研究方案：一项基于游戏的运动训练方案对促进自闭症谱系障碍儿童身心健康效果的随机对照试验研究。
Study protocol: a randomized controlled trial study on the effect of a game-based exercise training program on promoting physical fitness and mental health in children with autism spectrum disorder.
机构信息
Department of Health and Physical Education, The Education University of Hong Kong, 10 Lo Ping Road, Tai Po, New Territories, Hong Kong.
Department of Psychology, The Education University of Hong Kong, 10 Lo Ping Road, Tai Po, New Territories, Hong Kong.
出版信息
BMC Psychiatry. 2018 Feb 27;18(1):56. doi: 10.1186/s12888-018-1635-9.
BACKGROUND
Suboptimal physical activity levels and tolerance, poor motor skills and poor physical health are demonstrated in children with Autism Spectrum Disorder (ASD). We speculate that social interaction and communication deficits in children with ASD are two major factors that hinder these children from actively participating in group physical activities. While previous studies have demonstrated that exercise intervention improves motor skills and behavioral outcomes in children with ASD, these programs tend to focus only on a single sport, which may not cater to the interests of different children with ASD. In this protocol, a game-based exercise training program designed by a multi-disciplinary team (pediatrics, physical education and psychology) will be implemented by front-line healthcare providers trained following the train-the-trainer (TTT) model and subjected to validation.
METHOD
Using a randomized controlled trial design, the effectiveness of the game-based exercise program will be examined for 112 young children with ASD. These children were randomly assigned to two groups, which will be tested and trained in either one of the two arms of the waitlist conditions (control and intervention). The assessment of physical and psychological traits will be conducted at baseline (pre-test), at 16-weeks (post-treatment) and at 32-weeks (follow-up) of the program.
DISCUSSION
Most of the interventions designed for ASD children target either their psychological traits or physical conditions, without bridging the two states. With the recognition of bidirectional relations between mental and physical health, the present game-based exercise program which includes multiple level of difficulties was developed to equip ASD children with the necessary skills for engaging in sustainable team sports or even professional sport training. The program, if effective, will provide an entertaining and engaging training for whole-person development among children with ASD.
TRIAL REGISTRATION
This study is registered with the Chinese Clinical Trial Registry ( ChiCTR-IOR-17011898 ). Registered 6 July 2017.
背景
自闭症谱系障碍（ASD）儿童的身体活动水平和耐受力、运动技能和身体健康状况较差。我们推测，ASD 儿童的社交互动和沟通障碍是阻碍他们积极参与团体体育活动的两个主要因素。虽然以前的研究表明，运动干预可以改善 ASD 儿童的运动技能和行为结果，但这些方案往往只关注单一运动，可能无法满足不同 ASD 儿童的兴趣。在本方案中，由多学科团队（儿科、体育教育和心理学）设计的基于游戏的运动训练方案将由经过培训的一线医疗保健提供者按照培训师培训（TTT）模式实施，并进行验证。
方法
采用随机对照试验设计，对 112 名 ASD 幼儿进行基于游戏的运动方案的有效性评估。这些儿童被随机分配到两个组，将在等待条件（对照组和干预组）的两个臂中的一个进行测试和训练。在方案的基线（预测试）、16 周（治疗后）和 32 周（随访）时，将对身体和心理特征进行评估。
讨论
大多数针对 ASD 儿童的干预措施要么针对他们的心理特征，要么针对他们的身体状况，而没有将两者联系起来。随着对心理健康和身体健康之间双向关系的认识，本研究开发了基于游戏的运动方案，包括多个难度级别，旨在为 ASD 儿童提供参与可持续团队运动甚至专业运动训练所需的技能。如果该方案有效，将为 ASD 儿童提供一种有趣且引人入胜的全人发展训练。
试验注册
本研究在中国临床试验注册中心（ChiCTR-IOR-17011898）注册。注册日期为 2017 年 7 月 6 日。
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