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一项针对自闭症幼儿的模块化行为干预随机对照试验的家长结果

Parent Outcomes from a Randomized Controlled Trial Investigating a Modular Behavioral Intervention for Young Autistic Children.

作者信息

Levato Lynne, Hochheimer Samantha, Wang Hongyue, Wallace Lisa, Hyman Susan, Anderson Cynthia, Warren Zachary, Butter Eric, Martin Ryan, Lee Evon, Smith Tristram, Johnson Cynthia

机构信息

University of Rochester Medical Center, Rochester, New York, USA.

Vanderbilt University Medical Center, Nashville, Tennessee, USA.

出版信息

Autism Res. 2025 Mar;18(3):675-683. doi: 10.1002/aur.70013. Epub 2025 Feb 24.

Abstract

We assessed parent stress and competence outcomes from participation in a randomized controlled trial of a modular behavioral intervention (Modular Approach for Young Autistic Children; MAYAC) compared to a treatment-as-usual comprehensive behavioral intervention (CBI). Throughout their participation, parents of military families were included in their child's treatment (e.g., identifying goals, learning strategies to support their child) and reported on their feelings of stress using the Parenting Stress Index-4, Short Form (PSI-4), as well as their feelings of satisfaction and efficacy as a parent on the Parenting Sense of Competence (PSOC) scale. A linear mixed model evaluated the differences in stress and competence from baseline to each assessment period through follow-up. There were no significant differences between groups in stress or competence ratings; however, there were within-group changes in both treatment arms over the course of the trial. In both groups, parent stress decreased, and competence increased over time, continuing to suggest that behavioral analytic intervention for young children with autism can promote positive parent outcomes. Trial Registration: ClinicalTrial.gov identifier: NCT04078061.

摘要

我们评估了参与模块化行为干预(针对自闭症幼儿的模块化方法;MAYAC)随机对照试验的家长压力和能力结果,并与常规综合行为干预(CBI)进行了比较。在整个参与过程中,军人家庭的家长参与孩子的治疗(例如,确定目标、学习支持孩子的策略),并使用《育儿压力指数-4简表》(PSI-4)报告他们的压力感受,以及在《育儿能力感》(PSOC)量表上作为家长的满意度和效能感。线性混合模型评估了从基线到每个评估期直至随访期间压力和能力的差异。两组在压力或能力评分上没有显著差异;然而,在试验过程中,两个治疗组内都有变化。在两组中,家长压力随时间下降,能力随时间增加,这继续表明对自闭症幼儿的行为分析干预可以促进家长的积极结果。试验注册:ClinicalTrial.gov标识符:NCT04078061。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc78/11928905/327e8010e3f6/AUR-18-675-g001.jpg

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