Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland, Brisbane, Queensland, Australia.
Queensland Paediatric Rehabilitation Service, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Dev Med Child Neurol. 2022 Jun;64(6):771-779. doi: 10.1111/dmcn.15144. Epub 2022 Jan 28.
To test the efficacy of a group social skills intervention on social functioning in adolescents with a brain injury.
Thirty-six adolescents (mean age 14y, SD 1y 8mo, age range 12y 1mo-16y 3mo; 17 females) with acquired brain injury (ABI; ≥12mo postintervention; n=19) or cerebral palsy (n=17) were randomly allocated to the Program for the Education in Enrichment of Relational Skills (PEERS) or usual care. The primary outcome was the Social Skills Improvement System-Rating Scales (SSIS-RS). Secondary outcomes were scores derived from the Test of Adolescent Social Skills Knowledge-Revised (TASSK-R), Social Responsiveness Scale, Second Edition, and Quality of Socialization Questionnaire. Between-group differences postintervention and at the 26-week retention time point were compared using linear mixed modelling for continuous outcomes and Poisson regression for count data.
There were no between-group differences on the primary outcome (SSIS-RS). Regarding the secondary outcomes, the PEERS-exposed group achieved significantly greater improvements on the TASSK-R (mean difference [MD]=6.8, 95% confidence interval [CI]=4.8-8.8, p<0.001), which were maintained at the 26-week retention time point (MD=8.1, 95% CI=6.0-10.2, p<0.001). PEERS was also associated with a significant increase in parent-reported invited get-togethers at 26 weeks (incidence rate ratio=4.0, 95% CI=1.0-16.0, p=0.05).
Adolescents with brain injury who completed the PEERS learned and retained social knowledge and increased social participation.
测试团体社交技能干预对脑损伤青少年社交功能的疗效。
36 名青少年（平均年龄 14 岁，标准差 1 岁 8 个月，年龄范围 12 岁 1 个月至 16 岁 3 个月；17 名女性）患有获得性脑损伤（干预后≥12 个月；n=19）或脑瘫（n=17），随机分配到培养丰富关系技能方案（PEERS）或常规护理组。主要结局指标是社交技能改善系统评定量表（SSIS-RS）。次要结局指标是从青少年社交技能知识修订测试（TASSK-R）、社交反应量表第二版和社交质量问卷中得出的分数。采用线性混合模型比较连续结局和泊松回归分析计数数据，比较干预后和 26 周保留时间点的组间差异。
两组在主要结局（SSIS-RS）上无差异。关于次要结局，PEERS 暴露组在 TASSK-R 上取得了显著更大的改善（平均差异 [MD]=6.8，95%置信区间 [CI]=4.8-8.8，p<0.001），并在 26 周保留时间点保持（MD=8.1，95% CI=6.0-10.2，p<0.001）。PEERS 还与 26 周时父母报告的受邀聚会次数显著增加相关（发病率比=4.0，95% CI=1.0-16.0，p=0.05）。
完成 PEERS 的脑损伤青少年学习并保留了社交知识，增加了社交参与度。
