Early Intervention Service Intensity and Change in Children's Functional Capabilities.

Abstract:

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.

journal_name

Arch Phys Med Rehabil

authors

Richardson ZS,Scully EA,Dooling-Litfin JK,Murphy NJ,Rigau B,Khetani MA,McManus BM

doi

10.1016/j.apmr.2019.10.188

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

815-821

issue

5

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(19)31389-9

journal_volume

101

pub_type

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