等待自闭症谱系障碍评估期间的指导：一项关于职业表现指导与服务导航随机对照试验的试点可行性研究
Coaching While Waiting for Autism Spectrum Disorder Assessment: A Pilot Feasibility Study for a Randomized Controlled Trial on Occupational Performance Coaching and Service Navigation.
作者信息
Bernie Charmaine, Williams Katrina, Graham Fiona, May Tamara
机构信息
Department of Paediatrics, The University of Melbourne, Melbourne, Australia.
Department of Allied Health, The Royal Children's Hospital, Melbourne, Australia.
出版信息
J Autism Dev Disord. 2023 Jul;53(7):2905-2914. doi: 10.1007/s10803-022-05558-3. Epub 2022 Apr 30.
AIM
To determine whether short-phase Occupational Performance Coaching combined with service navigation support is feasible for families waiting for autism assessment.
METHOD
A pilot feasibility study was conducted using a blinded randomization procedure that allocated participants to one of three trial arms: (1) face-to-face coaching, (2) videoconference coaching, and (3) usual care. Outcomes included a retention aim of 70-80%, goal attainment and secondary standardised measures of adaptive behaviour, social skills, parenting stress, service access and family quality of life.
RESULTS
Caregivers and children (n = 16, child mean age of 3 years 7 months) were recruited following referral for an autism assessment. Retention was 75%, with change scores in performance and satisfaction of selected goals higher in the intervention groups than the usual care group.
INTERPRETATION
Findings support progression to a future randomized controlled trial assessing intervention efficacy.
目的
确定短期职业表现辅导结合服务导航支持对等待自闭症评估的家庭是否可行。
方法
采用盲法随机程序进行了一项试点可行性研究，将参与者分配到三个试验组之一：（1）面对面辅导，（2）视频会议辅导，（3）常规护理。结果包括70 - 80%的保留目标、目标达成情况以及适应性行为、社交技能、育儿压力、服务获取和家庭生活质量的二级标准化测量。
结果
在因自闭症评估被转诊后招募了照顾者和儿童（n = 16，儿童平均年龄为3岁7个月）。保留率为75%，干预组选定目标的表现和满意度变化分数高于常规护理组。
解读
研究结果支持开展未来的随机对照试验以评估干预效果。
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