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利用发展科学创建有效的早期干预计划和技术,以改善儿童发展结果的模型。

A model for using developmental science to create effective early intervention programs and technologies to improve children's developmental outcomes.

机构信息

Department of Psychological Science, Boise State University, Boise, ID, United States.

Department of Physical Therapy, Biomechanics & Movement Science Program, University of Delaware, Newark, DE, United States.

出版信息

Adv Child Dev Behav. 2022;62:231-268. doi: 10.1016/bs.acdb.2021.12.003. Epub 2022 Feb 8.

Abstract

Children born with a variety of environmental or medical risk factors may exhibit delays in global development. Very often, such delays are identified at preschool or school age, when children are severely overdue for effective early interventions that can alleviate the delays. This chapter proposes a conceptual model of child development to inform the creation of interventions and rehabilitative technologies that can be provided very early in development, throughout the first year of life, to optimize children's future developmental outcomes. The model suggests that early sensorimotor skills are antecedent and foundational for future motor, cognitive, language, and social development. As an example, this chapter describes how children's early postural control and exploratory movements facilitate the development of future object exploration behaviors that provide enhanced opportunities for learning and advance children's motor, cognitive, language, and social development. An understanding of the developmental pathways in the model can enable the design of effective intervention programs and rehabilitative technologies that target sensorimotor skills in the first year of life with the goal of minimizing or ameliorating the delays that are typically identified at preschool or school age. Specific examples of early interventions and rehabilitative technologies that have effectively advanced children's motor and cognitive development by targeting early sensorimotor skills and behaviors are provided.

摘要

具有各种环境或医疗风险因素的儿童可能表现出全面发育迟缓。通常,这些发育迟缓在学前或学龄期被发现,此时儿童非常需要有效的早期干预,以减轻发育迟缓。本章提出了儿童发展的概念模型,为干预措施和康复技术的创建提供信息,这些干预措施和康复技术可以在发育早期,即生命的第一年提供,以优化儿童未来的发展结果。该模型表明,早期感觉运动技能是未来运动、认知、语言和社会发展的前提和基础。例如,本章描述了儿童早期的姿势控制和探索运动如何促进未来物体探索行为的发展,这些行为为学习提供了更多机会,并促进了儿童的运动、认知、语言和社会发展。对模型中发展途径的理解可以使设计有效的干预计划和康复技术成为可能,这些计划和技术的目标是在生命的第一年针对感觉运动技能进行干预,以最小化或改善通常在学前或学龄期发现的发育迟缓。提供了具体的早期干预和康复技术的例子,这些技术通过针对早期感觉运动技能和行为,有效地促进了儿童的运动和认知发展。

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