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自闭症风险婴儿-学步儿社交沟通干预随机试验中脱落的预测因素。

Predictors of Attrition in a Randomized Trial of a Social Communication Intervention for Infant-Toddlers at Risk for Autism.

机构信息

Department of Psychiatry and Bio-behavioral Sciences, University of California, Los Angeles, 90024, Los Angeles, CA, United States.

Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 760 Westwood Plaza 68-262B, 90024, Los Angeles, CA, United States.

出版信息

J Autism Dev Disord. 2023 Aug;53(8):3023-3033. doi: 10.1007/s10803-022-05616-w. Epub 2022 Jun 9.

DOI:10.1007/s10803-022-05616-w
PMID:35678946
Abstract

Addressing factors that make it more likely for families to attrite from early intervention trials will allow researchers to ensure that families reap the full benefits of participation. This study was an analysis of 78 children (Mage = 18.38 months, SD = 5.78) at risk for autism participating in a university-based randomized controlled trial of two 8-week long early intervention programs. Overall, attrition through 8-weeks was low, approximately 13%, however by the one-year follow-up attrition rates were approximately 50%. The most consistent predictor of attrition was the distance that families had to travel to the university. These data highlight the importance of providing services and support (e.g., financial and logistic) during follow-up to families to maximize their participation. Clincaltrials.gov Identifier: NCT01874327, 6/11/2013.

摘要

解决使家庭更有可能退出早期干预试验的因素,将使研究人员能够确保家庭充分受益于参与。本研究分析了 78 名(平均年龄= 18.38 个月,标准差= 5.78)有自闭症风险的儿童,他们参加了一项基于大学的、两种为期 8 周的早期干预方案的随机对照试验。总体而言,通过 8 周的时间流失率较低,约为 13%,但在一年的随访中,流失率约为 50%。最一致的流失预测因素是家庭到大学的距离。这些数据强调了在随访期间为家庭提供服务和支持(例如财务和后勤支持)的重要性,以最大限度地提高他们的参与度。Clincaltrials.gov 标识符:NCT01874327,2013 年 6 月 11 日。

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本文引用的文献

1
Implementation Science, Behavior Analysis, and Supporting Evidence-based Practices for Individuals with Autism.实施科学、行为分析与为自闭症患者提供基于证据的实践支持
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Multi-component communication intervention for children with autism: A randomized controlled trial.针对自闭症儿童的多成分沟通干预:一项随机对照试验。
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Factors associated with enrollment into a clinical trial of caregiver-implemented intervention for infants at risk for autism spectrum disorder.
与纳入针对自闭症谱系障碍风险婴儿的照顾者实施干预临床试验相关的因素。
Autism. 2020 Oct;24(7):1874-1884. doi: 10.1177/1362361320928829. Epub 2020 Jun 29.
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Screening for Behavioral Signs of Autism Spectrum Disorder in 9-Month-Old Infant Siblings.筛查 9 个月大婴儿同胞的自闭症谱系障碍行为迹象。
J Autism Dev Disord. 2021 Mar;51(3):839-848. doi: 10.1007/s10803-020-04371-0.
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Systematic review of factors that may influence the outcomes and generalizability of parent-mediated interventions for young children with autism spectrum disorder.系统综述:影响自闭症谱系障碍幼儿家长介导干预效果和可推广性的因素。
Autism Res. 2019 Sep;12(9):1304-1321. doi: 10.1002/aur.2168. Epub 2019 Jul 11.
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The Effects of Early Intervention on Social Communication Outcomes for Children with Autism Spectrum Disorder: A Meta-analysis.早期干预对自闭症谱系障碍儿童社会沟通能力结局的影响:一项荟萃分析。
J Autism Dev Disord. 2020 May;50(5):1683-1700. doi: 10.1007/s10803-019-03927-z.
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Enhancing Low-Intensity Coaching in Parent Implemented Early Start Denver Model Intervention for Early Autism: A Randomized Comparison Treatment Trial.强化家长实施早期自闭症强化丹佛模式干预中的低强度辅导:一项随机比较治疗试验。
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Efficacy of early interventions for infants and young children with, and at risk for, autism spectrum disorders.自闭症谱系障碍患儿和有患病风险的婴幼儿早期干预的疗效。
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