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一项针对自闭症谱系障碍儿童家长的应用行为分析技能虚拟培训项目的随机临床试验。

A randomized clinical trial of a virtual-training program for teaching applied-behavior-analysis skills to parents of children with autism spectrum disorder.

机构信息

Rutgers University Robert Wood Johnson Medical School.

The University of Nebraska Medical Center's Monroe-Meyer Institute.

出版信息

J Appl Behav Anal. 2020 Sep;53(4):1856-1875. doi: 10.1002/jaba.778. Epub 2020 Sep 28.

Abstract

Parents play an important role in the treatment of their children's symptoms of autism spectrum disorder (ASD); thus, developing effective, efficient, socially acceptable, and accessible procedures for training parents to implement applied-behavior-analysis (ABA) interventions is critically important. One potential approach involves delivering training via a virtual private network (VPN) over the internet (Fisher et al., 2014). In this study, we conducted a randomized clinical trial to evaluate a virtual parent-training program with e-learning modules and scripted role-play via a VPN. We evaluated parent implementation of ABA skills using direct-observation measures in structured-work and play-based training contexts. Parents in the treatment group showed large, statistically significant improvements on all dependent measures; those in the waitlist-control group did not. Parents rated the training as highly socially acceptable. Results add to the growing literature on the efficacy and acceptability of virtually delivered training in ABA.

摘要

家长在治疗儿童自闭症谱系障碍(ASD)症状方面起着重要作用;因此,开发有效、高效、社会可接受和可访问的程序来培训家长实施应用行为分析(ABA)干预措施至关重要。一种潜在的方法是通过互联网上的虚拟专用网络(VPN)提供培训(Fisher 等人,2014 年)。在这项研究中,我们进行了一项随机临床试验,以评估通过 VPN 进行的带有电子学习模块和脚本角色扮演的虚拟家长培训计划。我们使用直接观察措施在结构化工作和基于游戏的培训环境中评估父母对 ABA 技能的实施情况。治疗组的父母在所有依赖指标上都有显著的改善;而等待对照组的父母则没有。父母对培训的评价非常高。研究结果增加了关于虚拟交付培训在 ABA 中的功效和可接受性的不断增长的文献。

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