Hallett Victoria, Mueller Joanne, Breese Lauren, Hollett Megan, Beresford Bryony, Irvine Annie, Pickles Andrew, Slonims Vicky, Scott Stephen, Charman Tony, Simonoff Emily
South London and Maudsley NHS Foundation Trust, London, UK.
Social Policy Research Unit, University of York, York, UK.
J Autism Dev Disord. 2021 Jan;51(1):323-333. doi: 10.1007/s10803-020-04442-2.
Parent-mediated interventions can reduce behavioral and emotional problems in children with ASD. This report discusses the development of the first group parent intervention targeting behaviors and anxiety in children with ASD, across the spectrum of cognitive and language ability. 'Predictive Parenting' was developed from the clinical observation (and emerging evidence base) that children with ASD struggle with 'prediction' and anticipating change. It integrates well-established parenting strategies within an ASD-specific framework. The concept was co-created with patient and public involvement panels of parents and adults with ASD. A feasibility study found the programme is acceptable and accessible. Qualitative feedback from participants was largely positive, and critiques were used to inform a larger, pilot randomized controlled trial of the intervention.
家长介导的干预措施可以减少自闭症谱系障碍(ASD)儿童的行为和情绪问题。本报告讨论了首个针对不同认知和语言能力水平的ASD儿童行为及焦虑问题的团体家长干预措施的开发情况。“预测性育儿”是基于临床观察(以及新出现的证据基础)而开发的,即ASD儿童在“预测”和预期变化方面存在困难。它将成熟的育儿策略整合到一个针对ASD的特定框架中。这一概念是与ASD患儿家长及成年ASD患者参与的患者和公众参与小组共同创建的。一项可行性研究发现该项目是可接受且可行的。参与者的定性反馈大多是积极的,这些批评意见被用于为该干预措施的更大规模的试点随机对照试验提供参考。