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一项针对自闭症谱系障碍幼儿的社区早期干预项目。

A community-based early intervention program for toddlers with autism spectrum disorders.

作者信息

Rollins Pamela Rosenthal, Campbell Michelle, Hoffman Renee Thibodeau, Self Kayli

机构信息

The University of Texas at Dallas, USA

Pathways Early Autism Intervention, USA.

出版信息

Autism. 2016 Feb;20(2):219-32. doi: 10.1177/1362361315577217. Epub 2015 Apr 23.

Abstract

This study examined Pathways Early Autism Intervention, a community-based, parent-mediated, intensive behavioral and developmental intervention program for children with autism spectrum disorders that could be used as a model for state-funded early intervention programs. A single-subject, multiple-baseline, across-participants design was used. Four boys with autism spectrum disorder and their mothers participated. Interventionists made weekly home visits and worked with caregivers to establish and maintain face-to-face reciprocal social interaction and eye contact. Each session included a 10-min video of parent-child interaction. Evidence of intervention effectiveness was measured by percentage of nonoverlapping data points. Social validity was measured using questionnaire items in regard to parents' perception of the intervention. The intervention was effective for the measures of eye contact, social engagement, and verbal reciprocity but not for nonverbal turn taking. Parents perceived the intervention as beneficial and easy to learn and incorporate into daily life.

摘要

本研究考察了“早期孤独症干预路径”项目,这是一项基于社区、由家长介导的针对孤独症谱系障碍儿童的强化行为与发育干预项目,可作为由州政府资助的早期干预项目的典范。采用了单被试、多基线、跨被试设计。四名患有孤独症谱系障碍的男孩及其母亲参与了研究。干预人员每周进行家访,并与照料者合作,以建立和维持面对面的双向社交互动及眼神交流。每次课程都包含一段10分钟的亲子互动视频。通过非重叠数据点的百分比来衡量干预效果的证据。使用关于家长对干预的看法的问卷项目来衡量社会效度。该干预在眼神交流、社交参与和言语互动方面的测量上是有效的,但在非言语轮流方面无效。家长们认为该干预有益且易于学习并融入日常生活。

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