Stephanie Y. Shire, University of Oregon.
Lisa Baker Worthman, Government of Newfoundland and Labrador.
Am J Intellect Dev Disabil. 2021 Sep 1;126(5):421-434. doi: 10.1352/1944-7558-126.5.421.
Family-centered practices that involve direct participation of caregivers as part of intervention is critical to effective early intervention. However, regularly scheduled, in person service delivery is not always possible in remote communities, prompting a need for adaptations to the delivery of services, such as the use of live video conferencing to coach caregivers in strategies to promote their children's development. In this study, caregivers and their children ages 2-9 with autism who were living in rural and remote Canadian communities were included. A concurrent multiple baseline design across participants was applied to examine the effects of live video conference caregiver coaching on children's time jointly engaged with caregivers and caregivers' intervention strategy implementation. Results indicated that all children demonstrated greater time jointly engaged and caregivers demonstrated greater use of strategies in comparison to baseline. The results of this study offer preliminary evidence of the effectiveness of real time video conference coaching for caregivers engaging their children with ASD in play.
以家庭为中心的实践,让照顾者直接参与干预,这对早期干预的有效性至关重要。然而,在偏远社区,定期的面对面服务并不总是可行的,因此需要对服务的提供方式进行调整,例如使用实时视频会议来指导照顾者采用促进儿童发展的策略。在这项研究中,参与者包括居住在加拿大农村和偏远社区的 2-9 岁自闭症儿童及其照顾者。采用跨参与者的同期多个基线设计,以考察实时视频会议照顾者指导对儿童与照顾者共同参与时间和照顾者干预策略实施的影响。结果表明,与基线相比,所有儿童的共同参与时间都有所增加,照顾者的策略使用也有所增加。这项研究的结果初步证明了实时视频会议指导对照顾者与 ASD 儿童进行游戏互动的有效性。