Department of Audiology and Speech Pathology, University of Tennessee,Knoxville, TN 37996, USA.
Autism. 2013 Mar;17(2):220-41. doi: 10.1177/1362361311422052. Epub 2011 Sep 26.
The study evaluates a social-communication-based approach to autism intervention aimed at improving the social interaction skills of children with autism spectrum disorder. We report preliminary results from an ongoing randomized controlled trial of 51 children aged 2 years 0 months to 4 years 11 months. Participants were assigned to either a target treatment or community treatment group. Families in the target treatment group were given 2 hours of therapy and coaching each week in an intervention emphasizing social-interaction and the parent-child relationship. Children in the community treatment group received a variety of services averaging 3.9 hours per week. After 12 months, outcomes were measured to determine changes in the groups in social interaction and communication. In addition, a regression analysis was conducted to determine whether changes in social interaction skills were associated with language development. Results suggest that children in the treatment group made significantly greater gains in social interaction skills in comparison to the community treatment group, but no between-group differences were found for standard language assessments. Initiation of joint attention, involvement, and severity of language delay were found to be significantly associated with improvement of language skills in children with autism. Finally caregiver skills targeted by the intervention were found to be significantly associated with changes in children's interaction skills.
本研究评估了一种基于社会沟通的自闭症干预方法，旨在提高自闭症谱系障碍儿童的社交互动技能。我们报告了一项正在进行的随机对照试验的初步结果，该试验纳入了 51 名 20 个月至 4 岁 11 个月的儿童。参与者被分配到目标治疗组或社区治疗组。目标治疗组的家庭每周接受 2 小时的治疗和指导，干预重点是社交互动和亲子关系。社区治疗组的儿童每周接受各种服务，平均 3.9 小时。12 个月后，评估结果以确定两组在社交互动和沟通方面的变化。此外，还进行了回归分析，以确定社交互动技能的变化是否与语言发展相关。结果表明，与社区治疗组相比，治疗组儿童的社交互动技能有显著提高，但在标准语言评估方面，两组之间没有差异。发起共同注意、参与和语言延迟的严重程度与自闭症儿童语言技能的提高显著相关。最后，干预措施针对的照顾者技能与儿童互动技能的变化显著相关。
