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.
Keywords
List of abbreviations:
BNH (black, non-Hispanic), CI (confidence interval), COS (Child Outcomes Summary), DI (developmental intervention), EI (early intervention), IQR (interquartile range), ONH (other, non-Hispanic), OT (occupational therapy), PT (physical therapy), ST (speech therapy), WNH (white, non-Hispanic)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: November 25, 2019
Footnotes
Supported by the National Institutes of Health (grant no. 1R03HD084909-01A1 and P2CHD065702 ) and the Comprehensive Opportunities in Rehabilitation Research Training program (grant no. K12 HD05593 ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agencies.
Disclosures: none.
Identification
Copyright
Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine
