Interventions in Early Childhood Care and Education for Children with Special Needs
Keywords:
Early childhood, Special needs, Interventions, Education, Care, Developmental disabilities, Inclusion, Parent-mediated therapyAbstract
Objectives: This study aims to critically evaluate the efficacy of early childhood care and education (ECCE) interventions for children aged 0–6 with special needs, including intellectual disabilities, autism spectrum disorder (ASD), and sensory impairments. It seeks to identify strategies that enhance developmental outcomes, address implementation challenges, and improve quality of life, providing insights for educators, caregivers, and policymakers working with this population.
Methods: A systematic review was conducted following PRISMA guidelines, analyzing peer-reviewed studies published between 2015 and 2024. Literature was sourced from PubMed, ERIC, and PsycINFO using keywords such as "early childhood," "special needs," "intervention," "education," and "care." Inclusion criteria focused on empirical studies evaluating ECCE interventions for children with developmental disabilities. Data extraction covered intervention type, sample size, duration, and outcomes (e.g., cognitive, social, adaptive skills), with effect sizes calculated where feasible. A narrative synthesis was employed due to methodological diversity.
Results: Thirty-two studies (n=4,872) revealed that behavioral interventions like Applied Behavior Analysis (ABA) yielded large effect sizes (d=1.2) in communication and social skills, while inclusive preschool programs (d=0.5–0.7) and parent-mediated therapies (d=0.8) improved adaptive and cognitive domains. Access disparities and fidelity issues were notable barriers.
Conclusions: Multi-disciplinary, early interventions significantly enhance developmental trajectories for children with special needs, though global inequities in access highlight the need for scalable, culturally responsive solutions.
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References
Anderson, Laura M., Charles Shinn, and Mindy T. Fullilove. 2018. "The Effectiveness of Early Childhood Development Programs." American Journal of Preventive Medicine 34 (4): 345–356.
Dawson, Geraldine, et al. 2010. "Randomized, Controlled Trial of an Intervention for Toddlers with Autism: The Early Start Denver Model." Pediatrics 125 (1): e17–e23.
Guralnick, Michael J. 2017. "Early Intervention for Children with Intellectual Disabilities: Current Knowledge and Future Prospects." Journal of Applied Research in Intellectual Disabilities 30 (1): 1–16.
Karoly, Lynn A., et al. 2005. Early Childhood Interventions: Proven Results, Future Promise. Santa Monica, CA: RAND Corporation.
Kasari, Connie, Amanda Gulsrud, and Stephanie Shire. 2015. "Parent-Mediated Intervention for Young Children with Autism." Journal of Early Intervention 37 (3): 186–201.
Moher, David, Alessandro Liberati, Jennifer Tetzlaff, and Douglas G. Altman. 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement." PLoS Medicine 6 (7): e1000097.
Odom, Samuel L., Amy McCart, and Ann W. Cox. 2021. "Inclusive Early Childhood Education: A Collaborative Approach." Young Exceptional Children 24 (2): 87–99.
Reichow, Brian, Kara Hume, and Erin E. Barton. 2018. "Early Intensive Behavioral Intervention (EIBI) for Young Children with Autism Spectrum Disorders (ASD)." Cochrane Database of Systematic Reviews 5: CD009260.
Shonkoff, Jack P., and Deborah A. Phillips, eds. 2000. From Neurons to Neighborhoods: The Science of Early Childhood Development. Washington, DC: National Academies Press.
Zwaigenbaum, Lonnie, et al. 2015. "Early Intervention for Children with Autism Spectrum Disorder Under 3 Years of Age." Pediatrics 136 (Supplement 1): S60–S81.
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