Vohra Rini, Madhavan Suresh, Khanna Rahul, Becker-Cottrill Barbara
W V Med J. 2014 Sep-Oct;110(5):32-9.
Survey data was collected from 301 primary caregivers of children with autism registered at West Virginia Autism Training Center (WV ATC), to examine the impact of child's autism severity on caregiver satisfaction with school services. Satisfaction with six school services was measured via a 3-point Likert scale: speech-language therapy, occupational therapy, social skills training, physical therapy, behavioral interventions, and assistance in improving study skills. Ordinal logistic regressions showed that caregivers of children with high autism severity were less likely to be satisfied with school services, as compared to caregivers of children with low autism severity (OR's from 0.45 to 0.39). No significant differences existed in caregiver satisfaction with services between high and low autism severity groups, after addition of caregiver burden to the model. Findings suggest that child's autism severity is a significant predictor of caregiver satisfaction with school services, and should be considered during development of child's Individualized Education Program(IEP) and evaluation of caregiver satisfaction with the IEP.
研究数据收集自西弗吉尼亚州自闭症培训中心（WV ATC）登记在册的301名自闭症儿童的主要照顾者，以考察儿童自闭症严重程度对照顾者对学校服务满意度的影响。通过3点李克特量表对六项学校服务的满意度进行了测量：言语语言治疗、职业治疗、社交技能训练、物理治疗、行为干预以及学习技能提升辅助。有序逻辑回归显示，与低自闭症严重程度儿童的照顾者相比，高自闭症严重程度儿童的照顾者对学校服务满意的可能性更低（比值比从0.45到0.39）。在模型中加入照顾者负担后，高、低自闭症严重程度组的照顾者对服务的满意度没有显著差异。研究结果表明，儿童的自闭症严重程度是照顾者对学校服务满意度的一个重要预测因素，在制定儿童的个性化教育计划（IEP）以及评估照顾者对IEP的满意度时应予以考虑。
