Rush University, Chicago, IL, USA.
University of Kansas, Kansas City, USA.
OTJR (Thorofare N J). 2023 Jul;43(3):390-398. doi: 10.1177/15394492231159903. Epub 2023 Mar 21.
Independence in toileting is a vital skill, yet toilet-training interventions for children with autism are limited.
We investigated the acceptability and preliminary efficacy of a hybrid telehealth intervention that used synchronous individualized coaching sessions and asynchronous online educational materials to support parents in toilet training their children with autism.
Participants included 34 families of children with autism ages 2 to 8 years. Measures were administered at pre- and postintervention (10-12 weeks) and included the Toileting Behavior Questionnaire, Goal Attainment Scaling, and Canadian Occupational Performance Measure.
Twenty-five families completed all intervention procedures. Parents found the intervention highly acceptable and reported significant improvements in child toileting behaviors; however, families accessed the asynchronous intervention materials at a low rate.
A parent coaching model delivered through telehealth may be a promising method to increase toileting independence among families of young children with autism.
独立如厕是一项重要技能，但针对自闭症儿童的如厕训练干预措施有限。
我们研究了一种混合式远程医疗干预措施的可接受性和初步疗效，该措施使用同步个性化指导课程和异步在线教育材料来支持自闭症儿童的父母对其进行如厕训练。
参与者包括 34 名 2 至 8 岁自闭症儿童的家长。在干预前（10-12 周）和干预后进行了测量，包括如厕行为问卷、目标达成量表和加拿大职业表现量表。
25 个家庭完成了所有干预程序。家长认为干预措施非常可接受，并报告说孩子的如厕行为有了显著改善；然而，家庭对异步干预材料的访问率很低。
通过远程医疗提供的家长指导模式可能是提高自闭症幼儿家庭如厕独立性的一种有前途的方法。
