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Master Thesis

L'Early Start Denver Model : une étude exploratoire de la mise en place du modèle en France

Abstract : Introduction: The Early Start Denver Model is one of the early interventions recommended for autism by HAS. Objectives: Evaluate the efficiency data of the model, and study its implementation in France as well as the obstacles to its dissemination. Method: A literature review was carried out using bibliographic data sites and defined inclusion criteria. A descriptive epidemiological survey was also conducted among the units identified in the ESDM care offer in order to assess how the model has been deployed in France, and what limits its use. Results: 35 articles were included, but few were from high-level evidence studies and many evaluated the intervention using alternative modalities to the original model. However, the results are promising for improving children's developmental trajectories. As for the survey carried out, 23 centers participated in the study. Disparities in the implementation of the model in France were found. Difficulties in its implementation and obstacles to its deployment were also raised such as the lack of funding, the under-representation of certain professionals, the lack of precocity in addressing, the impossibility of high-intensity delivery, or further difficulties in accessing certification training. Conclusion: The scientific evidence on ESDM is promising in the field of early intervention in autism, and the research effort should be sustained. Answers will also have to be found to promote access to ESDM and allow its wider deployment at the national level.
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https://dumas.ccsd.cnrs.fr/dumas-03332433
Contributor : Ufr Santé Unicaen <>
Submitted on : Thursday, September 2, 2021 - 4:48:20 PM
Last modification on : Thursday, September 9, 2021 - 3:30:59 AM

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  • HAL Id : dumas-03332433, version 1

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Aude Poirier. L'Early Start Denver Model : une étude exploratoire de la mise en place du modèle en France. Médecine humaine et pathologie. 2021. ⟨dumas-03332433⟩

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