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通过交互式多媒体计算机程序提高自闭症儿童的阅读和沟通能力。

Increasing reading and communication skills in children with autism through an interactive multimedia computer program.

作者信息

Heimann M, Nelson K E, Tjus T, Gillberg C

机构信息

Göteborg University, Sweden.

出版信息

J Autism Dev Disord. 1995 Oct;25(5):459-80. doi: 10.1007/BF02178294.

Abstract

This paper reports on the effect of using an interactive and child-initiated microcomputer program (Alpha) when teaching three groups of children (N = 30) reading and communications skills: (a) 11 children with autism (M chronological age, CA = 9:4 years), (b) 9 children with mixed handicaps (M CA = 13:1), and (c) 10 normal preschool children (M CA = 6:4 years). Their mental age varied from 5:8 years to 6:9 years and all children received computer instruction supplementary to their regular reading and writing activities. Tests of reading and phonological development were carried out at the onset of the training (Start), at the end (Post 1), and at a follow-up evaluation (Post 2). In addition, video observations of the childrens' verbal and nonverbal communication were added at Start and Post 1. The children with autism increased both their word reading and their phonological awareness through the use of the Alpha program. Clearly significant gains were observed during the intervention, but none during the follow-up period. A similar but weaker pattern is observed for the children with mixed handicaps. In contrast, the normal preschool children increased their scores regardless of the program. Analyses of the children's classroom behavior indicate that the intervention succeeded in stimulating verbal expressions among the children with autism and mixed handicap. A significant increase in enjoyment was also noted for the children with autism. It is concluded that the intervention with a motivating multimedia program might stimulate reading and communication in children with various developmental disabilities, but that such interventions must be individually based and include both detailed planning and monitoring from teachers, and parents, as well as from clinicians in charge.

摘要

本文报告了使用一个交互式且由儿童自主启动的微机程序(Alpha)对三组儿童(N = 30)进行阅读和沟通技能教学的效果:(a)11名自闭症儿童(实际年龄中位数,CA = 9:4岁),(b)9名多重残疾儿童(CA中位数 = 13:1),以及(c)10名正常学龄前儿童(CA中位数 = 6:4岁)。他们的心理年龄从5:8岁到6:9岁不等,所有儿童在常规阅读和写作活动之外接受计算机教学。在训练开始时(起始)、结束时(后期1)以及随访评估时(后期2)进行阅读和语音发展测试。此外,在起始和后期1增加了对儿童言语和非言语沟通的视频观察。自闭症儿童通过使用Alpha程序提高了单词阅读能力和语音意识。在干预期间观察到明显显著的进步,但在随访期间没有。多重残疾儿童呈现出类似但较弱的模式。相比之下,正常学龄前儿童无论是否使用该程序分数都有所提高。对儿童课堂行为的分析表明,干预成功地激发了自闭症和多重残疾儿童的言语表达。自闭症儿童的愉悦感也显著增加。得出的结论是,采用激励性多媒体程序进行干预可能会促进各类发育障碍儿童的阅读和沟通,但此类干预必须基于个体情况,并且包括教师、家长以及负责的临床医生的详细规划和监测。

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