Shin Jin Y, Nguyen Son Duc
Department of Psychology, Hofstra University, Hempstead, NY, USA.
Department of Psychology and Pedagogy, Hanoi National University of Education, Hanoi, Vietnam.
Int J Dev Disabil. 2017;63(2):110-123. doi: 10.1080/20473869.2016.1144316. Epub 2016 Feb 18.
The project assessed the efficacy of a home-based intervention program for young children (n= 64, ages ranging from 3-6 years) with developmental delays in Vietnam. It was hypothesized that the children in the intervention group would show greater progress in adaptive behavior than the children in the control group.
Assessment of the program efficacy was carried out by comparing children who received services for 6 months and those who did not. Children who were recognized as having developmental delays by teachers in kindergarten programs, and confirmed by trained evaluators based on the Vineland Adaptive Behavior Scale-II (VABS-II), were randomly assigned to intervention and control groups. Twenty student teachers were recruited from a teaching university and were provided with pre-program training and ongoing supervision.
The outcomes of the program were examined at 0, 3, and 6 months using the VABS-II. The intervention group improved significantly more than the control group in overall adaptive functioning and in the areas of communication, social skills and motor skills.
The project is one of only a few early intervention projects to apply randomized control trials in a low-middle-income country. The results demonstrate the feasibility of carrying out the intervention program using teachers with no prior experience of working with children with delays/disabilities, where professional resources are scarce for this population.
该项目评估了一项针对越南发育迟缓幼儿(n = 64,年龄在3至6岁之间)的家庭干预计划的效果。研究假设干预组儿童在适应性行为方面的进步将大于对照组儿童。
通过比较接受6个月服务的儿童和未接受服务的儿童来评估该计划的效果。在幼儿园项目中被教师认定为发育迟缓,并经训练有素的评估人员根据《文兰适应性行为量表第二版》(VABS-II)确认的儿童,被随机分配到干预组和对照组。从一所师范大学招募了20名实习教师,并为他们提供了项目前培训和持续监督。
使用VABS-II在0、3和6个月时对该计划的结果进行了检查。干预组在整体适应性功能以及沟通、社交技能和运动技能方面的改善明显大于对照组。
该项目是少数几个在低收入和中等收入国家应用随机对照试验的早期干预项目之一。结果表明,在专业资源稀缺的情况下,利用没有与发育迟缓/残疾儿童工作经验的教师开展干预计划是可行的。