Evidence map›Paper›PMID 42073037›Full record

ArticleChildren (Basel, Switzerland)2026

Closing Developmental Gaps: Effectiveness of Community-Based Early Intervention for Young Children with Developmental Delays.

Melissa Gonzalez, Morgan D Darabi, Paris Rayneri, Elana Mansoor, Rachel Spector, Ruby Natale

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Melissa GonzalezDepartment of Pediatrics, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0002-1452-7482
Morgan D DarabiDepartment of Pediatrics, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0003-2602-9074
Paris RayneriDepartment of Pediatrics, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0009-0001-7600-066X
Elana MansoorDepartment of Pediatrics, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0009-0001-7608-8868
Rachel SpectorThe Children's Trust, Miami, FL 33129, USA.
Ruby NataleDepartment of Pediatrics, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0001-6393-7296

Funding

Children's Trust GR027643
6 · The paper itself

Abstract

BACKGROUND/

objectivesEarly intervention is associated with improved outcomes for young children with developmental delays, yet many with mild delays are ineligible for services under the Individuals with Disabilities Education Act (IDEA). The Early Discovery (ED) Program addressed this gap by providing short-term, targeted intervention for children ages 0-5 who did not qualify for publicly funded services. This study evaluated program outcomes across intervention types.

methodsDuring 2024-2025, 342 families completed the ED Program, receiving one of the following: speech-language (68%), general developmental (12%), occupational (14%), or behavioral (6%) intervention across 8-20 sessions. Eligibility required Miami-Dade residency and ineligibility for IDEA-funded services. Standardized pre- and post-intervention assessments were analyzed using descriptive statistics, correlations, and group comparisons.

resultsMost households reported incomes <$70,000 (71%), with many experiencing additional risk factors including prematurity (15%), public or no insurance (47%), limited English proficiency (21%), and single-caregiver households (30%). Overall, 85% of children met criteria for improvement. Improvement rates varied by child ethnicity. No statistically significant differences were observed by child age, race, gender, prematurity, insurance status, caregiver demographics, household characteristics, or intervention type. Sensitivity analyses largely confirmed the primary findings, with ethnicity no longer significant and younger age emerging as a significant predictor of improvement.

conclusionsFindings suggest short-term, targeted intervention may support developmental progress among young children with mild delays who would otherwise remain unserved. Community-based programs such as ED may play a critical role in advancing developmental equity by reaching children with developmental and socioeconomic risk factors prior to school entry.

Indexed as

community-based programsdevelopmental outcomesearly interventionmild developmental delayspreschool-aged childrenunderserved populations

Identifiers

PMID42073037
PMCPMC13115296

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.