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KONTAKT™社交技能工具箱团体项目对澳大利亚自闭症儿童的适应性与可行性

Adaptation and Feasibility of KONTAKT™ Social Skills Toolbox Group Program for Australian Autistic Children.

作者信息

Afsharnejad Bahareh, Lee Elinda Ai Lim, Hayden-Evans Maya, Black Melissa H, Alach Tasha, Fridell Anna, Coco Christina, Johnson Mathew, Bölte Sven, Girdler Sonya

机构信息

School of Public Health, Curtin University, Perth, Australia.

School of Allied Health, Curtin University, Perth, Australia.

出版信息

Scand J Child Adolesc Psychiatr Psychol. 2024 Dec 5;12(1):20240011. doi: 10.2478/sjcapp-2024-0011. eCollection 2024 Jan.

DOI:10.2478/sjcapp-2024-0011
PMID:39649127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11622807/
Abstract

BACKGROUND

Although autistic individuals are interested in interacting with peers, they express a need for social skills programs that could support them in navigating their daily social world, which is governed by neurotypical social norms.

AIM

This study investigated the feasibility and adaptability of the manualised and evidence-based program KONTAKT™ Social Skills Toolbox Group Program in supporting autistic children aged 8 to 12 years in navigating their everyday social worlds.

MATERIAL AND METHODS

KONTAKT™ was delivered to 15 autistic children (Mage=10.87, SDage=1.04; 67% male) over 16, 60-minute sessions. A pre-test and post-test design was employed evaluating changes in personally meaningful social goals, social skills, quality of friendship and autistic traits. Focus groups were also conducted and analysed using thematic analysis post completion of the program, exploring participants, their parents and the KONTAKT™ trainer's perceptions of the program.

RESULTS

Findings suggest stakeholders' satisfaction with the program's content and structure, indicating the potential cross-age feasibility of KONTAKT™ in supporting autistic children to achieve their personally meaningful social goals and in improving their social performance navigating their daily social lives.

CONCLUSION AND SIGNIFICANCE

This feasibility study supported the finalisation of KONTAKT™ children's manual and workbooks, preparing it for further evaluation of its efficacy in a randomised controlled trial. (Australian New Zealand Clinical Registry: 12619000994189; ClinicalTrials.gov: NCT04024111).

摘要

背景

尽管自闭症患者有与同龄人互动的兴趣,但他们表示需要社交技能项目,以帮助他们在由典型神经社会规范主导的日常社交世界中顺利应对。

目的

本研究调查了基于证据的手册化项目KONTAKT™社交技能工具箱小组项目在支持8至12岁自闭症儿童应对日常社交世界方面的可行性和适应性。

材料与方法

KONTAKT™项目通过16节时长为60分钟的课程,面向15名自闭症儿童(平均年龄Mage = 10.87,标准差SDage = 1.04;67%为男性)开展。采用前测和后测设计,评估个人有意义的社交目标、社交技能、友谊质量和自闭症特征的变化。在项目结束后,还组织了焦点小组讨论,并采用主题分析法进行分析,探讨参与者、他们的父母以及KONTAKT™培训师对该项目的看法。

结果

研究结果表明,利益相关者对该项目的内容和结构感到满意,这表明KONTAKT™在支持自闭症儿童实现其个人有意义的社交目标以及改善他们在日常社交生活中的社交表现方面具有潜在的跨年龄可行性。

结论与意义

这项可行性研究为KONTAKT™儿童手册和练习册的最终定稿提供了支持,为其在随机对照试验中进一步评估疗效做好了准备。(澳大利亚新西兰临床试验注册中心:12619000994189;美国国立医学图书馆临床试验数据库:NCT04024111)

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本文引用的文献

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"I need them for my autism, but I don't know why": Exploring the friendship experiences of autistic children in UK primary schools.“我因自闭症需要它们,但我不知道为什么”:探索英国小学中自闭症儿童的友谊经历。
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School-based social skills group training (SKOLKONTAKT™): a pilot randomized controlled trial.基于学校的社交技能小组训练(SKOLKONTAKT™):一项试点随机对照试验。
Front Psychol. 2023 Jul 27;14:1128288. doi: 10.3389/fpsyg.2023.1128288. eCollection 2023.
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KONTAKT® social skills group training for Australian adolescents with autism spectrum disorder: a randomized controlled trial.《社交技能团体训练对澳大利亚自闭症谱系障碍青少年的作用:一项随机对照试验》。
Eur Child Adolesc Psychiatry. 2022 Nov;31(11):1695-1713. doi: 10.1007/s00787-021-01814-6. Epub 2021 May 30.
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"I Met Someone Like Me!": Autistic Adolescents and Their Parents' Experience of the KONTAKT® Social Skills Group Training.“我遇到了和我一样的人!”:自闭症青少年及其父母对 KONTAKT®社交技能小组训练的体验。
J Autism Dev Disord. 2022 Apr;52(4):1458-1477. doi: 10.1007/s10803-021-05045-1. Epub 2021 May 3.
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Reconciling the seemingly irreconcilable: The WHO's ICF system integrates biological and psychosocial environmental determinants of autism and ADHD: The International Classification of Functioning (ICF) allows to model opposed biomedical and neurodiverse views of autism and ADHD within one framework.协调看似不可调和的矛盾:世界卫生组织的国际功能、残疾和健康分类系统整合了自闭症和 ADHD 的生物和心理社会环境决定因素:《国际功能、残疾和健康分类》(ICF)允许在一个框架内对自闭症和 ADHD 的对立的生物医学和神经多样性观点进行建模。
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