Ingersoll Brooke, Wainer Allison L, Berger Natalie I, Pickard Katherine E, Bonter Nicole
Department of Psychology, Michigan State University, 316 Physics Rd., East Lansing, MI, 48824, USA.
Rush University Medical Center, Chicago, IL, USA.
J Autism Dev Disord. 2016 Jul;46(7):2275-84. doi: 10.1007/s10803-016-2755-z.
This pilot RCT compared the effect of a self-directed and therapist-assisted telehealth-based parent-mediated intervention for young children with ASD. Families were randomly assigned to a self-directed or therapist-assisted program. Parents in both groups improved their intervention fidelity, self-efficacy, stress, and positive perceptions of their child; however, the therapist-assisted group had greater gains in parent fidelity and positive perceptions of child. Children in both groups improved on language measures, with a trend towards greater gains during a parent-child interaction for the therapist-assisted group. Only the children in the therapist-assisted group improved in social skills. Both models show promise for delivering parent-mediated intervention; however, therapist assistance provided an added benefit for some outcomes. A full-scale comparative efficacy trial is warranted.
这项试点随机对照试验比较了针对患有自闭症谱系障碍（ASD）幼儿的基于远程医疗的家长介导自我指导干预与治疗师辅助干预的效果。家庭被随机分配到自我指导或治疗师辅助项目组。两组家长在干预保真度、自我效能感、压力以及对孩子的积极认知方面均有所改善；然而，治疗师辅助组在家长保真度和对孩子的积极认知方面收获更大。两组儿童在语言测量方面均有进步，治疗师辅助组在亲子互动期间有更大进步的趋势。只有治疗师辅助组的儿童在社交技能方面有所改善。两种模式在提供家长介导干预方面都显示出前景；然而，治疗师的协助在某些结果方面带来了额外益处。有必要进行一项全面的比较疗效试验。
