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中国学龄前教师分层抽样中自闭症谱系障碍的知识、态度和认知

Knowledge, attitudes, and perceptions of autism spectrum disorder in a stratified sampling of preschool teachers in China.

作者信息

Liu Yingna, Li Jialing, Zheng Qiaolan, Zaroff Charles M, Hall Brian J, Li Xiuhong, Hao Yuantao

机构信息

School of Public Health, Department of Medical Statistics and Epidemiology, Sun Yat-Sen University, Guangzhou, China.

Faculty of Social Sciences, Department of Psychology, The University of Macau, Avenida da Universidade, Taipa, Macau (SAR), People's Republic of China.

出版信息

BMC Psychiatry. 2016 May 13;16:142. doi: 10.1186/s12888-016-0845-2.

Abstract

BACKGROUND

In China, children with Autism Spectrum Disorder (ASD) can potentially benefit from universal education policies and recent initiatives designed to address the needs of children with developmental disorders. However, adequate schooling is often unavailable for children with ASD, in part because teachers lack the knowledge and skills needed to work with this population. To better understand the current state of knowledge of ASD in China, we surveyed knowledge and attitudes regarding the disorder in preschool teachers.

METHODS

A total of 471 preschool teachers in the cities of Guangzhou and Foshan, China completed questionnaires assessing participant demographics, knowledge of typical child development and knowledge of ASD, attitudes towards ASD, practices and self-perceptions of efficacy in the education of children with ASD, and awareness of organizations and intervention approaches devoted to the care of individuals with ASD. The correlation between individual- and school-level variables with current knowledge of typical child development and ASD was examined using univariate and multivariate analyses.

RESULTS

The majority (84%) of participants answered correctly more than half of the questionnaire items assessing understanding of typical child development. In contrast, 83% provided inaccurate responses to more than half of the questionnaire items assessing knowledge of ASD. Knowledge of typical child development and knowledge of ASD were both associated with geographic region (teachers in Guangzhou had greater knowledge than those in Foshan, p < 0.0001). Knowledge of ASD was also associated with a higher education level (p < 0.05) and school type (p = 0.023). In general, participants believed fairly strongly in the need for greater service provision for children with ASD, and were receptive towards receiving additional specialized training. Most participants were unaware of ASD-specific organizations and empirically validated intervention approaches.

CONCLUSIONS

Knowledge of ASD is lacking in preschool teachers in China, and greater teacher training and instruction is needed. Nonetheless, teachers report a willingness and motivation to gain the skills needed to maximize the educational experiences of children with ASD.

摘要

背景

在中国,患有自闭症谱系障碍(ASD)的儿童可能会从普及教育政策以及最近为满足发育障碍儿童需求而开展的举措中受益。然而,ASD儿童往往无法获得足够的学校教育,部分原因是教师缺乏与这类人群打交道所需的知识和技能。为了更好地了解中国目前对ASD的认知状况,我们对幼儿教师关于该病症的知识和态度进行了调查。

方法

中国广州和佛山两市的471名幼儿教师完成了问卷,问卷评估了参与者的人口统计学特征、对典型儿童发育的知识以及对ASD的知识、对ASD的态度、在ASD儿童教育中的实践和自我效能感认知,以及对致力于照顾ASD患者的组织和干预方法的知晓情况。使用单变量和多变量分析检验个体和学校层面变量与当前对典型儿童发育和ASD的知识之间的相关性。

结果

大多数(84%)参与者在评估对典型儿童发育理解的问卷项目中,答对了一半以上的题目。相比之下,83%的参与者在评估ASD知识的问卷项目中,一半以上的回答不准确。对典型儿童发育的知识和对ASD的知识都与地理区域有关(广州的教师比佛山的教师知识更丰富,p < 0.0001)。对ASD的知识还与较高的教育水平(p < 0.05)和学校类型(p = 0.023)有关。总体而言,参与者相当强烈地认为需要为ASD儿童提供更多服务,并愿意接受额外的专业培训。大多数参与者不知道针对ASD的特定组织和经过实证验证的干预方法。

结论

中国的幼儿教师缺乏对ASD的知识,需要加强教师培训和指导。尽管如此,教师们表示愿意并有动力获得所需技能,以最大限度地提升ASD儿童的教育体验。

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