El-Monshed Ahmed Hashem, Loutfy Ahmed, El-Boraie Haitham, Eweida Rasha Salah, Fayed Sara Mohamed, El-Gazar Heba Emad, Ali Zoromba Mohamed
Ahmed Hashem El-Monshed, PhD, MSN, BSN, University of Bahrain, Manama, Bahrain; Mansoura University, Mansoura, Egypt.
Ahmed Loutfy, PhD, MSN, BSN, University of Fujairah, Fujairah, United Arab Emirates; Beni-Suef University, Beni-Suef, Egypt.
J Am Psychiatr Nurses Assoc. 2025 Jul-Aug;31(4):362-373. doi: 10.1177/10783903241279376. Epub 2024 Sep 20.
One of the most crucial objectives in the education and treatment of young children with autism spectrum disorder (ASD) is independence in daily living skills (DLS). Therefore, as a child with ASD condition grows, measures of everyday functioning including adaptive behaviors should be more regularly monitored and regulated.
The primary aim of this study was to evaluate the feasibility of a developed theory-based training program and its preliminary effectiveness on the acquisition of DLS among school-age children with ASD.
A preliminary experimental research design (pre- and post-evaluation) was conducted from the beginning of May to the end of July 2023 on 31 children with ASD. The socio-economic status scale, Vineland Adaptive Behavior Scale, and Gilliam Autism Rating Scale were administered before and after a theory-based DLS training program.
There was a significant difference in the DLS and motor functioning before and after the implementation of the training program ( < .001 and = .021, respectively). In addition, there was a significant difference in the total score of autistic severity before and after the implementation of the training program ( < .001).
The promising outcomes of the study indicate the need for further testing and expansion of this intervention. These findings contribute to the growing body of evidence highlighting the significance of DLS training program in the comprehensive treatment approach for children with ASD. Consequently, proposing DLS training programs as a cost-effective and efficient nursing intervention is warranted.
自闭症谱系障碍（ASD）幼儿教育与治疗的关键目标之一是实现日常生活技能（DLS）的独立。因此，随着患有ASD的儿童成长，应更定期地监测和规范包括适应性行为在内的日常功能指标。
本研究的主要目的是评估一项基于理论开发的培训计划的可行性及其对ASD学龄儿童获得DLS的初步效果。
2023年5月初至7月底，对31名ASD儿童进行了初步实验研究设计（评估前和评估后）。在基于理论的DLS培训计划前后，分别实施社会经济地位量表、文兰适应性行为量表和吉列姆自闭症评定量表。
培训计划实施前后，DLS和运动功能存在显著差异（分别为<.001和=.021）。此外，培训计划实施前后自闭症严重程度总分存在显著差异（<.001）。
该研究的良好结果表明需要对这种干预措施进行进一步测试和扩展。这些发现为越来越多的证据做出了贡献，这些证据强调了DLS培训计划在ASD儿童综合治疗方法中的重要性。因此，有必要将DLS培训计划作为一种具有成本效益和高效的护理干预措施提出。
