and postintervention in all the measured parameters. The effect size was large when compared to preintervention and gains were indicated by changes in mean scores and values within a narrow confidence interval. Highest gains were in first 3 months of postintervention which continued up to 6 months. Although the comparison group was more advanced in the measured skills at intake, they were significantly below the level reached by experimental group at 3 months and 6 months after intervention. This study was registered in the Sri Lanka Clinical Trials Registry SLCTR-2009-011.





Autor: Hemamali Perera, Kamal Chandima Jeewandara, Sudarshi Seneviratne, and Chandima Guruge

Fuente: https://www.hindawi.com/



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