Karakter Child and Adolescent Psychiatry University Centre, Nijmegen, The Netherlands.
Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Centre, Nijmegen, The Netherlands.
Sci Rep. 2022 May 11;12(1):7691. doi: 10.1038/s41598-022-10604-2.
Pivotal Response Treatment (PRT) is a promising intervention addressing core symptoms of autism spectrum disorder (ASD), with parent involvement as key component. Parent group-delivered PRT may be an effective treatment model, but currently the evidence is limited. Also, little attention has been paid to therapeutic involvement of multiple important contexts (e.g. home, school, community) of the young child. The current study explores a 14-week protocol of PRT parent group training (PRT-PG), complemented with individual parent-child sessions and involvement of teachers and other childcare providers. Children aged 2-6 years old with ASD and their parents (n = 20) were included. Preliminary results showed a significant increase in spontaneous initiations during a semi-structured therapist-child interaction together with widespread gains in clinical global functioning. No significant improvement on parent-rated general social-communication skills was observed. These findings justify further research on parent group delivered PRT models.
关键反应治疗（PRT）是一种有前途的干预措施，可解决自闭症谱系障碍（ASD）的核心症状，家长的参与是关键组成部分。家长团体提供的 PRT 可能是一种有效的治疗模式，但目前证据有限。此外，人们很少关注幼儿的多个重要环境（如家庭、学校、社区）的治疗参与。目前的研究探讨了 PRT 家长团体培训（PRT-PG）的 14 周方案，辅以个别家长-儿童课程，并让教师和其他儿童保育提供者参与。纳入了年龄在 2-6 岁之间的自闭症儿童及其家长（n=20）。初步结果显示，在半结构化治疗师-儿童互动期间，自发发起的次数显著增加，同时临床总体功能也有广泛的提高。在父母评定的一般社交沟通技能方面没有观察到显著的改善。这些发现证明了进一步研究家长团体提供的 PRT 模式的合理性。
