Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.

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48th Annual Convention; Boston, MA; 2022

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Paper Session #251
CE Offered: BACB
Efficacy and Effectiveness of Different Models of Early Childhood Developmental Behavioral Interventions: Possible Hope for Low- and Mid-Income Countries
Sunday, May 29, 2022
12:00 PM–12:25 PM
Meeting Level 2; Room 254B
Area: AUT
Instruction Level: Intermediate
Chair: Nirvana Pistoljevic (EDUS-Education for All; CABAS)
CE Instructor: Nirvana Pistoljevic, Ph.D.
 
Efficacy and Effectiveness of Different Models of Early Childhood Developmental Behavioral Interventions: Possible Hope for Low- and Mid-Income Countries
Domain: Applied Research
NIRVANA PISTOLJEVIC (EDUS-Education for All; CABAS)
 
Abstract: EDUS- Education for All is a not-for-profit organization trying to introduce the science of teaching, create novel developmental-behavioral approaches and conduct research in the fields of early detection, diagnostics, intervention, and inclusion of children with developmental disorders in low- and mid-income countries (LMIC). For a decade now, EDUS has been creating systematic developmental-behavioral approaches and transdisciplinary teams of service providers using behavioral principles to advance health, education, and social care systems in low-resource countries. In partnership with global non-for-profits (UNICEF, USAID, KHANE FOUNDATION) and relevant ministries in countries, EDUS was able to work on developing Early Detection and Intervention concepts for the countries and provide services based on a behavioral but transdisciplinary approach for thousands of children through different models. Applied behavior analysis intervention services for children with autism spectrum disorder (ASD) and other Developmental Disorders (DD) are mostly unknown and not affordable for most LMIC such as Bosnia and Herzegovina (B&H). EDUS, an NGO in B&H is the only high-intensity behavioral intervention provider in the country. For the past several years we have developed different intensity programs across the country for and with the health and education systems and completed several studies comparing their effectiveness. In order to provide insight for decision-makers, we conducted a matched-pairs pre-post intervention study by comparing effects of three different intervention models during a five months period: Early Intensive behavioral intervention (n=24; 25 hours weekly), Eclectic models in combination with low-intensity behavioral interventions used in public institutions (n=24; 4-25 hours weekly), and a control group of children without any intervention (n=27), on waiting lists for the programs. In addition, during the pandemic, we have developed and tested additional low-intensity programs focusing on parents delivering the services. I will discuss each model in detail and variables of interest for each separately in this paper. We hope these data will help us work with the government and further develop effective and efficient models of intervention and professional training for different parts of the country.
 
Target Audience:

Understanding the transdisciplinary approach to intervention Practicing or managing intervention services Understanding the research on efficacy and efficiency of different models Understanding evidence-based models of intervention

Learning Objectives: 1, Understand possible differences of models of early intervention 2. Learn how to possibly evaluate the effectiveness and efficacy of an intervention 3. Understand barriers and challenges in LMIC for service providing
 

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