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针对自闭症谱系障碍学龄前儿童的居家DIR/地板时光干预计划:初步研究结果

Home-based DIR/Floortime intervention program for preschool children with autism spectrum disorders: preliminary findings.

作者信息

Liao Shu-Ting, Hwang Yea-Shwu, Chen Yung-Jung, Lee Peichin, Chen Shin-Jaw, Lin Ling-Yi

机构信息

1Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

出版信息

Phys Occup Ther Pediatr. 2014 Nov;34(4):356-67. doi: 10.3109/01942638.2014.918074. Epub 2014 May 27.

Abstract

Improving parent-child interaction and play are important outcomes for children with autism spectrum disorder (ASD). Play is the primary occupation of children. In this pilot study conducted in Taiwan, we investigated the effects of the developmental, individual difference, and relationship-based (DIR)/Floortime home-based intervention program on social interaction and adaptive functioning of children with ASD. The participants were 11 children with ASD, ages from 45-69 months, and their mothers. Mothers were instructed the principles of the approach by an occupational therapist. All 11 children and their mothers completed the 10-week home-based intervention program, undergoing an average of 109.7 hr of intervention. Children made significant changes in mean scores for emotional functioning, communication, and daily living skills. Moreover, the mothers perceived positive changes in their parent-child interactions. The findings of this pilot study contribute to knowledge regarding the effects of home-based DIR/Floortime intervention program on increasing the social interaction and adaptive behaviors of children with ASD in Taiwan.

摘要

改善亲子互动和游戏对自闭症谱系障碍(ASD)儿童来说是重要成果。游戏是儿童的主要活动。在台湾进行的这项试点研究中,我们调查了基于发展、个体差异和关系的(DIR)/地板时光家庭干预项目对ASD儿童社交互动和适应性功能的影响。参与者为11名年龄在45至69个月的ASD儿童及其母亲。职业治疗师向母亲们讲解了该方法的原则。所有11名儿童及其母亲都完成了为期10周的家庭干预项目,平均接受了109.7小时的干预。儿童在情感功能、沟通和日常生活技能的平均得分上有显著变化。此外,母亲们感觉到亲子互动有积极变化。这项试点研究的结果有助于了解台湾家庭DIR/地板时光干预项目对提高ASD儿童社交互动和适应性行为的影响。

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