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评估接受强化行为干预的自闭症幼儿治疗过程中的进展。

Assessing progress during treatment for young children with autism receiving intensive behavioural interventions.

机构信息

UK Young Autism Project, UK.

出版信息

Autism. 2009 Nov;13(6):613-33. doi: 10.1177/1362361309340029.

DOI:10.1177/1362361309340029
PMID:19933766
Abstract

This study examined progress after 1 year of treatment for children with autism who received a mean of 36 hours per week one-to-one University of California at Los Angeles Applied Behavior Analysis (UCLA ABA) treatment. Two types of service provision were compared: an intensive clinic based treatment model with all treatment personnel (N = 23), and an intensive parent managed treatment model with intensive supervision only (N = 21). A non-concurrent multiple baseline design across participants (N = 13) examined whether progress was associated with ABA treatment or confounders. Between intake and follow-up, children in both groups improved significantly on IQ, visual-spatial IQ, language comprehension, expressive language, social skills, motor skills and adaptive behaviour. There were no significant differences between the two groups on any of the measures at follow-up. Mean IQ for participants in both groups increased by 16 points between intake and follow-up. These findings are consistent with previous studies demonstrating the benefits of ABA treatment.

摘要

本研究考察了接受平均每周 36 小时一对一加州大学洛杉矶分校应用行为分析(UCLA-ABA)治疗的自闭症儿童在治疗 1 年后的进展情况。比较了两种服务提供方式:一种是全员参与的密集型诊所治疗模式(N=23),另一种是只提供密集监督的强化家长管理治疗模式(N=21)。通过参与者的非同期多重基线设计(N=13),研究了进展是否与 ABA 治疗或混杂因素有关。在摄入和随访之间,两组儿童在智商、视觉空间智商、语言理解、表达语言、社交技能、运动技能和适应行为方面都有显著改善。在随访时,两组在任何测量指标上都没有显著差异。两组参与者的平均智商在摄入和随访之间增加了 16 分。这些发现与先前的研究一致,表明 ABA 治疗是有益的。

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