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简短报告:家长在远程医疗干预的混合式教练中使用异步材料吗?

Short report: Do parents use asynchronous materials in a hybrid coaching via telehealth intervention?

机构信息

The University of Kansas Medical Center, USA.

Rush University, USA.

出版信息

Autism. 2024 Aug;28(8):2140-2145. doi: 10.1177/13623613241232467. Epub 2024 Mar 3.

Abstract

Using telehealth to provide services to families and children with autism has grown since the start of the COVID-19 pandemic. Yet, we still know less about telehealth models that use both virtual sessions and online materials to support families. Research suggests it is important to make sure an intervention matches the characteristics of a child with autism, but fewer studies have examined the importance of matching an intervention to parent characteristics. In this study, we looked at parent characteristics (25 parents included in the study) before a parent coaching telehealth intervention for potty training in autism. We specifically looked at how parent competence (i.e. how confident and effective one feels with parenting) levels before the intervention influenced the usage of online education materials (i.e. podcasts/tip sheets). Results suggested that parents with lower competence used the online materials more often than parents with higher competence, and often made greater gains in parent competence during the intervention. Both parents with lower and higher competence found the intervention acceptable. Future research should study additional parent characteristics in a larger sample to better understand how to tailor interventions to meet both parent and child needs.

摘要

自 COVID-19 大流行开始以来,利用远程医疗为自闭症家庭和儿童提供服务的需求不断增长。然而,我们对同时使用虚拟会议和在线材料来支持家庭的远程医疗模式仍然了解较少。研究表明,确保干预措施符合自闭症儿童的特点非常重要,但较少的研究探讨了将干预措施与家长特点相匹配的重要性。在这项研究中,我们在一项针对自闭症儿童如厕训练的家长教练远程医疗干预之前,研究了家长的特点(研究中包括 25 位家长)。我们特别研究了干预前家长能力(即对育儿的自信和有效性)水平如何影响在线教育材料(即播客/技巧单)的使用。结果表明,能力较低的家长比能力较高的家长更频繁地使用在线材料,并且在干预过程中家长能力往往会有更大的提高。能力较低和较高的家长都认为该干预措施是可以接受的。未来的研究应该在更大的样本中研究其他家长特点,以更好地了解如何调整干预措施以满足家长和孩子的需求。

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本文引用的文献

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A Telehealth Delivered Toilet Training Intervention for Children with Autism.远程医疗在自闭症儿童如厕训练中的应用。
OTJR (Thorofare N J). 2023 Jul;43(3):390-398. doi: 10.1177/15394492231159903. Epub 2023 Mar 21.
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Parent Perspectives of an Occupational Therapy Telehealth Intervention.职业治疗远程医疗干预的家长观点
Int J Telerehabil. 2019 Jun 12;11(1):15-22. doi: 10.5195/ijt.2019.6274. eCollection 2019 Spring.
8
Establishing Fidelity of Occupational Performance Coaching.建立职业表现指导的保真度。
OTJR (Thorofare N J). 2018 Apr;38(2):96-104. doi: 10.1177/1539449217724755. Epub 2017 Aug 18.

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