Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore.
Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Autism. 2021 Aug;25(6):1592-1600. doi: 10.1177/1362361321997287. Epub 2021 Mar 16.
Despite improving services and care for individuals with autism spectrum disorder, functional outcomes such as daily living skills tend to be suboptimal for many. This study wanted to identify modifiable early intervention factors that are associated with better outcomes and possible high-risk groups of children who are at risk of poorer outcomes. Participants included 193 children aged between 5 and 12 years of age whose parents provided information on their family background and early intervention characteristics. These children also had their adaptive behaviour skills examined by formal testing. Results indicated that shorter wait time for early intervention was associated with better adaptive behaviour scores. Children from families with financial difficulties and lower paternal education were also at risk of poorer adaptive skills. Designing services for children with autism such that wait times to enter early intervention services are minimised following initial diagnosis can improve their eventual functional outcomes. Changes in healthcare policy to allow expedited entry or targeted intervention to children from low socio-economic status families can also enhance their eventual adaptive skill gains.
尽管自闭症谱系障碍患者的服务和护理有所改善,但许多患者的日常生活技能等功能结果仍不理想。本研究旨在确定与更好结果相关的可改变的早期干预因素,以及可能存在较差结果风险的高危儿童群体。参与者包括 193 名年龄在 5 至 12 岁之间的儿童,其父母提供了有关家庭背景和早期干预特征的信息。这些儿童还通过正式测试检查了他们的适应行为技能。结果表明,早期干预的等待时间越短,适应行为评分越高。来自经济困难家庭和父亲教育程度较低的儿童也存在适应技能较差的风险。设计针对自闭症儿童的服务,以便在初始诊断后将进入早期干预服务的等待时间最小化,可以改善他们最终的功能结果。医疗保健政策的改变,允许来自社会经济地位较低家庭的儿童快速进入或接受针对性干预,也可以增强他们最终的适应技能收益。