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自闭症谱系障碍临床护理路径培训后态度和知识的变化

Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder.

作者信息

Donnelly Lauren J, Cervantes Paige E, Guo Fei, Stein Cheryl R, Okparaeke Eugene, Kuriakose Sarah, Filton Beryl, Havens Jennifer, Horwitz Sarah M

机构信息

Child Study Center, Department of Child and Adolescent Psychiatry, NYU Langone, New York, NY, 10016, USA.

Division of Biostatistics, Department of Population Heath, NYU Langone, New York, NY, USA.

出版信息

J Autism Dev Disord. 2023 Feb;53(2):606-614. doi: 10.1007/s10803-020-04775-y. Epub 2020 Nov 17.

DOI:10.1007/s10803-020-04775-y
PMID:33201422
Abstract

Caring for individuals with autism spectrum disorder (ASD) can be complicated, especially when challenging behaviors are present. Providers may feel unprepared to work with these individuals because specialized training for medical and social service providers is limited. To increase access to specialized training, we modified an effective half-day ASD-Care Pathway training (Kuriakose et al. 2018) and disseminated it within five different settings. This short, focused training on strategies for preventing and reducing challenging behaviors of patients with ASD resulted in significant improvements in staff perceptions of challenging behaviors, increased comfort in working with the ASD population, and increased staff knowledge for evidence-informed practices. Implications, including the impact of sociodemographic characteristics on pre/post changes, and future directions are discussed.

摘要

照顾自闭症谱系障碍(ASD)患者可能会很复杂,尤其是当出现具有挑战性的行为时。医疗服务提供者可能会觉得没有做好与这些患者合作的准备,因为针对医疗和社会服务提供者的专业培训有限。为了增加获得专业培训的机会,我们修改了一个有效的为期半天的ASD护理路径培训(库里亚科斯等人,2018年),并在五种不同的环境中进行了推广。这项针对预防和减少ASD患者具有挑战性的行为策略的简短、重点突出的培训,使工作人员对具有挑战性的行为的认知有了显著改善,与ASD患者群体合作时的舒适度增加,并且工作人员对循证实践的知识也有所增加。文中讨论了相关影响,包括社会人口统计学特征对前后变化的影响以及未来方向。

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本文引用的文献

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A population-based examination of maltreatment referrals and substantiation for children with autism spectrum disorder.基于人群的自闭症谱系障碍儿童虐待转介和证实的研究。
Autism. 2019 Jul;23(5):1335-1340. doi: 10.1177/1362361318813998. Epub 2018 Dec 7.
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Increasing Opportunities for Question-Asking in School-Aged Children with Autism Spectrum Disorder: Effectiveness of Staff Training in Pivotal Response Treatment.增加自闭症谱系障碍学龄儿童提问机会:关键反应训练中工作人员培训的有效性
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Experiences of emergency department care from the perspective of families in which a child has autism spectrum disorder.
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Perspectives of Health Care Providers Regarding Emergency Department Care of Children and Youth with Autism Spectrum Disorder.医疗服务提供者对患有自闭症谱系障碍的儿童和青少年急诊科护理的看法。
J Autism Dev Disord. 2016 May;46(5):1725-36. doi: 10.1007/s10803-016-2703-y.
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Psychiatric Hospitalization of Children With Autism or Intellectual Disability: Consensus Statements on Best Practices.自闭症或智力残疾儿童的精神病住院治疗:最佳实践共识声明。
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Mol Autism. 2015 Nov 10;6:61. doi: 10.1186/s13229-015-0054-8. eCollection 2015.
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Barriers to the sustainability of an intervention designed to improve patient engagement within NHS mental health rehabilitation units: a qualitative study nested within a randomised controlled trial.旨在提高英国国家医疗服务体系(NHS)心理健康康复单元患者参与度的干预措施可持续性的障碍:一项嵌套于随机对照试验中的定性研究。
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Specialized inpatient psychiatry for serious behavioral disturbance in autism and intellectual disability.针对自闭症和智力残疾患者严重行为障碍的专科住院精神科治疗。
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