Department of Psychology, University of Washington, Seattle, Washington.
Center for Psychological Consultation, Madison, Wisconsin.
Autism Res. 2018 Apr;11(4):667-678. doi: 10.1002/aur.1919. Epub 2018 Jan 7.
Children with Autism Spectrum Disorder (ASD) often experience difficulty participating in everyday home routines, such as bed time or bath time. This randomized controlled trial examined the efficacy of an interactive, web-based parenting tutorial for improving children's engagement in daily routines (i.e., proximal outcomes) as well improving children's social communication and parenting efficacy and stress (i.e., broad outcomes). Parents of children with ASD between 18 and 60 months were randomly assigned to the Tutorial group (n = 52) or the Control group (n = 52). All parents completed questionnaires at baseline (T1), 1 month after T1 (T2; post-tutorial completion), and 2 months after T1 (T3). Relative to the Control group, parents in the Tutorial group reported significantly higher use of evidence-based instructional strategies and higher levels of child engagement during routines at T2 and T3. In addition, parents in the Tutorial group reported significantly lower parenting stress and higher parenting efficacy at T3, as well as higher ratings of child social communication at T2 and T3, compared to the Control group. Parents reported being highly satisfied with both the clinical content and technical aspects of the tutorial. These improvements in both proximal and broad parent-child outcomes suggest that this tutorial may be a promising and accessible way for empowering some parents and improving parent-child interactions. Autism Res 2018, 11: 667-678. © 2018 International Society for Autism Research, Wiley Periodicals, Inc.
This web-based tutorial helped parents of children with ASD use proven strategies to improve their child's participation in daily routines at home. Parents who used the tutorial reported less parenting stress, felt better about their parenting skills, and reported better child social interactions compared to parents who did not use the tutorial. This tutorial may be especially helpful for families who have limited access to services, as it can be completed at home.
自闭症谱系障碍（ASD）儿童在参与日常家庭常规活动（如睡觉或洗澡时间）时经常会遇到困难。这项随机对照试验研究了一种互动式网络育儿教程对提高儿童日常活动参与度（即近端结果）以及提高儿童社交沟通和育儿效能感和压力（即广泛结果）的功效。18 至 60 个月 ASD 儿童的父母被随机分配到教程组（n=52）或对照组（n=52）。所有父母在基线（T1）、T1 后 1 个月（T2；教程完成后）和 T1 后 2 个月（T3）完成问卷调查。与对照组相比，T2 和 T3 时，教程组的父母报告说他们更频繁地使用基于证据的教学策略，且孩子在日常活动中的参与度更高。此外，与对照组相比，T3 时教程组的父母报告说他们的育儿压力较低，育儿效能感较高，以及孩子的社交沟通能力评分在 T2 和 T3 时更高。父母们对教程的临床内容和技术方面都非常满意。这些近端和广泛的亲子结果的改善表明，该教程可能是一种有前途且易于获得的方式，可以为一些父母赋能并改善亲子互动。自闭症研究 2018，11：667-678。©2018 自闭症国际研究协会，威利期刊，公司。
本网络教程帮助 ASD 儿童的父母使用经过验证的策略来提高他们孩子在家中参与日常常规活动的能力。与未使用教程的父母相比，使用教程的父母报告说育儿压力较小，对自己的育儿技能更有信心，并且报告说孩子的社交互动更好。对于那些获得服务有限的家庭来说，该教程可能特别有帮助，因为它可以在家中完成。
