Department of Educational, School, and Counseling Psychology, University of Kentucky, Lexington, KY, 40506-0017, USA.
Stewart Home & School, 4200 Lawrenceburg Road, Frankfort, KY, 40601, USA.
J Autism Dev Disord. 2018 Jun;48(6):1869-1885. doi: 10.1007/s10803-017-3437-1.
Deficits in social skills are often exhibited in individuals with comorbid Down syndrome (DS) and autism spectrum disorder (ASD), and there is a paucity of research to help guide intervention for this population. In the present study, a multiple probe study across behaviors, replicated across participants, assessed the effectiveness of peer-delivered simultaneous prompting in teaching socials skills to adults with DS-ASD using visual analysis techniques and Tau-U statistics to measure effect. Peer-mediators with DS and intellectual disability (ID) delivered simultaneous prompting sessions reliably (i.e., > 80% reliability) to teach social skills to adults with ID and a dual-diagnoses of DS-ASD with small (Tau = .55, 90% CI [.29, .82]) to medium effects (Tau = .75, 90% CI [.44, 1]). Statistical and visual analysis findings suggest a promising social skills intervention for individuals with DS-ASD as well as reliable delivery of simultaneous prompting procedures by individuals with DS.
社交技能缺陷在合并唐氏综合征 (DS) 和自闭症谱系障碍 (ASD) 的个体中经常表现出来,目前缺乏研究来帮助指导针对这一人群的干预措施。本研究采用跨行为的多项探针研究,在参与者之间进行复制,使用视觉分析技术和 Tau-U 统计来衡量效果,评估同伴提供的同时提示在教授 DS-ASD 成人社交技能方面的有效性。具有 DS 和智力障碍 (ID) 的同伴调解员可靠地(即,>80%的可靠性)提供同时提示课程,以教授 ID 成人和具有 DS-ASD 双重诊断的成人社交技能,效果较小(Tau =.55,90%置信区间 [.29,.82])到中等(Tau =.75,90%置信区间 [.44,1])。统计和视觉分析结果表明,对于 DS-ASD 个体来说,这是一种有前途的社交技能干预措施,同时 DS 个体也可靠地提供了同时提示程序。