Evidence for the Implementation of the Early Start Denver Model for Young Children With Autism Spectrum Disorder.
BACKGROUND
The Early Start Denver Model (ESDM) is a manualized comprehensive therapy for toddlers with autism spectrum disorder. It emphasizes interpersonal engagement through synchrony, rhythms, and reciprocity to decrease symptom severity and accelerate cognitive, social-emotional, and language development.


OBJECTIVE
To systematically review evidence regarding the use of the ESDM as an intervention for young children with autism spectrum disorder.


METHODS
PubMed, Scopus, Web of Science, Embase, and CINAHL were searched from 2010-2015 using predetermined inclusion criteria. Study methodology, participant characteristics, and outcomes were evaluated and quality of evidence was assigned.


RESULTS
Eight articles met inclusion criteria and consisted of two randomized controlled trials, four controlled trials, and two observational cohort studies. Evidence quality ranged from low to high.


CONCLUSIONS
The ESDM is an effective intervention that improves cognition, language, and adaptive behavior. ESDM strategies delivered in community group settings and in the home by parents have potential to be efficacious and feasible.
Kayce H. Ryberg, MSN, RN, University of Pennsylvania, Philadelphia, PA, USA kayceryberg@gmail.com.
Kayce H
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Ryberg
D000067877:Autism Spectrum Disorder / Q000534:rehabilitation*; D002675:Child, Preschool; D018479:Early Intervention, Educational / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D015397:Program Evaluation; D016896:Treatment Outcome
Early Start Denver Model; autism