Autism Spectrum Disorder Clinical Trial
Official title:
Generalized Training Program for Caregivers on the ESDM
The main objective of the study is to evaluate the effectiveness of a parent's training
program (name PEGASE) of young children (aged 2 to 4 years) with Autism Spectrum Disorders.
This study is follow up by the Autism Resource Center PACA (CRA PACA), which is located in
Marseille's university Department of Child Psychiatry.
This center is a regional expert center in diagnostic and research missions in the field of
Autism. The center is promoting new advances in the field of Autism Spectrum Disorders (ASD)
The center receives requests for diagnostic assessment from all the region. Autism is to date
a major public health problem, current prevalence rates are 1 child / 88 in the United
States. This prevalence continues to increase.
Autism is a severe neurodevelopment disorder with significant functional impact.
An essential axis in the field of health is to develop new treatment strategy including low
costs and family impact particularly in quality of life.
In France, consensus guidelines (HAS 2012) on the diagnosis assessment for Autism Spectrum
Disorders (ASD) people and interventions were edited.
Support for grade recommendations have been issued. In this research, the investigators focus
on a global, early and coordinated management method: the Early Start Denver Model. This
intervention obtained a grade B to the recommendations of the HAS in 2012. Early Start Denver
Model (ESDM) is scientifically proven by a lots of studies.
Two management modalities are discuss in the ESDM model: the classical ESDM and the ESDM P
(parents ESDM). Even if in both ways of care, the parent is put in a central position around
the care of the child. In P ESDM, the parent is trained in the techniques of ESDM itself.
This parental coaching program at ESDM (P-ESDM) was developed by Rogers et al at Sacramento
Davis University.
P ESDM is not yet developed in France and has not been the subject of any French-language
publication to date.
This program is dedicated to young parents of children with autism spectrum disorders aged
between 2 and 4 years old.
This is a 7-month program (with a duration of inclusion of 3 year). The program is based on
ESDM techniques, it meets both the need to include parents in care and the idea of reducing
the cost of these care (need fewer hours of care by professionals).
This program is offered to all parents of autism spectrum disorders children between the ages
of 2 and 4 who go to CRA PACA for an expert diagnostic evaluation.
The aim of this study is to objectify the effectiveness of this parental intervention in a
French population.
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