ProVIA-Kids——一项针对智力和发育障碍或自闭症谱系障碍儿童的具有挑战性的行为进行基于智能手机的行为分析的非对照研究的结果。

ProVIA-Kids - outcomes of an uncontrolled study on smartphone-based behaviour analysis for challenging behaviour in children with intellectual and developmental disabilities or autism spectrum disorder.

作者信息

Meerson Rinat, Buchholz Hanna, Kammerer Klaus, Göster Manuel, Schobel Johannes, Ratz Christoph, Pryss Rüdiger, Taurines Regina, Romanos Marcel, Gamer Matthias, Geissler Julia

机构信息

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Wuerzburg, Wuerzburg, Germany.

Department of Communication, University of Vienna, Vienna, Austria.

出版信息

Front Digit Health. 2024 Sep 13;6:1462682. doi: 10.3389/fdgth.2024.1462682. eCollection 2024.

DOI:10.3389/fdgth.2024.1462682

PMID:39351075

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11440517/

Abstract

INTRODUCTION

Challenging behaviour (CB) is a common issue among children with autism spectrum disorder or intellectual and developmental disability. Mental health applications are low-threshold cost-effective tools to address the lack of resources for caregivers. This pre-post study evaluated the feasibility and preliminary effectiveness of the smartphone app using algorithm-based behaviour analysis to identify causes of CB and provide individualized practical guidance to manage and prevent CB.

METHODS

A total of 18 caregivers ( = 38.9 ± 5.0) of children with a diagnosis of autism spectrum disorder (44%), intellectual and developmental disabilities (33%) or both (22%) aged 4-11 years ( = 7.6 ± 1.8) were included. Assessments were performed before and after an 8-week intervention period. The primary outcome was the change in parental stress. Caregiver stress experience due to CB was also rated daily via ecological momentary assessments within the app. Secondary outcomes included the intensity of the child's CB, dysfunctional parenting, feelings of parental competency as well as caregivers' mood (rated daily in the app) and feedback on the app collected via the Mobile Application Rating Scale.

RESULTS

We observed increases in parental stress in terms of conscious feelings of incompetence. However, we also saw improvements in parental stress experience due to CB and overreactive parenting, and descriptive improvements in CB intensity and caregiver mood.

DISCUSSION

pioneers behaviour analysis in a digital and automated format, with participants reporting high acceptance. Pilot results highlight the potential of the app to positively influence child behaviour and caregiver mental health over a longer intervention period.

REGISTRATION

The study was registered at https://www.drks.de (ID = DRKS00029039) on May 31, 2022.

摘要

引言

挑战性行为（CB）是自闭症谱系障碍或智力与发育障碍儿童中常见的问题。心理健康应用程序是低门槛且具有成本效益的工具，可解决照顾者资源不足的问题。这项前后对照研究评估了一款智能手机应用程序的可行性和初步有效性，该应用程序使用基于算法的行为分析来识别挑战性行为的原因，并提供个性化的实用指导以管理和预防挑战性行为。

方法

纳入了18名4至11岁（平均年龄=7.6±1.8岁）儿童的照顾者（平均年龄=38.9±5.0岁），这些儿童被诊断为自闭症谱系障碍（44%）、智力与发育障碍（33%）或两者皆有（22%）。在为期8周的干预期前后进行评估。主要结局是父母压力的变化。应用程序内还通过生态瞬时评估每日对照顾者因挑战性行为产生的压力体验进行评分。次要结局包括儿童挑战性行为的强度、功能失调的养育方式、父母胜任感、照顾者的情绪（在应用程序中每日评分）以及通过移动应用程序评分量表收集的对该应用程序的反馈。