Fischbacher Lauren, Dodds Robin L, Tien Ingrid Shiyin
Division of Human Development and Psychology, University of California, Los Angeles, Moore Hall, 457 Portola Plaza, Los Angeles, CA 90095, USA.
Division of Special Education & Counseling, California State University, Los Angeles, King Hall, 5151 State University Dr, Los Angeles, CA 90032, USA.
Children (Basel). 2024 Sep 29;11(10):1194. doi: 10.3390/children11101194.
Telepractice interventions have been found to alleviate barriers families face when seeking communication interventions. This study is a multiple-baseline single-subject design that measures parent communication opportunities and parent responsiveness to determine if parent training through online modules created for parents of children with communication support needs can be effective for training parents of autistic children with communication support needs. This study replicates work by utilizing online training used as well as the same variables and definitions. This study expands the original study by providing the children with speech-generating devices (SGDs). SGDs are an assistive technology tool to increase language production and give access to language to minimally verbal autistic people. A central difference between this study and study is that the only training parents received was the online modules and written instructions to set up the SGD. Overall, the POWR modules appear to positively impact the communication opportunities provided by the parent during play and activities, increase child communication, and improve parent proficiency in implementing the POWR strategy. There is a need for a larger single-case study or a randomized control trial to replicate these findings. Additional instruction may be needed for parents of children with autism around responsive interactions. This study adds to innovative ways of providing family-centered training and access to AAC for those with barriers to service.
远程医疗干预已被发现可以缓解家庭在寻求沟通干预时所面临的障碍。本研究采用多基线单被试设计，测量家长的沟通机会和家长的反应性，以确定为有沟通支持需求的儿童家长创建的在线模块进行家长培训，对有沟通支持需求的自闭症儿童家长是否有效。本研究通过使用相同的在线培训以及相同的变量和定义来重复之前的研究。本研究通过为儿童提供语音生成设备（SGD）来扩展原研究。SGD是一种辅助技术工具，可增加语言表达，并让极少言语的自闭症患者能够使用语言。本研究与之前研究的一个主要区别在于，家长接受的唯一培训是在线模块和设置SGD的书面说明。总体而言，POWR模块似乎对家长在玩耍和活动中提供的沟通机会产生了积极影响，增加了儿童的沟通，并提高了家长实施POWR策略的熟练程度。需要进行更大规模的单病例研究或随机对照试验来重复这些发现。对于自闭症儿童的家长，可能需要围绕反应性互动提供额外的指导。本研究增加了以家庭为中心的培训方式，并为那些有服务障碍的人提供了获得辅助沟通系统（AAC）的途径。
