University Medical Center Utrecht, The Netherlands
Leiden University, The Netherlands Erasmus University Rotterdam, The Netherlands.
Autism. 2015 Jul;19(5):588-603. doi: 10.1177/1362361314537124. Epub 2014 Jun 11.
In a randomized controlled trial, we evaluated the early intervention program Video-feedback Intervention to promote Positive Parenting adapted to Autism (VIPP-AUTI) with 78 primary caregivers and their child (16-61 months) with Autism Spectrum Disorder. VIPP-AUTI is a brief attachment-based intervention program, focusing on improving parent-child interaction and reducing the child's individual Autism Spectrum Disorder-related symptomatology in five home visits. VIPP-AUTI, as compared with usual care, demonstrated efficacy in reducing parental intrusiveness. Moreover, parents who received VIPP-AUTI showed increased feelings of self-efficacy in child rearing. No significant group differences were found on other aspects of parent-child interaction or on child play behavior. At 3-months follow-up, intervention effects were found on child-initiated joint attention skills, not mediated by intervention effects on parenting. Implementation of VIPP-AUTI in clinical practice is facilitated by the use of a detailed manual and a relatively brief training of interveners.
在一项随机对照试验中，我们评估了针对自闭症的早期干预计划视频反馈干预促进积极养育（VIPP-AUTI），共有 78 名主要照顾者及其患有自闭症谱系障碍的儿童（16-61 个月）参与。VIPP-AUTI 是一项简短的基于依恋的干预计划，重点在于通过五次家访改善亲子互动并减轻儿童自闭症谱系障碍的个体症状。与常规护理相比，VIPP-AUTI 显示出减少父母过度介入的效果。此外，接受 VIPP-AUTI 的父母在育儿方面的自我效能感有所提高。在亲子互动的其他方面或儿童游戏行为方面，未发现组间存在显著差异。在 3 个月的随访中，发现干预对儿童发起的共同注意技能有影响，而不是通过对养育方式的干预效果来介导。详细的手册和相对简短的干预者培训使 VIPP-AUTI 在临床实践中的实施变得更加便利。
