Northwestern University, USA.
Autism. 2023 Feb;27(2):443-455. doi: 10.1177/13623613221102736. Epub 2022 Jun 13.
Parent-mediated interventions support parents' use of language facilitation strategies to improve their autistic child's communication and language development. To improve the effectiveness of parent-mediated interventions, it is important to individualize interventions. This article evaluates how different components of parent-mediated interventions and mothers' learning styles influence the effectiveness of the intervention. In a randomized clinical trial, mothers were taught to use one of two types of language facilitation strategies: responsive and directive. Mothers' learning styles were characterized by the Broad Autism Phenotype (BAP) and their natural tendency to use language facilitation strategies before intervention. Findings suggest that it was easier for all mothers (irrespective of learning style) to use responsive strategies compared to directive strategies. In addition, mothers with learning styles that were not consistent with the BAP were more likely to benefit from the intervention if they did not naturally use strategies before the intervention. In contrast, mothers with learning styles that were consistent with the BAP were more likely to benefit from the intervention if they did naturally use strategies before the intervention. Teaching mothers to use responsive strategies results in greater strategy use. Consideration of BAP and mothers' natural use of language facilitation strategies may inform intervention individualization.
家长介导干预支持父母使用语言促进策略，以提高自闭症儿童的沟通和语言发展。为了提高家长介导干预的效果，对干预进行个体化非常重要。本文评估了家长介导干预的不同组成部分和母亲的学习风格如何影响干预的效果。在一项随机临床试验中，母亲被教导使用两种语言促进策略之一：响应式和指令式。母亲的学习风格通过广泛自闭症表型（BAP）和她们在干预前使用语言促进策略的自然倾向来描述。研究结果表明，与指令式策略相比，所有母亲（无论学习风格如何）更容易使用响应式策略。此外，如果母亲在干预前没有自然使用策略，那么与 BAP 不一致的学习风格的母亲更有可能从干预中受益。相比之下，如果母亲在干预前自然使用策略，那么与 BAP 一致的学习风格的母亲更有可能从干预中受益。教导母亲使用响应式策略会导致更多策略的使用。考虑 BAP 和母亲自然使用语言促进策略可以为干预个体化提供信息。
