Camilleri Louis John, Maras Katie, Brosnan Mark
Centre for Applied Autism Research (CAAR), University of Bath, Bath, United Kingdom.
Front Digit Health. 2024 Mar 13;6:1355795. doi: 10.3389/fdgth.2024.1355795. eCollection 2024.
Social Stories (SS) is a socially-valid intervention for autistic children and young people (CYP) which is used widely by professionals and parents. Research suggests that whilst parents are in an ideal position to deliver interventions for their autistic CYP, a lack of procedural integrity can result in a great deal of variability in parent-mediated intervention outcomes.
This exploratory study investigated the extent to which SS can be effectively developed and delivered, through digital mediation, by parents with little to no researcher input ( = 17, sample 1) and the factors that impact effectiveness. Furthermore, the study also investigated the extent to which digitally-mediated SS can support autistic CYP to develop and deliver their own stories, thereby utilising the intervention as a means for self-support and self-management ( = 5, sample 2).
The outcomes of the study indicate that digital mediation can effectively support parent-led SS intervention. Findings also indicate that receptive/expressive language skills of autistic CYP, their level of systemizing, as well as the practice of consulting with the autistic CYP whilst identifying goals and developing stories, are individual and procedural characteristics which positively influence the effectiveness of the parent-led intervention. The study also found that digitally-mediated SS can be utilised as a self-support tool by autistic CYP themselves.
The results inform the developing literature on digital interventions and support tools that aim to engage with, and involve further, the autistic community in the setting and authoring of interventions and research.
社交故事(SS)是一种针对自闭症儿童和青少年(CYP)的具有社会效度的干预措施,被专业人士和家长广泛使用。研究表明,虽然家长处于为其自闭症CYP提供干预的理想位置,但程序完整性的缺失可能导致家长介导的干预结果出现很大差异。
这项探索性研究调查了在几乎没有或没有研究人员参与的情况下(n = 17,样本1),家长通过数字媒介有效开发和实施社交故事的程度以及影响有效性的因素。此外,该研究还调查了数字媒介社交故事在多大程度上能够支持自闭症CYP编写和讲述他们自己的故事,从而将该干预措施用作自我支持和自我管理的手段(n = 5,样本2)。
研究结果表明,数字媒介能够有效支持家长主导的社交故事干预。研究结果还表明,自闭症CYP的接受性/表达性语言技能、他们的系统化水平,以及在确定目标和编写故事时与自闭症CYP进行协商的做法,是对家长主导干预的有效性产生积极影响的个体和程序特征。该研究还发现,数字媒介社交故事可以被自闭症CYP自身用作自我支持工具。
研究结果为有关数字干预和支持工具的文献发展提供了信息,这些工具旨在让自闭症群体更多地参与到干预措施和研究的制定及编写过程中。