University of South Carolina, 1800 Gervais Street, Columbia, SC 29201, USA.
University of South Carolina, 820 Main Street, Columbia, SC 29208, USA.
Pediatr Clin North Am. 2022 Aug;69(4):645-656. doi: 10.1016/j.pcl.2022.04.002.
The rising prevalence of autism spectrum disorder (ASD) calls for clear referral and treatment guidelines for children with ASD and their caregivers. Caregiver involvement in intervention is a standard practice of care and research suggests that teaching intervention strategies to caregivers can improve child outcomes and increase caregiver efficacy. Caregiver-mediated interventions that are naturalistic, developmental, and behavioral are effective in improving social and communication skills for children with ASD. Caregiver training models that use behavioral strategies are effective in reducing challenging behaviors. Finally, reducing caregiver barriers to treatment implementation, including stress and strain, are becoming critical components for improving the well-being and care of children with ASD and their families.
自闭症谱系障碍 (ASD) 的患病率不断上升，因此需要为 ASD 儿童及其照顾者制定明确的转诊和治疗指南。照顾者参与干预是护理的标准做法，研究表明，向照顾者传授干预策略可以改善儿童的结果并提高照顾者的效能。以自然、发展和行为为基础的照顾者介导的干预措施可有效提高 ASD 儿童的社交和沟通技能。使用行为策略的照顾者培训模式可有效减少具有挑战性的行为。最后，减少治疗实施的照顾者障碍，包括压力和紧张，对于改善 ASD 儿童及其家庭的福祉和护理至关重要。
