Vismara Laurie A, Nyugen Lucy, McCormick Carolyn E B
ESDM Online, Toronto, ON, Canada.
Thrive Autism Collaborative, Denver, CO, United States.
Front Psychol. 2023 Jul 20;14:1167885. doi: 10.3389/fpsyg.2023.1167885. eCollection 2023.
Parent-mediated approaches for young children with or with a higher likelihood of autism have gained traction, with mounting evidence of efficacy, but a research-to-gap practice exists, and community effectiveness remains to be firmly established.
Using a community-participatory framework, a total of 10 parent-child dyads received a five-day workshop and six follow-up sessions of ESDM parent coaching. Intervention was implemented across two phases with in-person and telehealth delivery.
From pre to post intervention across both phases, parents improved in their fidelity of intervention implementation and children maid gains on proximal measures of social communication.
Community delivery of an evidence-based parent-mediated interventions for toddlers on the autism spectrum is feasible and promising. Giving resource efficiencies associated with parent-mediated approaches, particularly when delivered through government-funded programs, findings bolster current efforts to promote earlier and more widespread community access to necessary interventions. Facilitators and barriers to supporting parent learning and behavior change via interactive strategies are discussed.
针对患有自闭症或自闭症可能性较高的幼儿的家长介导方法已受到关注，有越来越多的疗效证据，但存在研究与实践的差距，社区有效性仍有待稳固确立。
采用社区参与框架，共有10对亲子接受了为期五天的工作坊以及六次ESDM家长指导的后续课程。干预分两个阶段实施，采用面对面和远程医疗方式。
在两个阶段的干预前后，家长在干预实施的保真度方面有所提高，儿童在社交沟通的近端指标上取得了进步。
在社区为自闭症谱系幼儿提供循证家长介导干预是可行且有前景的。鉴于与家长介导方法相关的资源效率，特别是通过政府资助项目实施时，研究结果支持了当前为促进社区更早、更广泛地获得必要干预所做的努力。讨论了通过互动策略支持家长学习和行为改变的促进因素和障碍。
