Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.
J Autism Dev Disord. 2022 Jun;52(6):2598-2609. doi: 10.1007/s10803-021-05153-y. Epub 2021 Jul 23.
This study examined the effect of Pivotal response treatment (PRT) to improve verbal initiations in children with Autism Spectrum Disorder, age 6-12 years old, using a Randomized Clinical Trial design. Intervention was conducted three times a week for 2 months, for a total of 24 one-hour sessions. The PRT intervention taught a variety of questions and attention/assistance-seeking initiations. The treatment as usual (TAU) group received standard language intervention. Results showed that the PRT group made significant improvements in their number of verbal initiations as well as collateral gains in general communicative skills and mean length of utterance (MLU) compared to the TAU group. Theoretical implications of including motivational approaches to develop social initiations are reviewed.
本研究采用随机临床试验设计，考察了关键反应治疗（PRT）对 6-12 岁自闭症谱系障碍儿童语言发起能力的影响。干预每周进行三次，持续两个月，共进行 24 次一小时的课程。PRT 干预教授了各种问题和注意力/寻求帮助的发起。常规治疗（TAU）组接受了标准的语言干预。结果表明，与 TAU 组相比，PRT 组在语言发起次数以及一般沟通技能和平均话语长度（MLU）方面都有显著提高。本文还回顾了纳入动机方法来发展社会发起的理论意义。
