Frey Andy J, Small Jason W, Feil Edward G, Seeley John R, Walker Hill M, Forness Steven
University of Louisville.
Oregon Research Institute.
Educ Train Autism Dev Disabil. 2015 Dec;50(4):397-407. Epub 2016 Jan 19.
Preschool children with Autism Spectrum Disorder (ASD) may not always be recognized as such during their early years, but some of their behavioral problems may nonetheless prompt a referral for behavioral intervention. Whether such an intervention brings any benefit has not been well studied. We identified a subsample of 34 preschool children at risk for autism spectrum disorder from a large randomized controlled trial (N = 126) of the First Step to Success program. Children at risk of developing ASD demonstrated significant improvements on seven of 11 outcome measures and on a responder analyses based on symptom severity. Process and fidelity measures also suggested that First Step was both feasible and socially acceptable. Implications for early intervention for children at risk of developing ASD are discussed.
患有自闭症谱系障碍（ASD）的学龄前儿童在其幼年时期可能并不总是能被识别出来，但他们的一些行为问题可能仍会促使他们被转介接受行为干预。这种干预是否带来任何益处尚未得到充分研究。我们从一项针对“迈向成功第一步”计划的大型随机对照试验（N = 126）中，确定了一个由34名有自闭症谱系障碍风险的学龄前儿童组成的子样本。有患ASD风险的儿童在11项结果指标中的7项以及基于症状严重程度的反应者分析中都表现出了显著改善。过程和保真度指标也表明“迈向成功第一步”计划既可行又为社会所接受。文中还讨论了对有患ASD风险儿童进行早期干预的意义。
