Ozonoff S, Cathcart K
University of Utah, Salt Lake City 84112, USA.
J Autism Dev Disord. 1998 Feb;28(1):25-32. doi: 10.1023/a:1026006818310.
This project evaluated the effectiveness of a TEACCH-based home program intervention for young children with autism. Parents were taught how to work with their preschool autistic child in the home setting, focusing on cognitive, academic, and prevocational skills essential to later school success. To evaluate the efficacy of the program, two matched groups of children were compared, a treatment group and a no-treatment control group, each consisting of 11 subjects. The treatment group was provided with approximately 4 months of home programming and was tested before and after the intervention with the Psychoeducational Profile-Revised (PEP-R). The control group did not receive the treatment but was tested at the same 4-month interval. The groups were matched on age, pretest PEP-R scores, severity of autism, and time to follow-up. Results demonstrated that children in the treatment group improved significantly more than those in the control group on the PEP-R subtests of imitation, fine motor, gross motor, and nonverbal conceptual skills, as well as in overall PEP-R scores. Progress in the treatment group was three to four times greater than that in the control group on all outcome tests. This suggests that the home program intervention was effective in enhancing development in young children with autism.
本项目评估了一项基于TEACCH的家庭项目干预对自闭症幼儿的有效性。家长们学习了如何在家庭环境中与他们学龄前的自闭症孩子合作,重点关注对孩子日后学业成功至关重要的认知、学术和职业前技能。为了评估该项目的疗效,研究人员比较了两组匹配的儿童,一组是治疗组,另一组是无治疗对照组,每组各有11名受试者。治疗组接受了大约4个月的家庭项目干预,并在干预前后使用修订版心理教育档案(PEP-R)进行测试。对照组未接受治疗,但在相同的4个月间隔内接受测试。两组在年龄、PEP-R预测试分数、自闭症严重程度和随访时间方面进行了匹配。结果表明,在PEP-R的模仿、精细动作、大动作和非语言概念技能子测试以及整体PEP-R分数方面,治疗组的儿童比对照组的儿童有更显著的改善。在所有结果测试中,治疗组的进步比对照组大三到四倍。这表明家庭项目干预对促进自闭症幼儿的发展是有效的。