Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA.
Southwest Autism Research & Resource Center, Phoenix, Arizona, USA.
J Community Psychol. 2021 Sep;49(7):2983-2994. doi: 10.1002/jcop.22558. Epub 2021 Mar 18.
Many providers from rural communities feel ill-prepared to treat children with autism spectrum disorder (ASD). Cost-effective training in Pivotal Response Treatment (PRT), an evidence-based ASD treatment, can address unmet needs for rural communities. The current study examined a 1-day general PRT workshop for parents and professionals followed by a 3-day small, intensive training for professionals. Fifty-two parents and providers completed surveys before and after Day 1, indicating improvements in perceived stress and confidence. Three providers were trained during Days 2-4, and submitted four 10-min videos (i.e., baseline, 1-week, 1-month, and 2-months post-training) working with a target child discussed in the training and another child. Videos were coded for correct PRT implementation and analyzed using a single-subject A-B design with generalization and maintenance probes. All providers learned to apply PRT techniques with the target child and generalized skills to another child within 1-week post-training, with partial maintenance. Implications for rural mental health training in evidence-based practices are discussed.
许多农村社区的服务提供者感到自己在治疗自闭症谱系障碍（ASD）儿童方面准备不足。在基于证据的 ASD 治疗中，实施关键反应治疗（PRT）的有效培训可以满足农村社区的未满足需求。本研究考察了为期一天的家长和专业人员通用 PRT 研讨会，之后是为期三天的专业人员小型强化培训。52 名家长和服务提供者在第 1 天之前和之后完成了调查，表明他们的压力感和信心有所提高。有 3 名服务提供者在第 2-4 天接受了培训，并提交了 4 个 10 分钟的视频（即，培训中讨论的目标儿童和另一个儿童的基线、1 周、1 个月和 2 个月后的训练）。根据 A-B 设计，使用单例设计对视频进行了编码，以进行正确的 PRT 实施，并进行了推广和维持性探测分析。所有的服务提供者都学会了在培训后的 1 周内用目标儿童实施 PRT 技术，并将技能推广到另一个儿童身上，只是维持的时间较短。讨论了在农村心理健康培训中实施基于证据的实践的意义。
