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This study aims to investigate the effectiveness of early (before the age of 5 years) and intensive intervention for children with Autism Spectrum Disorders.
This study aims to investigate the effectiveness of early (before the age of 5 years) and intensive intervention for children with Autism Spectrum Disorders. The type of intervention proposed in Switzerland differs greatly depending on where people live. Several international studies show positive outcomes in children with Autism after receiving early behavioural intervention.
However, Disability Insurance (DI) in Switzerland does not fully cover these scientifically proven interventions. Since January 2014 they cover 45 000 CHF per child for only two years of early treatment across five centres chosen by the Federal Social Insurance Office. The remaining costs are covered by the parents, foundations or by the cantons. In addition, families benefit from this early intervention only if their child is enrolled in one of the five selected centres.
There are currently various types of support for children with Autism in Switzerland before age five, early intensive behavioural interventions, eclectic early intervention and less intensive interventions with a treatment that is not specific to Autism (about 3 hrs./week), which includes occupational therapy, speech therapy and early curative education. Some children do not receive any treatment.
This research aims to evaluate the efficacy of these interventions (early intensive behavioural/ eclectic/treatment as usual) as has been done previously in international studies. The study also aims to include centres other than those selected by the Swiss Federal Social Insurance Office.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early intensive behavioral intervention | Children with a diagnosis of Autism Spectrum Disorder under the age of 5 years that are receiving early intensive behavioral Intervention at one of the participating centres. |
| |
| Early intensive eclectic intervention | Children with a diagnosis of Autism Spectrum Disorder under the age of 5 years that are receiving early intensive eclectic Intervention at the participating centre. |
| |
| Control group | Children with a diagnosis of Autism Spectrum Disorder under the age of 5 years that are receiving treatment as usual or no treatment at all. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early intensive behavioral intervention | Behavioral | at least 10 hours a week of early intensive behavioral intervention |
|
| Measure | Description | Time Frame |
|---|---|---|
| Autism Diagnostic Observation Schedule-2 (ADOS-2) | Measures autism symptom severity | Annually up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Positive Gain Scale | Parent questionnaire | Annually up to 3 years |
| General Positive Affect Scale | Parent questionnaire | Annually up to 3 years |
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Inclusion criteria:
Exclusion Criteria:
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Experimental Groups: Child with Autism Spectrum Disorder diagnosis referred to one of the EIBI or EIEI Service Provider receiving Treatment as of January 2013.
Control Group: Child with Autism Spectrum Disorder diagnosis receiving Treatment as usual and willing to participate
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ronnie Gundelfinger, Dr. med. | Contact | +41 44 499 26 26 | ronnie.gundelfinger@puk.zh.ch | |
| Nadja L Studer, lic. phil. | Contact | +41 44 499 26 26 | nadja.studer@puk.zh.ch |
| Name | Affiliation | Role |
|---|---|---|
| Ronnie Gundelfinger, Dr. med. | University of Zurich, Department of Child and Adolescent Psychiatry | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Autismuszentrum GSR | Recruiting | Aesch | Canton of Basel-City | 4147 | Switzerland |
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| ID | Term |
|---|---|
| D000067877 | Autism Spectrum Disorder |
| ID | Term |
|---|---|
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
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no biospecimens are being retained
| Early intensive eclectic intervention | Behavioral | at least 10 hours a week of early intensive eclectic intervention |
|
| Treatment as usual | Other | receipt of any Intervention that is less intensive than 10 hours a week |
|
| Questionnaire on Resources and Stress | Parent questionnaire | Annually up to 3 years |
| Hospital anxiety and Depression scale | Parent questionnaire | Annually up to 3 years |
| Strengths and Difficulties Questionnaire | Parent questionnaire to assess siblings' behavior and potential secondary effects of the intensive Intervention delivered | Annually up to 3 years |
| Vineland Adaptive Behavior Scales II (VABS) | Parent interview; adaptive behavior | Annually up to 3 years |
| Snijders-Oomen nicht-verbaler Intelligenztest 2 1/2 - 7 (SON-R) | IQ measure | Annually up to 3 years |
| Wechsler Preschool and Primary Scale of Intelligence-III (WPPSI-III) | IQ measure | Annually if child is testable up to 3 years |
| Association Objectif Vaincre l'Autisme | Recruiting | Gland | Canton of Vaud | 1196 | Switzerland |
|
| University of Zurich, Department of Child and Adolescent Psychiatry | Recruiting | Zurich | 8032 | Switzerland |
|