GoFAR：改善胎儿酒精谱系障碍儿童的注意力、行为和适应性功能：简要报告。
GoFAR: improving attention, behavior and adaptive functioning in children with fetal alcohol spectrum disorders: Brief report.
作者信息
Coles Claire D, Kable Julie A, Taddeo Elles, Strickland Dorothy
机构信息
a Department of Psychiatry and Behavioral Sciences , Emory University School of Medicine , Atlanta , GA , USA.
b Department of Pediatrics , Emory University School of Medicine , Atlanta , GA , USA.
出版信息
Dev Neurorehabil. 2018 Jul;21(5):345-349. doi: 10.1080/17518423.2018.1424263. Epub 2018 Jan 9.
OBJECTIVE
This brief report describes the GoFAR intervention designed to improve attention, behavior, and adaptive functioning in children with FASD, ages 5 to 10 years.
METHODS
Thirty children were randomized to one of three conditions: GoFAR; FACELAND, and CONTROL; 25 completed the interventions. Over 10 sessions children and caregivers learned a metacognitive strategy (FAR) designed to improve cognitive control of behavior and adaptive functioning and practiced it during behavior analog therapy. Attention, behavior problems, and adaptive skills were measured pre- and post-intervention.
RESULTS
From pre- to post-testing the GoFAR intervention group improved on the Test of Variables of Attention (TOVA). Both intervention groups improved in Daily Living Skills.
CONCLUSION
This pilot study demonstrated that children with FASD and their caregivers benefit from a focused intervention designed to improve effortful control of behavior. The study suggests the need for a larger clinical trial to evaluate the intervention's effectiveness.
目的
本简要报告描述了旨在改善5至10岁胎儿酒精谱系障碍（FASD）儿童注意力、行为和适应性功能的GoFAR干预措施。
方法
30名儿童被随机分配到三个条件之一：GoFAR；FACELAND和对照组；25名儿童完成了干预。在10次疗程中，儿童及其照顾者学习了一种元认知策略（FAR），旨在改善行为的认知控制和适应性功能，并在行为模拟治疗期间进行练习。在干预前后测量注意力、行为问题和适应技能。
结果
从测试前到测试后，GoFAR干预组在注意力变量测试（TOVA）中有所改善。两个干预组在日常生活技能方面均有所改善。
结论
这项初步研究表明，患有FASD的儿童及其照顾者受益于旨在改善行为的努力控制的针对性干预。该研究表明需要进行更大规模的临床试验来评估该干预措施的有效性。
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