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一项针对“自闭症学龄前儿童”的随机分组比较对照试验:一项针对自闭症谱系障碍幼儿的家长教育和技能培训干预。

A randomised group comparison controlled trial of 'preschoolers with autism': a parent education and skills training intervention for young children with autistic disorder.

机构信息

1Monash University, Australia.

出版信息

Autism. 2014 Feb;18(2):166-77. doi: 10.1177/1362361312458186. Epub 2012 Sep 17.

Abstract

AIM

To determine the effect of parent education on adaptive behaviour, autism symptoms and cognitive/language skills of young children with autistic disorder.

METHOD

A randomised group comparison design involving a parent education and counselling intervention and a parent education and behaviour management intervention to control for parent skills training and a control sample. Two rural and two metropolitan regions were randomly allocated to intervention groups (n = 70) or control (n = 35). Parents from autism assessment services in the intervention regions were randomly allocated to parent education and behaviour management (n = 35) or parent education and counselling (n = 35).

RESULTS

Parent education and behaviour management resulted in significant improvement in adaptive behaviour and autism symptoms at 6 months follow-up for children with greater delays in adaptive behaviour. Parent education and behaviour management was superior to parent education and counselling. We conclude that a 20-week parent education programme including skills training for parents of young children with autistic disorder provides significant improvements in child adaptive behaviour and symptoms of autism for low-functioning children.

摘要

目的

探讨父母教育对自闭症儿童适应行为、自闭症症状和认知/语言技能的影响。

方法

采用随机分组比较设计,包括父母教育和咨询干预以及父母教育和行为管理干预,以控制父母技能培训和对照组。将两个农村地区和两个城市地区随机分配到干预组(n=70)或对照组(n=35)。来自干预地区自闭症评估服务的父母被随机分配到父母教育和行为管理组(n=35)或父母教育和咨询组(n=35)。

结果

父母教育和行为管理组在 6 个月随访时,对于适应行为延迟较大的儿童,其适应行为和自闭症症状显著改善。父母教育和行为管理组优于父母教育和咨询组。我们得出结论,为期 20 周的父母教育计划,包括对自闭症儿童的父母进行技能培训,可以显著改善低功能儿童的儿童适应行为和自闭症症状。

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