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在混合个体和小组环境中为自闭症谱系障碍的幼儿提供早期丹佛模式干预的结果和调节因素。

Outcomes and moderators of Early Start Denver Model intervention in young children with autism spectrum disorder delivered in a mixed individual and group setting.

机构信息

IRCCS Stella Maris Foundation, Pisa, Italy.

University of Michigan, USA.

出版信息

Autism. 2020 Apr;24(3):718-729. doi: 10.1177/1362361319888344. Epub 2019 Nov 21.

Abstract

Several studies have shown the efficacy and effectiveness of the Early Start Denver Model, both in university and in community-based settings. However, a limited number of studies have investigated predictors of outcomes. In this study, we examined outcomes in 32 children diagnosed with autism spectrum disorder after 1 year of community-based Early Start Denver Model intervention, with the aim to identify predictors of treatment objectives acquisition, as measured by the Early Start Denver Model Curriculum Checklist. At a group level, the participants demonstrated improvement in their communication as well as adaptive functioning skills, while they showed a decrease in symptom severity. The large heterogeneity in outcomes identified was related to the pre-treatment non-verbal abilities, symptom severity, action and gesture repertoire, and lexical comprehension. We discussed our results in terms of implications for developing "personalized" interventions for children with autism spectrum disorder.

摘要

多项研究表明,早期丹佛模式在大学和社区环境中都具有疗效和有效性。然而,只有少数研究调查了结果的预测因素。在这项研究中,我们在社区早期丹佛模式干预后 1 年后对 32 名被诊断为自闭症谱系障碍的儿童进行了结果评估,目的是确定治疗目标获取的预测因素,该目标通过早期丹佛模式课程检查表进行测量。在群体水平上,参与者在沟通和适应功能技能方面表现出了改善,而症状严重程度则有所下降。确定的结果的高度异质性与治疗前的非言语能力、症状严重程度、动作和手势范围以及词汇理解有关。我们根据这些结果讨论了为自闭症谱系障碍儿童制定“个性化”干预措施的意义。

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