以照顾者为中介的干预的效果：针对神经发育障碍儿童的一项试点研究。

Effectiveness of caregiver-mediated intervention: a pilot study for children with neurodevelopmental disorders.

机构信息

Department of Child Health Care, Children's Hospital of Chongqing Medical University; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Child Health and Nutrition, Chongqing400014, China.

出版信息

Prim Health Care Res Dev. 2022 Oct 14;23:e63. doi: 10.1017/S1463423622000524.

DOI:10.1017/S1463423622000524

PMID:36239147

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9641652/

Abstract

OBJECTIVES

Caregiver-mediated intervention (CMI), based on parent skills training, is a family-mediated intervention model for children with neurodevelopmental disorders, in particular autism spectrum disorder. This study aimed to evaluate the effectiveness of CMI.

METHODS

Thirty-three children (aged 22-69 months from our department) and their caregivers participated in a two-week training course of ten 90-minute lessons. Caregivers were encouraged to try their best to apply intervention skills in both home routines and play routines to encourage the development of cognition, motion, social adaptability, and behavior of children. Demographic information, video-recorded data, and diagnostic scales were collected at two key time points: baseline and post-training (PT - within six months).

RESULTS

Three aspects were assessed - primary variables, secondary variables, and correlation analyses. Results showed an improvement in PT in (1) Adult/Child Interaction Fidelity Rating ( < 0.01) and (2) adaptability of Gesell Developmental Scale and stereotyped behaviors and limited interests of Autism Diagnostic Observation Schedule ( < 0.05, < 0.01). Moreover, a negative correlation occurred between caregiver skill improvement and parent education ( < 0.05), but without correlations with other demographics.

CONCLUSIONS

As an efficacious family intervention for both children and their caregivers, CMI is worth being generalized widely.

摘要

目的

以家长技能培训为基础的 caregiver 介导干预（CMI）是一种针对神经发育障碍儿童，特别是自闭症谱系障碍的家庭介导干预模式。本研究旨在评估 CMI 的有效性。

方法

33 名儿童（年龄为 22-69 个月，来自我们科室）及其照顾者参加了为期两周的培训课程，共 10 节 90 分钟的课程。鼓励照顾者在家庭日常生活和游戏中尽力应用干预技能，以促进儿童认知、运动、社会适应性和行为的发展。在两个关键时间点收集人口统计学信息、视频记录数据和诊断量表：基线和培训后（PT-在六个月内）。

结果

评估了三个方面——主要变量、次要变量和相关分析。结果表明，在（1）成人/儿童互动保真度评分（<0.01）和（2）Gesell 发育量表的适应性以及自闭症诊断观察量表的刻板行为和有限兴趣（<0.05，<0.01）方面，PT 有所改善。此外，照顾者技能提高与家长教育程度呈负相关（<0.05），但与其他人口统计学特征无相关性。