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针对患有自闭症谱系障碍的学龄和过渡年龄青少年,专家提供者对干预措施的熟悉程度的预测因素。

Predictors of expert providers' familiarity with intervention practices for school- and transition-age youth with autism spectrum disorder.

作者信息

Cooper Chelsea M, Rosen Tamara, Kim Hyunsik, Eaton Nicholas R, Cohn Elizabeth, Drahota Amy, Moskowitz Lauren J, Lerner Matthew D, Kerns Connor M

机构信息

Case Western Reserve University, USA.

University of Colorado School of Medicine, USA.

出版信息

Autism. 2023 Feb;27(2):331-343. doi: 10.1177/13623613221100787. Epub 2022 Jun 20.

Abstract

School-age children, adolescents, and young adults with autism spectrum disorder encounter many different types of providers in their pursuit of treatment for anxiety, behavior problems, and social difficulties. These providers may all be familiar with different types of intervention practices. However, research has not yet investigated patterns in expert providers' familiarity with different practices nor how these patterns are related to the characteristics of providers (years in practice, academic discipline, setting) and the youth (age and intellectual disability) they typically support. A panel of 53 expert transdisciplinary providers rated their familiarity with 55 intervention practices (derived from research and expert nominations) via an online Delphi poll. Advanced statistical methods were used to identify types of intervention practices with which providers were familiar, which included two approaches (cognitive and behavioral) and two strategies (engagement and accessibility). Providers who practiced outside a school setting or treated clients without intellectual disability were more familiar with cognitive approaches. Clinical psychologists, behavior analysts, and school-based providers were more familiar with behavioral approaches. Providers practicing outside school settings were also more familiar with engagement strategies, and providers with more years in practice were more familiar with accessibility strategies. These results may help families and researchers to better anticipate how services may vary depending on the types of autism spectrum disorder providers seen and work to reduce disparities in care that may result.

摘要

患有自闭症谱系障碍的学龄儿童、青少年和年轻人在寻求焦虑、行为问题和社交困难的治疗时会接触到许多不同类型的医疗服务提供者。这些提供者可能都熟悉不同类型的干预方法。然而,研究尚未调查专家提供者对不同方法的熟悉程度模式,也未研究这些模式如何与提供者的特征(从业年限、学术学科、工作环境)以及他们通常所服务的青少年(年龄和智力残疾情况)相关。一个由53名跨学科专家提供者组成的小组通过在线德尔菲调查对他们对55种干预方法(源自研究和专家提名)的熟悉程度进行了评分。采用先进的统计方法来确定提供者熟悉的干预方法类型,其中包括两种方法(认知和行为)和两种策略(参与度和可及性)。在学校以外环境执业或治疗无智力残疾客户的提供者更熟悉认知方法。临床心理学家、行为分析师和学校工作人员更熟悉行为方法。在学校以外环境执业的提供者也更熟悉参与度策略,而从业年限更长的提供者更熟悉可及性策略。这些结果可能有助于家庭和研究人员更好地预测服务可能如何因所接触的自闭症谱系障碍提供者类型而有所不同,并努力减少可能导致的护理差异。

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