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Practice Commentary
Kurt L. Klinepeter, MD
Arch Fam Med. 1995;4(6):494.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The issue of improved outcome with early intervention services has been a controversial one. In fact, prior to 1990, there was no published literature of well-controlled prospective trials in which the efficacy of early intervention services was proved. Intuitively, early intervention services were believed to be a good idea in children with developmental disabilities, and a number of retrospective and concurrent studies demonstrated improved outcomes. Therefore, physicians who trained in the field of developmental disabilities were advocates of early intervention services, but we never had the backing of a well-designed prospective clinical trial to support our viewpoint. The effort to control all the variables and to design a meaningful research protocol was daunting. Because of all this, there was a group of medical and allied health professionals who believed that early intervention services were not proved to be efficacious, particularly with the expenditures involved.
In 1990, a landmark study was
. . . [Full Text PDF of this Article]
Author Affiliations
Bowman Gray School of Medicine Winston-Salem, NC
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