This study longitudinally compares the costs and effects of two alternative forms of early intervention that differed with respect to the roles assumed by parents and professionals: a home parent training intervention and a clinic-based, low parent involvement intervention. Results of follow-up testing 42 months after the initiation of the interventions indicated that the home parent training group performed as well as the clinic-based group on measures of speech and language functioning, the primary area of delay for all subjects, as well as on measures of general development and family functioning. The comparable longitudinal effects of the two interventions examined in this study support the viability of programs that offer options to parents and the need for interventionists to be trained broadly enough to be able to assume a variety of roles and to provide a range of services.
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References
1.
Abidin, R. R (1986). Parenting stress index-Manual. Charlottesville, VA: Pediatric Psychology Press.
2.
Bailey, D. B Jr., & McWilliam, P.J. (1993). The search for quality indicators. In P.J. McWilliam & D. B. Bailey, Jr. (Eds.), Working together with children and families: Case studies in early intervention (pp. 3–20). Baltimore: Brookes.
3.
Bailey, D. B Jr., & Wolery, M. (1992). Teaching infants and preschoolers with disabilities (2nd ed.). New York: Macmillan.
4.
Barnett, W. SEscobar, C. M. & Ravsten, M. T. (1988). Parent and clinic early intervention for children with language handicaps: A cost-effectiveness analysis. Journal of the Division for Early Childhood, 12, 290298.
5.
Carrow-Woolfolk, E. (1985). Test for auditory comprehension of language-Revised edition. Allen, TX: DLM Teaching Resources.
6.
Dunst, C.J., Jenkins, V. & Trivette, C.M. (1984). The family support scale: Reliability and validity. Journal of Individual, Family, and Community Wellness, 1, 4552.
7.
Dunst, C.J., & Leet, H.E. (1985). Family resource scale. Morganton, NC: Western Carolina Center.
8.
Eiserman, W. DMcCoun, M. & Escobar, E. (1990). A cost-effectiveness analysis of two alternative program models for serving speech disordered preschoolers. Journal of Early Intervention, 14, 297317.
9.
Eiserman, W. DWeber, C. & McCoun, M. (1992). Two alternative program models for serving speech-disordered preschoolers: A second year follow-up. Journal of Communication Disorders, 25, 77106.
10.
Farran, D. C (1990). Effects of intervention with disadvantaged and disabled children: A decade review. In S. J. Meisels & J. P. Shonkoff (Eds.), Handbook of early childhood intervention. Cambridge, England: Cambridge University Press.
11.
Fredericks, H. DHanks, S.Mokohon, L.Fruin, C. Templeman-Piazza, T.Blair, L.Oalke, B. & Hawkins, P. (1980) The teaching research curriculum for moderately and severely handicapped.Springfield, IL: Thomas.
12.
Gatling, J. & White, K. R. (1987, April). The involvement of parents as a policy issue in the provision of intervention services for infants and preschoolers. Paper presented at the Society for Research in Child Development Conference, Baltimore.
13.
Goldman, R. & Fristoe, M. (1972). Goldman-Fristoe test of articulation. St. Paul, MN: American Guidance.
14.
Guralnick, M.J. (1991). The next decade of research on the effectiveness of early intervention. Exceptional Children, 58, 174183.
15.
Hopkins, K. D (1973). Research design and analysis clinic: Preventing the number-one misinterpretation of behavioral research, or how to increase statistical power. The Journal of Special Education, 7, 103107.
16.
Huitema, B. E (1980). The analysis of covariance and alternatives. New York: Wiley.
17.
McCubbin, H. IPatterson, J. M. & Wilson, L. R. (1983). Family inventory of life events and changes. St. Paul: University of Minnesota, Family Social Science.
18.
McLoughlin, C. S & Gullo, D. F. (1984). Comparison of three formal methods of preschool language assessment. Language, Speech, and Hearing Services in Schools, 15, 146153. Philadelphia, PA: Nova University. (ERIC Document Reproduction Service No. ED 245 806)
19.
Mott, S. EFewell, R. R.Lewis, M.Meisels, S.J.Shonkoff, J. P. & Simeonsson, R. J. (1986). Methods for assessing child and family outcomes in early childhood special education programs: Some views from the field. Topics in Early Childhood Special Education, 6(2), 1–15.
20.
Newborg, J.Stock, J.Wnek, L.Guidubaldi, J. & Svinicki, J. (1984). Battelle developmental inventory. Allen, TX: DLM Teaching Resources.
21.
Newport, E. (1976). Motherese: The speech of mothers to young children. In N. J. Castellan, D. B. Pisoni, & G. R. Potts (Eds.), Cognitive theory: Vol. II. Hillsdale: Erlbaum.
22.
Olson, D. HPortner, J. & Lavee. Y. (1985). Family adaptability and cohesion evaluation scales-III. St. Paul: University of Minnesota, Family Social Science.
23.
Ramey, C. TMcPhee, D. & Yates, K. O. (1982). Preventing developmental retardation: A general systems model. In L. A. Bond & J. M. Joffe (Eds.), Facilitating infant and early childhood development (pp. 343–401). New Hampshire: University Press of New England.
24.
Reeder, D. H & Casto, G. C. (1984). Parental involvement in early intervention: A review and critique. Unpublished manuscript.
25.
Shulman, L. S (1986). Those who understand: Knowledge growth in teaching. Educational Researcher, 15(2), 4–14.
26.
Simeonsson, R.J., Cooper, D. H. & Scheiner, A. P. (1982). A review and analysis of the effectiveness of early intervention programs. Pediatrics, 69, 635.
27.
Werner, E. O & Kresheck, J. D. (1983). Structured photographic expressive language test-II. Sandwich, IL: Janelle Publications.
28.
White, K.Taylor, M.J. & Moss, V. D. (1992). Does research support claims about the benefits of involving parents in early intervention programs?Review of Educational Research, 62(1), 91–125.
29.
Wulz, S.V., Hall, M. K. & Klein, M. D. (1983). A home-centered instructional communication strategy for severely handicapped children. Journal of Speech and Hearing Disorders, 48, 210.
30.
Young, E.C., & Perachio, J.J. (1983). The patterned elicitation syntax test. Tucson, AZ: Communication Skill Builders.
31.
Zigler, E. & Balla, D. (1982). Selecting outcome variables in evaluations of early childhood special education programs. Topics in Early Childhood Special Education, 1(4), 11–22.
32.
Zimmerman, I. LSteiner, V. G. & Pond, R. E. (1979). Preschool language scale. Columbus, OH: Merrill.
