Evidence map›Paper›PMID 31778660›Full record

ArticleArchives of physical medicine and rehabilitation2020

Early Intervention Service Intensity and Change in Children's Functional Capabilities.

Zachary S Richardson, Elizabeth A Scully, Jodi K Dooling-Litfin, Natalie J Murphy, Briana Rigau, Mary A Khetani, Beth M McManus

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zachary S RichardsonDepartment of Health Systems, Management and Policy, University of Colorado at Denver, Denver, Colorado.
Elizabeth A ScullyRocky Mountain Human Services, Denver, Colorado.
Jodi K Dooling-LitfinRocky Mountain Human Services, Denver, Colorado.
Natalie J MurphyDepartment of Physical Medicine and Rehabilitation, University of Colorado at Denver, Denver, Colorado.
Briana RigauChildren's Participation in Environment Research Lab, University of Illinois at Chicago, Chicago, Illinois.
Mary A KhetaniDepartments of Occupational Therapy and Disability and Human Development, University of Illinois at Chicago, Chicago, Illinois. Electronic address: mkhetani@uic.edu.
Beth M McManusDepartment of Health Systems, Management and Policy, University of Colorado at Denver, Denver, Colorado.

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
Technique Development CoreP2CHD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2015 to 2019
$5.2M
Early Intervention Outcomes Research using Innovative Patient-Reported Outcome (PRO) MeasuresR03HD084909 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KHETANI, MARY ALUNKAL, MCMANUS, BETH MARIE · 2016 to 2017
$173k
NICHD NIH HHS K12 HD055931NICHD NIH HHS P2C HD065702NICHD NIH HHS R03 HD084909
6 · The paper itself

Abstract

objectiveTo estimate correlates of early intervention (EI) service dosage and gains in children's functional capabilities from EI entry and discharge.

designRetrospective cohort study.

settingSecondary 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.

participantsChildren 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).

interventionNot applicable.

main outcome measuresOutcomes 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.

resultsChildren 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.

conclusionsOlder children receive a higher intensity of EI services. EI service intensity and age were linked with positive changes in functional gains.

Indexed as

Early Intervention, EducationalOutcome Assessment, Health CareAge FactorsChild, PreschoolCognitionCohort StudiesDevelopmental DisabilitiesFemaleHumansInfantMaleOccupational TherapyPatient Care PlanningPhysical Therapy ModalitiesRetrospective StudiesSocial SkillsActivities of daily livingCognitionRehabilitationSocial skills

Identifiers

PMID31778660
PMCPMC7183419

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.