Family income and race/ethnicity were associated with occupational therapy intensity, with higher-income children receiving more intensive OT¶

Claim · All claims
Evidence · 1 study · associational r2 · q2
Currency · newest study 2019 · not yet checked against its sources · not reviewed by a person · overdue for a recheck since 2024: baselines and conditions change

Subclaims¶

q2 i? Children whose family income was above the federal poverty threshold received more intensive occupational therapy (b, 1.9; 95% CI, 0.9-3.0), whereas children categorized as other, non-Hispanic received less intensive OT (b, ŌłÆ1.6; 95% CI, ŌłÆ2.6 to ŌłÆ0.7). → McManus BM 2019

Evidence¶

McManus BM 2019¶

McManus BM, Richardson Z, Schenkman M, Murphy N, Morrato EH. (2019). Timing and Intensity of Early Intervention Service Use and Outcomes Among a Safety-Net Population of Children. JAMA Network Open. https://doi.org/10.1001/jamanetworkopen.2018.7529

q2 · i? · associational · r2

Adjusted quantile median regression models estimating service intensity for each core EI discipline (OT model, 89 observations) in the linked-record cohort. The article reports the income and race/ethnicity differences in OT intensity with the printed coefficients.

"Children whose family income was above the FPL received more intensive OT (b, 1.9; 95% CI, 0.9-3.0), whereas children from a race and ethnicity categorized as other, non-Hispanic received less intensive OT (b, ŌłÆ1.6; 95% CI, ŌłÆ2.6 to ŌłÆ0.7)"

Discussion¶

Learner Variables¶

• Race and Ethnicity — predictor: outcomes differ by group: a gap reflecting circumstances and treatment, not a cause
• Socioeconomic Status — predictor: outcomes differ by group: a gap reflecting circumstances and treatment, not a cause

Related Claims¶

• Discipline-specific intensity associations: developmental intervention with social-emotional gains and speech therapy with adaptive function gains — related
• Greater clinical severity and older child age were associated with more timely EI care plan receipt in a safety-net cohort — related
• EI service intensity was low in the safety-net cohort, with a median of 2.7 hours per month across all services — related