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网络措施对自闭症青年的协作支持。

Network Measures of Collaborative Support for Young Adults With Autism.

机构信息

A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania; and

A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania; and.

出版信息

Pediatrics. 2018 Apr;141(Suppl 4):S287-S292. doi: 10.1542/peds.2016-4300E.

Abstract

OBJECTIVES

The treatment of autism requires complex, multimodal interventions, provided by parents and providers across settings. As young adults with autism spectrum disorder (ASD) transition into adulthood, new stakeholders are added to support planning for postsecondary employment. In this article, we investigate the use of dynamic social network measures that describe the resources of young adults throughout transition.

METHODS

A longitudinal, dynamic social network survey (Social Dynamics of Intervention [SoDI]) was conceptualized, designed, and conducted as a feasibility test, measuring changes in collaboration among parents and school staff members who provided interventions for children with ASD in 2 urban public schools. Using the SoDI, we tracked the following over time: the team who provided interventions, their locations, the interventions they provided, the autism trainings they attended, and the density of the team's problem-solving network for the child.

RESULTS

Using the SoDI, we successfully identified stakeholders across settings who provided interventions for each child. Results indicated variation in the density of problem-solving and trust related to ASD intervention across teams as well as variation in intervention and autism knowledge networks during the school year. Adaptations of the SoDI for mapping pre- and posttransition resources and social connectivity across stakeholders for young adults with ASD are proposed in the Discussion section.

CONCLUSIONS

Dynamic social network approaches can be used to capture changes in intervention, autism knowledge, and social connectivity, providing informative descriptive data about how vocational rehabilitation policies might increase employment supports during the transition process for young adults with ASD.

摘要

目的

自闭症的治疗需要父母和提供者在各种环境中提供复杂的、多模式的干预措施。随着自闭症谱系障碍(ASD)的年轻人过渡到成年,新的利益相关者被加入进来,以支持他们接受高等教育后的就业规划。在本文中,我们研究了使用动态社会网络措施来描述年轻人在整个过渡过程中的资源。

方法

我们设计并进行了一项纵向的、动态的社会网络调查(干预的社会动态学[SoDI]),作为可行性测试,测量了为两所城市公立学校的自闭症儿童提供干预措施的父母和学校工作人员之间合作的变化。使用 SoDI,我们跟踪了以下内容随时间的变化:提供干预措施的团队、他们的位置、他们提供的干预措施、他们参加的自闭症培训以及团队为孩子解决问题的网络密度。

结果

使用 SoDI,我们成功地确定了在各个环境中为每个孩子提供干预措施的利益相关者。结果表明,在整个团队中,与自闭症干预相关的解决问题和信任的密度存在差异,以及在学年期间,干预措施和自闭症知识网络也存在差异。讨论部分提出了对 SoDI 的改编,以绘制自闭症青少年在过渡前和过渡后的资源和社会连接图,并跨越利益相关者。

结论

动态社会网络方法可以用来捕捉干预、自闭症知识和社会连接的变化,为职业康复政策如何在自闭症青少年的过渡过程中增加就业支持提供了有关信息。

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