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接受家长管理的强化干预的自闭症儿童的进展与成果。

Progress and outcomes for children with autism receiving parent-managed intensive interventions.

作者信息

Bibby Peter, Eikeseth Svein, Martin Neil T, Mudford Oliver C, Reeves David

机构信息

Autism & Developmental Disorders Education Research, London, England, UK.

出版信息

Res Dev Disabil. 2002 Jan-Feb;23(1):81-104. doi: 10.1016/s0891-4222(02)00095-1.

Abstract

Parent-managed behavioral interventions for young children with autism are under-researched. We analysed data from 66 children served by 25 different early intervention consultants. After a mean of 31.6 months of intervention, IQ scores had not changed (N = 22). Vineland adaptive behavior scores had increased significantly by 8.9 points (N = 21). No children aged >72 months attained normal functioning, i.e., IQ > 85 and unassisted mainstream school placement (N = 42). Progress for 60 children across 12 months was found for mental age (5.4 months), adaptive behavior (9.7 months), and language (5.1 months). The interventions did not reproduce results from clinic-based professionally directed programs. The effectiveness of the parent-managed intervention model as it has developed and the adequacy of professional services in that model are discussed.

摘要

针对自闭症幼儿的家长管理行为干预研究不足。我们分析了由25位不同早期干预顾问服务的66名儿童的数据。经过平均31.6个月的干预后,智商分数没有变化(N = 22)。文兰适应行为分数显著提高了8.9分(N = 21)。没有年龄大于72个月的儿童达到正常功能,即智商> 85且能在无协助的情况下进入主流学校就读(N = 42)。发现60名儿童在12个月内的心理年龄(5.4个月)、适应行为(9.7个月)和语言(5.1个月)有所进步。这些干预措施未能重现基于诊所的专业指导项目的结果。本文讨论了已发展的家长管理干预模式的有效性以及该模式中专业服务的充分性。

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