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通过文化视角进行的家长介导的自闭症干预:拉丁裔家庭的家长行动与关键反应训练

Parent-Mediated Autism Intervention Through a Culturally Informed Lens: Parents Taking Action and Pivotal Response Training with Latine Families.

作者信息

Lopez Kristina

机构信息

School of Social Work, Arizona State University, Phoenix, AZ 85004, USA.

出版信息

Healthcare (Basel). 2024 Nov 27;12(23):2381. doi: 10.3390/healthcare12232381.

DOI:10.3390/healthcare12232381
PMID:39685003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11641186/
Abstract

: The prevalence of autism has increased substantially among Latine children; however, few service systems are prepared to provide culturally relevant services. Parents Taking Action (PTA) is a culturally informed parent-mediated psychoeducation program designed to meet the informational needs of Latine families with children with autism. The purpose of this study was to pilot a hybrid model of intervention by including direct parent coaching through pivotal response training (PRT) along with PTA among Latina mothers of children with autism. : Ten Latina mothers of children eight years of age with autism participated in this study. The mothers received PTA from two bilingual trained promotoras (community health workers). PTA provided 14 2 h psychoeducation sessions. The mothers also received four one-hour sessions of PRT from bilingual/bicultural coaches. : Paired samples t-tests indicated significant increases in the families' outcomes, their self-efficacy in using the intervention strategies, and their frequency of using strategies, from pre- to post-test. : This study suggests that culturally informed parent-mediated autism intervention coupled with parent coaching positively affects family outcomes among Latine families of children with autism.

摘要

拉丁裔儿童中自闭症的患病率大幅上升;然而,很少有服务系统准备好提供具有文化相关性的服务。“家长行动”(PTA)是一个具有文化意识的家长介导的心理教育项目,旨在满足有自闭症儿童的拉丁裔家庭的信息需求。本研究的目的是通过在患有自闭症儿童的拉丁裔母亲中纳入通过关键反应训练(PRT)进行的直接家长指导以及PTA,来试点一种混合干预模式。

十名患有自闭症的八岁儿童的拉丁裔母亲参与了本研究。母亲们从两名经过双语培训的促进者(社区卫生工作者)那里接受了PTA。PTA提供了14次两小时的心理教育课程。母亲们还从双语/双文化教练那里接受了四次一小时的PRT课程。

配对样本t检验表明,从测试前到测试后,家庭结果、他们使用干预策略的自我效能感以及他们使用策略的频率都有显著提高。

本研究表明,具有文化意识的家长介导的自闭症干预与家长指导相结合,对患有自闭症儿童的拉丁裔家庭的家庭结果有积极影响。