Division of Psychological Studies in Education, University of California Los Angeles, 3132 Moore Hall, UCLA, Los Angeles, CA 90095, USA.
J Autism Dev Disord. 2010 Sep;40(9):1045-56. doi: 10.1007/s10803-010-0955-5.
This study aimed to determine if a joint attention intervention would result in greater joint engagement between caregivers and toddlers with autism. The intervention consisted of 24 caregiver-mediated sessions with follow-up 1 year later. Compared to caregivers and toddlers randomized to the waitlist control group the immediate treatment (IT) group made significant improvements in targeted areas of joint engagement. The IT group demonstrated significant improvements with medium to large effect sizes in their responsiveness to joint attention and their diversity of functional play acts after the intervention with maintenance of these skills 1 year post-intervention. These are among the first randomized controlled data to suggest that short-term parent-mediated interventions can have important effects on core impairments in toddlers with autism. Clinical Trials #: NCT00065910.
本研究旨在确定共同关注干预是否会增加自闭症幼儿与照顾者之间的共同参与度。该干预包括 24 次照顾者介导的治疗疗程，之后 1 年进行随访。与等待名单对照组的照顾者和幼儿相比，即时治疗（IT）组在共同参与的目标领域有显著的改善。干预后，IT 组在对共同关注的反应能力和功能游戏行为的多样性方面有显著的改善，并且这些技能在干预后 1 年仍得到维持，效果大小为中等到大。这些是第一批随机对照数据，表明短期的家长介导干预可以对自闭症幼儿的核心障碍产生重要影响。临床试验 #: NCT00065910。
