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Auteur P. MURRAY |
Documents disponibles écrits par cet auteur (2)
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Comparing the 1-year impact of preschool autism intervention programs in two Canadian provinces / I. M. SMITH in Autism Research, 12-4 (April 2019)
[article]
Titre : Comparing the 1-year impact of preschool autism intervention programs in two Canadian provinces Type de document : Texte imprimé et/ou numérique Auteurs : I. M. SMITH, Auteur ; H. E. FLANAGAN, Auteur ; W. J. UNGAR, Auteur ; B. D'ENTREMONT, Auteur ; N. GARON, Auteur ; J. DEN OTTER, Auteur ; C. WADDELL, Auteur ; Susan E. BRYSON, Auteur ; K. TSIPLOVA, Auteur ; N. LEGER, Auteur ; F. VEZINA, Auteur ; P. MURRAY, Auteur Article en page(s) : p.667-681 Langues : Anglais (eng) Mots-clés : adaptive behavior autism spectrum disorder early intervention preschool children Index. décimale : PER Périodiques Résumé : Autism spectrum disorder (ASD) is associated with early differences in children's social interactions, communication, and play/interests. In many countries, considerable resources are invested in early intensive behavioral intervention (EIBI) programs for children with ASD, which aim to build adaptive skills and prevent or treat problem behavior. However, these programs vary widely in structure and delivery. Research evidence supports the efficacy of EIBI, but large knowledge gaps remain about the effectiveness of publicly funded EIBI programs. With policy-makers as formal research partners, we compared children's progress over 1 year in public preschool programs in adjacent Canadian provinces, New Brunswick (NB) and Nova Scotia (NS). In NB, children received up to 20 hr/week of comprehensive EIBI in a publicly funded, privately provided program. In NS, children received up to 15 hr/week of Pivotal Response Treatment and Positive Behavior Support delivered through the publicly funded healthcare system. In this observational parallel cohort study, we collected parent-reported data on 298 NB preschoolers (76.5% boys) and 221 NS preschoolers (86.9% boys) at EIBI start and 1 year later. Multilevel analysis revealed significant differences at baseline: NS children were older, with lower adaptive functioning and more severe ASD symptoms than NB children. Despite these pre-treatment differences that favor NB, children in both provinces showed similar adaptive functioning gains and reductions of maladaptive behavior. No changes were seen in mean ASD symptom severity in either province over time. Results highlight the value of evaluating interventions in their implementation contexts, and have important implications for devising optimal ASD policy. Autism Research 2019, 12: 667-681. (c) 2019 International Society for Autism Research,Wiley Periodicals, Inc. LAY SUMMARY: We need to know more about the impact of different forms of early intensive behavioral intervention (EIBI) for young children with autism spectrum disorder (ASD). We showed that preschoolers with ASD gained important skills while in public EIBI programs in two Canadian provinces. We also saw that differences in how EIBI programs are structured and characteristics of children who are served may affect outcomes. For these reasons, policy making requires evidence that fits the local context. En ligne : https://dx.doi.org/10.1002/aur.2072 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=389
in Autism Research > 12-4 (April 2019) . - p.667-681[article] Comparing the 1-year impact of preschool autism intervention programs in two Canadian provinces [Texte imprimé et/ou numérique] / I. M. SMITH, Auteur ; H. E. FLANAGAN, Auteur ; W. J. UNGAR, Auteur ; B. D'ENTREMONT, Auteur ; N. GARON, Auteur ; J. DEN OTTER, Auteur ; C. WADDELL, Auteur ; Susan E. BRYSON, Auteur ; K. TSIPLOVA, Auteur ; N. LEGER, Auteur ; F. VEZINA, Auteur ; P. MURRAY, Auteur . - p.667-681.
Langues : Anglais (eng)
in Autism Research > 12-4 (April 2019) . - p.667-681
Mots-clés : adaptive behavior autism spectrum disorder early intervention preschool children Index. décimale : PER Périodiques Résumé : Autism spectrum disorder (ASD) is associated with early differences in children's social interactions, communication, and play/interests. In many countries, considerable resources are invested in early intensive behavioral intervention (EIBI) programs for children with ASD, which aim to build adaptive skills and prevent or treat problem behavior. However, these programs vary widely in structure and delivery. Research evidence supports the efficacy of EIBI, but large knowledge gaps remain about the effectiveness of publicly funded EIBI programs. With policy-makers as formal research partners, we compared children's progress over 1 year in public preschool programs in adjacent Canadian provinces, New Brunswick (NB) and Nova Scotia (NS). In NB, children received up to 20 hr/week of comprehensive EIBI in a publicly funded, privately provided program. In NS, children received up to 15 hr/week of Pivotal Response Treatment and Positive Behavior Support delivered through the publicly funded healthcare system. In this observational parallel cohort study, we collected parent-reported data on 298 NB preschoolers (76.5% boys) and 221 NS preschoolers (86.9% boys) at EIBI start and 1 year later. Multilevel analysis revealed significant differences at baseline: NS children were older, with lower adaptive functioning and more severe ASD symptoms than NB children. Despite these pre-treatment differences that favor NB, children in both provinces showed similar adaptive functioning gains and reductions of maladaptive behavior. No changes were seen in mean ASD symptom severity in either province over time. Results highlight the value of evaluating interventions in their implementation contexts, and have important implications for devising optimal ASD policy. Autism Research 2019, 12: 667-681. (c) 2019 International Society for Autism Research,Wiley Periodicals, Inc. LAY SUMMARY: We need to know more about the impact of different forms of early intensive behavioral intervention (EIBI) for young children with autism spectrum disorder (ASD). We showed that preschoolers with ASD gained important skills while in public EIBI programs in two Canadian provinces. We also saw that differences in how EIBI programs are structured and characteristics of children who are served may affect outcomes. For these reasons, policy making requires evidence that fits the local context. En ligne : https://dx.doi.org/10.1002/aur.2072 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=389 Types of Services and Costs of Programs for Preschoolers with Autism Spectrum Disorder Across Sectors: A Comparison of Two Canadian Provinces / K. TSIPLOVA in Journal of Autism and Developmental Disorders, 49-6 (June 2019)
[article]
Titre : Types of Services and Costs of Programs for Preschoolers with Autism Spectrum Disorder Across Sectors: A Comparison of Two Canadian Provinces Type de document : Texte imprimé et/ou numérique Auteurs : K. TSIPLOVA, Auteur ; W. J. UNGAR, Auteur ; H. E. FLANAGAN, Auteur ; J. DEN OTTER, Auteur ; C. WADDELL, Auteur ; P. MURRAY, Auteur ; B. D'ENTREMONT, Auteur ; N. LEGER, Auteur ; N. GARON, Auteur ; Susan E. BRYSON, Auteur ; I. M. SMITH, Auteur Article en page(s) : p.2492-2508 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Cost Preschool-aged children Service use Index. décimale : PER Périodiques Résumé : This study measured resource utilization and costs for pre-school autism spectrum disorder (ASD)-related services in community-based sectors from multiple payer perspectives in two Canadian provinces, Nova Scotia (NS) and New Brunswick (NB), during the 12 months prior to and following the start of early intensive behavioural intervention (EIBI). The results indicate significant differences between NB and NS in utilization of services and costs to families, public sector and society. Differences can be attributed to variation in EIBI delivery models and may also be influenced by differences in diagnostic assessment practices. The study results provide resource utilization rates and costs which could be used in future economic evaluations and to inform policy making to improve outcomes for children with ASD. En ligne : https://dx.doi.org/10.1007/s10803-019-03993-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=400
in Journal of Autism and Developmental Disorders > 49-6 (June 2019) . - p.2492-2508[article] Types of Services and Costs of Programs for Preschoolers with Autism Spectrum Disorder Across Sectors: A Comparison of Two Canadian Provinces [Texte imprimé et/ou numérique] / K. TSIPLOVA, Auteur ; W. J. UNGAR, Auteur ; H. E. FLANAGAN, Auteur ; J. DEN OTTER, Auteur ; C. WADDELL, Auteur ; P. MURRAY, Auteur ; B. D'ENTREMONT, Auteur ; N. LEGER, Auteur ; N. GARON, Auteur ; Susan E. BRYSON, Auteur ; I. M. SMITH, Auteur . - p.2492-2508.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-6 (June 2019) . - p.2492-2508
Mots-clés : Autism spectrum disorder Cost Preschool-aged children Service use Index. décimale : PER Périodiques Résumé : This study measured resource utilization and costs for pre-school autism spectrum disorder (ASD)-related services in community-based sectors from multiple payer perspectives in two Canadian provinces, Nova Scotia (NS) and New Brunswick (NB), during the 12 months prior to and following the start of early intensive behavioural intervention (EIBI). The results indicate significant differences between NB and NS in utilization of services and costs to families, public sector and society. Differences can be attributed to variation in EIBI delivery models and may also be influenced by differences in diagnostic assessment practices. The study results provide resource utilization rates and costs which could be used in future economic evaluations and to inform policy making to improve outcomes for children with ASD. En ligne : https://dx.doi.org/10.1007/s10803-019-03993-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=400