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在意大利社区实施早期丹佛模式。

Implementation of the Early Start Denver Model in an Italian community.

机构信息

1 University of Michigan, USA.

2 IRCCS Stella Maris Foundation, Italy.

出版信息

Autism. 2018 Feb;22(2):126-133. doi: 10.1177/1362361316665792. Epub 2016 Oct 20.

Abstract

Identifying effective, community-based specialized interventions for young children with autism spectrum disorder is an international clinical and research priority. We evaluated the effectiveness of the Early Start Denver Model intervention in a group of young children with autism spectrum disorder living in an Italian community compared to a group of Italian children who received treatment as usual. A total of 22 young children diagnosed with autism spectrum disorder received the Early Start Denver Model in a center-based context for 6 h per week over 6 months. The Early Start Denver Model group was compared to a group of 70 young children diagnosed with autism spectrum disorder who received treatment as usual for an average of 5.2 h over 6 months. Children in both groups improved in cognitive, adaptive, and social skills after 3 months and 6 months of treatment. Children in the Early Start Denver Model group made larger gains in cognitive and social skills after 3 and 6 months of treatment. The Early Start Denver Model group made larger gains in adaptive skills after 3 months of treatment. Our results are discussed in terms of implications for intervention research and clinical practice. Our study supports the positive impact of the Early Start Denver Model in a non-English-speaking community.

摘要

确定有效的、基于社区的自闭症谱系障碍儿童专项干预措施是国际临床和研究的重点。我们评估了早期丹佛模式干预对生活在意大利社区的自闭症谱系障碍儿童的有效性,与接受常规治疗的意大利儿童组进行了比较。共有 22 名被诊断患有自闭症谱系障碍的儿童在中心环境中每周接受 6 小时的早期丹佛模式治疗,为期 6 个月。早期丹佛模式组与接受常规治疗的 70 名自闭症谱系障碍儿童组进行了比较,常规治疗组平均每周接受 5.2 小时的治疗,为期 6 个月。两组儿童在治疗 3 个月和 6 个月后在认知、适应和社会技能方面都有所提高。早期丹佛模式组在治疗 3 个月和 6 个月后在认知和社会技能方面的提高更为显著。早期丹佛模式组在治疗 3 个月后在适应技能方面的提高更为显著。我们的研究结果从干预研究和临床实践的角度进行了讨论。我们的研究支持了早期丹佛模式在非英语社区中的积极影响。

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