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.
Study Type
OBSERVATIONAL
Enrollment
90
at least 10 hours a week of early intensive behavioral intervention
at least 10 hours a week of early intensive eclectic intervention
receipt of any Intervention that is less intensive than 10 hours a week
Autismuszentrum GSR
Aesch, Canton of Basel-City, Switzerland
RECRUITINGAssociation Objectif Vaincre l'Autisme
Gland, Canton of Vaud, Switzerland
RECRUITINGUniversity of Zurich, Department of Child and Adolescent Psychiatry
Zurich, Switzerland
RECRUITINGAutism Diagnostic Observation Schedule-2 (ADOS-2)
Measures autism symptom severity
Time frame: Annually up to 3 years
Positive Gain Scale
Parent questionnaire
Time frame: Annually up to 3 years
General Positive Affect Scale
Parent questionnaire
Time frame: Annually up to 3 years
Questionnaire on Resources and Stress
Parent questionnaire
Time frame: Annually up to 3 years
Hospital anxiety and Depression scale
Parent questionnaire
Time frame: Annually up to 3 years
Strengths and Difficulties Questionnaire
Parent questionnaire to assess siblings' behavior and potential secondary effects of the intensive Intervention delivered
Time frame: Annually up to 3 years
Vineland Adaptive Behavior Scales II (VABS)
Parent interview; adaptive behavior
Time frame: Annually up to 3 years
Snijders-Oomen nicht-verbaler Intelligenztest 2 1/2 - 7 (SON-R)
IQ measure
Time frame: Annually up to 3 years
Wechsler Preschool and Primary Scale of Intelligence-III (WPPSI-III)
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IQ measure
Time frame: Annually if child is testable up to 3 years