Department of Women's and Children's Health, Center of Neurodevelopmental Disorders (KIND), Division of Neuropsychiatry, Karolinska Institutet, Stockholm, Sweden.
Autism Center for Young Children, Habilitation & Health, Stockholm County Council, Stockholm, Sweden.
Behav Modif. 2021 Nov;45(6):911-928. doi: 10.1177/0145445520923998. Epub 2020 May 21.
Research has directed surprisingly little attention to the of Early Intensive Behavioral Intervention (EIBI) in autism spectrum disorder (ASD) as a potential predictor of outcome. Therefore, using a preschool delivery model within a sample of 30 children, we examined the predictive power of EIBI quality on treatment outcome. EIBI quality was assessed at baseline by the York Measure of Quality of Intensive Behavioral Intervention (YMQI) and treatment outcome was evaluated after a period of 4 to 6 months using a battery of behavioral tests and scales to evaluate treatment success. Multinomial logistic regressions demonstrated that general EIBI quality predicted clinically significant change at follow-up. Particularly improvements in basic language and learning skills and global clinical impression were observed. Specific quality indicators that influenced overall treatment success were treatment organization, teaching level and differential reinforcement. In addition to previously examined predictors of EIBI treatment effects, such as child characteristics and intervention quantity, our findings highlight the importance of adequate EIBI quality assurance.
研究对早期密集行为干预（EIBI）在自闭症谱系障碍（ASD）中的作用关注甚少，将其作为治疗结果的潜在预测指标。因此，我们在一个包含 30 名儿童的样本中使用学前教育模式，研究了 EIBI 质量对治疗结果的预测能力。EIBI 质量在基线时通过约克密集行为干预质量测量（YMQI）进行评估，在经过 4 至 6 个月的治疗后，使用一系列行为测试和量表评估治疗效果，以评估治疗成功。多项逻辑回归表明，EIBI 质量总体上可以预测随访时的临床显著变化。特别是在基本语言和学习技能以及整体临床印象方面有明显改善。影响整体治疗成功的具体质量指标包括治疗组织、教学水平和区别强化。除了先前研究中 EIBI 治疗效果的预测因素，如儿童特征和干预数量外，我们的研究结果还强调了 EIBI 质量保证的重要性。
