École de psychoéducation, Université de Montréal, Montreal, QC, Canada.
Behav Modif. 2021 Sep;45(5):769-796. doi: 10.1177/0145445520915671. Epub 2020 Apr 4.
Many children with autism spectrum disorder (ASD) engage in challenging behaviors, which may interfere with their daily functioning, development, and well-being. To address this issue, we conducted a four-week randomized waitlist control trial to examine the effects of a fully self-guided interactive web training (IWT) on (a) child engagement in challenging behaviors and (b) parental intervention. After 4 weeks, parents in the treatment group reported lower levels of challenging behaviors in their children and more frequent use of behavioral interventions than those in the waitlist groups. Furthermore, within-group analyses suggest that these changes persisted up to 12 weeks following completion of the IWT. Our results highlight the potential utility of web training, but our high attrition rate and potential side effects prevent us from recommending the training as a standalone treatment.
许多自闭症谱系障碍（ASD）儿童存在挑战性行为，这可能会干扰他们的日常功能、发展和福祉。为了解决这个问题，我们进行了为期四周的随机等待名单对照试验，以检验完全自我指导的互动网络培训（IWT）对（a）儿童挑战性行为和（b）父母干预的影响。四周后，治疗组的父母报告说，他们的孩子的挑战性行为水平较低，行为干预的频率也高于等待组。此外，组内分析表明，这些变化在 IWT 完成后 12 周内仍然持续。我们的研究结果强调了网络培训的潜在效用，但我们的高流失率和潜在的副作用使我们无法推荐该培训作为独立的治疗方法。
