Relationship-Focused Early Intervention With Children With Pervasive Developmental Disorders and Other Disabilities: A Comparative Study

ABSTRACT. This study compares the effects of relationship-focused early intervention on toddlers and preschool-age children who were classified as having either pervasive developmental disorders (PDDs) (N = 20) or developmental disabilities (DDs) (N = 30). The intervention was conducted over a 1-year period through weekly individual parent-child sessions. It focused on helping parents use responsive teaching strategies to encourage their children to acquire and use pivotal developmental behaviors that addressed their individualized developmental needs. Before and after comparisons indicated significant increases in parents' responsiveness and children's pivotal behavior. Both groups of children made significant improvements in their cognitive, communication, and socioemotional functioning. However, children with PDDs made statistically greater improvements on the developmental measures than children with DDs. On several developmental measures, children's improvements were related to increases in both their parents' responsiveness and their own pivotal behavior.

[1]  C. Corsello,et al.  Early Intervention in Autism , 2005 .

[2]  Toni W. Linder Transdiciplinary play-based assessment : a functional approach to working with young children , 1993 .

[3]  M. Bornstein,et al.  First words in the second year: Continuity, stability, and models of concurrent and predictive correspondence in vocabulary and verbal responsiveness across age and context , 1999 .

[4]  M. Wolery Proportional Change Index: An Alternative for Comparing Child Change Data , 1983 .

[5]  Robert H. Horner,et al.  Problem Behavior Interventions for Young Children with Autism: A Research Synthesis , 2002, Journal of autism and developmental disorders.

[6]  G. Kochanska,et al.  Implications of the mother-child relationship in infancy for socialization in the second year of life , 1999 .

[7]  W. Shadish,et al.  Experimental and Quasi-Experimental Designs for Generalized Causal Inference , 2001 .

[8]  H. Charles,et al.  Handbook of infant mental health, 2nd ed. , 2000 .

[9]  C. Lord,et al.  The Pre-Linguistic Autism Diagnostic Observation Schedule , 1995, Journal of autism and developmental disorders.

[10]  G. Mahoney,et al.  Modifying Parent-Child Interaction: Enhancing the Development of Handicapped Children , 1988 .

[11]  S. Porges,et al.  PREDICTION OF CHILDHOOD PROBLEMS AT THREE YEARS IN CHILDREN EXPERIENCING DISORDERS OF REGULATION DURING INFANCY , 2000 .

[12]  M. Bornstein,et al.  Responsive Parenting in the Second Year: Specific Influences on Children's Language and Play , 1996 .

[13]  Carla A. Peterson,et al.  Transdisciplinary, Play-Based Assessment in Early Childhood Special Education , 1996 .

[14]  Marinus H. van IJzendoorn,et al.  Sensitivity and attachment: a meta-analysis on parental antecedents of infant attachment. , 1997, Child development.

[15]  Sally J. Rogers,et al.  Diagnosis of autism before the age of 3 , 2000 .

[16]  M. Shatz,et al.  Linguistic input and the child's acquisition of language. , 1982, Psychological bulletin.

[17]  Brian Overbeck,et al.  Transdisciplinary Play-Based Assessment: A Functional Approach to Working with Young Children , 1992 .

[18]  L. Beckwith,et al.  Maternal responsiveness with preterm infants and later competency. , 1989, New directions for child development.

[19]  Mary L Wentworth Handbook of Infant Mental Health , 1995 .

[20]  Serena Wieder,et al.  Developmental Patterns and Outcomes in Infants and Children with Disorders in Relating and Communicating: A Chart Review of 200 Cases of Children with Autistic Spectrum Diagnoses , 2005 .

[21]  G. Mahoney,et al.  The Relationship of Parent-Child Interaction to the Effectiveness of Early Intervention Services for at-Risk Children and Children with Disabilities , 1998 .

[22]  Marinus H. van IJzendoorn,et al.  Sensitivity and Attachment: A Meta‐Analysis on Parental Antecedents of Infant Attachment , 1997 .

[23]  J. Salvia,et al.  TABS Manual for the Temperament and Atypical Behavior Scale: Early Childhood Indicators of Developmental Dysfunction. , 1999 .

[24]  J. T. Neisworth,et al.  Normative Detection of Early Regulatory Disorders and Autism: Empirical Confirmation of DC:0-3 , 1999 .

[25]  D. MacDonaldJames Becoming Partners With Children: From Play to Conversation , 1989 .

[26]  L. Koegel,et al.  Pivotal Response Intervention II: Preliminary Long-Term Outcome Data , 1999 .

[27]  Gerald Mahoney,et al.  Using Relationship-Focused Intervention to Enhance the Social—Emotional Functioning of Young Children with Autism Spectrum Disorders , 2003 .

[28]  Femmie Juffer,et al.  Less is more: meta-analyses of sensitivity and attachment interventions in early childhood. , 2003, Psychological bulletin.

[29]  S. Rogers,et al.  A Comparative Study of the Effects of a Developmentally Based Instructional Model on Young Children with Autism and Young Children with Other Disorders of Behavior and Development , 1991 .

[30]  M. Sigman,et al.  The Behaviors of Parents of Children with Autism Predict the Subsequent Development of Their Children's Communication , 2002, Journal of autism and developmental disorders.

[31]  L. Koegel,et al.  Pivotal teaching interactions for children with autism. , 1999 .