Cleary Dominique B, Bunney Angela, Henry Lindy, Renton Michelle, Granich Joanna, Green Jonathan, Maybery Murray T, Whitehouse Andrew J O
Telethon Kids Institute, The University of Western Australia, 100 Roberts Road, Subiaco, Western Australia 6008 Australia.
School of Psychological Science, The University of Western Australia, Perth, Australia.
Adv Neurodev Disord. 2022;6(4):494-505. doi: 10.1007/s41252-022-00262-w. Epub 2022 Jun 9.
Developmental theory and previous studies support the potential value of prodromal interventions for infants at elevated likelihood of developing autism. Past research has supported the efficacy of parent-mediated prodromal therapies with infants from as early as 7 months. We outline the rationale for implementing interventions following this model from even earlier in development and report on the feasibility of a novel intervention developed following this model of parent-mediated infant interventions.
We report a feasibility study ( = 13) of a parent-mediated, video-aided intervention, beginning during pregnancy, focussed on parent-infant interactions. The study evaluated the feasibility of this intervention initially with a general population sample. Feasibility was assessed across four domains (acceptability, implementation, practicality and integration) using self-report questionnaire, semi-structured interviews with parents and therapists, attendance and assessment completion.
Feasibility assessment shows that the intervention was acceptable, with all participants reporting that they had benefited from the program, with perceived positive benefits to their understanding of and communication with their infant, and that they had integrated program teachings into everyday life. The intervention was implemented as planned with 100% attendance for the core sessions. Changes to minimise the number of antenatal sessions was suggested to improve practicality.
This study found initial feasibility for this intervention in a general population sample. This suggests parent-mediated video feedback interventions are a promising format to be implemented within the perinatal developmental time period.
发展理论和以往研究支持对自闭症发病可能性较高的婴儿进行前驱干预的潜在价值。过去的研究支持了早在7个月大的婴儿的父母介导的前驱疗法的有效性。我们概述了从发育早期就按照这种模式实施干预的基本原理，并报告了按照这种父母介导的婴儿干预模式开发的一种新型干预措施的可行性。
我们报告了一项针对父母介导的、视频辅助干预的可行性研究（n = 13），该干预从孕期开始，重点关注亲子互动。该研究最初在一般人群样本中评估了这种干预的可行性。使用自我报告问卷、对父母和治疗师的半结构化访谈、出勤情况和评估完成情况，从四个领域（可接受性、实施、实用性和整合性）评估了可行性。
可行性评估表明，该干预是可接受的，所有参与者都报告说他们从该项目中受益，认为对他们理解婴儿和与婴儿沟通有积极益处，并且他们已将项目教学融入日常生活。干预按计划实施，核心课程的出勤率为100%。建议对产前课程数量进行调整以减少数量，以提高实用性。
本研究发现该干预在一般人群样本中初步具有可行性。这表明父母介导的视频反馈干预是一种有前景的形式，可在围产期发育阶段实施。
