Feldman Jacob I, Dunham Kacie, Conrad Julie G, Simon David M, Cassidy Margaret, Liu Yupeng, Tu Alexander, Broderick Neill, Wallace Mark T, Woynaroski Tiffany G
Department of Hearing and Speech Sciences, Vanderbilt University, MCE 8310 South Tower, 1215 21st Avenue South, Nashville, TN 37232.
Vanderbilt Brain Institute, Vanderbilt University, 465 21st Avenue South, Nashville, TN, USA.
Res Autism Spectr Disord. 2020 Jun;74. doi: 10.1016/j.rasd.2020.101555. Epub 2020 Apr 11.
Many children with autism spectrum disorder (ASD) demonstrate atypical responses to multisensory stimuli. These disruptions, which are frequently seen in response to audiovisual speech, may produce cascading effects on the broader development of children with ASD. Perceptual training has been shown to enhance multisensory speech perception in typically developed adults. This study was the first to examine the effects of perceptual training on audiovisual speech perception in children with ASD.
A multiple baseline across participants design was utilized with four 7- to 13-year-old children with ASD. The dependent variable, which was probed outside the training task each day using a simultaneity judgment task in baseline, intervention, and maintenance conditions, was audiovisual temporal binding window (TBW), an index of multisensory temporal acuity. During perceptual training, participants completed the same simultaneity judgment task with feedback on their accuracy after each trial in easy-, medium-, and hard-difficulty blocks.
A functional relation between the multisensory perceptual training program and TBW size was not observed. Of the three participants who were entered into training, one participant demonstrated a strong effect, characterized by a fairly immediate change in TBW trend. The two remaining participants demonstrated a less clear response (i.e., longer latency to effect, lack of functional independence). The first participant to enter the training condition demonstrated some maintenance of a narrower TBW post-training.
Results indicate TBWs in children with ASD may be malleable, but additional research is needed and may entail further adaptation to the multisensory perceptual training paradigm.
许多自闭症谱系障碍(ASD)儿童对多感官刺激表现出非典型反应。这些干扰在对视听言语的反应中经常出现,可能会对ASD儿童的更广泛发展产生连锁反应。感知训练已被证明可以增强正常发育成年人的多感官言语感知能力。本研究首次考察了感知训练对ASD儿童视听言语感知的影响。
对4名7至13岁的ASD儿童采用跨参与者的多基线设计。因变量是视听时间绑定窗口(TBW),这是多感官时间敏锐度的一个指标,每天在基线、干预和维持条件下使用同步判断任务在训练任务之外进行探测。在感知训练期间,参与者在简单、中等和困难难度的模块中每次试验后根据其准确性反馈完成相同的同步判断任务。
未观察到多感官感知训练计划与TBW大小之间的功能关系。在进入训练的3名参与者中,1名参与者表现出强烈的效果,其特征是TBW趋势有相当直接的变化。其余2名参与者表现出不太明确的反应(即效果延迟较长,缺乏功能独立性)。第一名进入训练条件的参与者在训练后表现出较窄TBW的一些维持。
结果表明ASD儿童的TBW可能具有可塑性,但需要进一步研究,可能需要进一步调整多感官感知训练范式。