Universidade Federal do Paraná, Hospital das Clínicas, Centro de Neurologia Pediátrica (CHC-UFPR), Curitiba, PR, Brazil.
Universidade Federal do Paraná, Hospital das Clínicas, Centro de Neurologia Pediátrica (CHC-UFPR), Curitiba, PR, Brazil.
J Pediatr (Rio J). 2021 Jul-Aug;97(4):453-458. doi: 10.1016/j.jped.2020.09.004. Epub 2020 Oct 15.
Analysis of the effectiveness of early Parental Coaching in the Autism Spectrum Disorder.
Randomized, controlled and blinded clinical trial to analyze parent-child interaction videos.
The sample consisted of 18 children being followed up at the Autism Outpatient Clinic of a Neuropediatric Center in southern Brazil diagnosed with Autism Spectrum Disorder, between 29 and 42 months of age, randomly allocated to two groups: the Study Group (SG; n=9), which received Parental Coaching performed by a professional certified by the Early Start Denver Model; and the Control Group (CG; n=9), which was in a routine follow-up, without treatment and training of parents by a trained professional. The parents of the SG were willing to attend weekly meetings and to apply the instructional techniques at home with their children. It took 12 weeks and an average of 2h per meeting.
The learning rate for comprehensive development skills in the Early Start Denver Model checklist, such as receptive communication, expressive communication, social capacity, imitation, cognition, games, fine motor skills, gross motor skills, behavior, and personal independence was significantly higher in the SG, as well as the strategies and the quality of interaction between parents and children. Thus, Parental Coaching presents as a possibility of early intervention in children with Autism Spectrum Disorder.
分析自闭症谱系障碍中早期父母培训的效果。
采用随机、对照、盲法临床试验，对亲子互动视频进行分析。
该样本包括 18 名在巴西南部神经儿科中心自闭症门诊接受随访的儿童，年龄在 29 至 42 个月之间，被随机分配到两组：研究组（SG；n=9），接受由经过早期启动丹佛模式认证的专业人员进行的父母培训；对照组（CG；n=9），进行常规随访，没有经过培训的专业人员对父母进行治疗和培训。SG 的父母愿意参加每周一次的会议，并在家中与孩子一起应用教学技术。共进行了 12 周，每次会议平均 2 小时。
在早期启动丹佛模式检查表中，综合发展技能的学习速度，如接受性沟通、表达性沟通、社交能力、模仿、认知、游戏、精细运动技能、粗大运动技能、行为和个人独立性，SG 显著更高，以及父母与孩子之间的互动策略和质量。因此，父母培训为自闭症谱系障碍儿童的早期干预提供了一种可能。
