Brief parent training in pivotal response treatment for preschoolers with autism
Brief parent training in pivotal response treatment for preschoolers with autism
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DOI：
10.1111/j.1469-7610.2010.02326.x
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发表时间：
2010-12-01
影响因子：
7.6
通讯作者：
Bryson, Susan E.
中科院分区：
文献类型：
--
作者：
Coolican, Jamesie;Smith, Isabel M.;Bryson, Susan E.
背景：早期行为干预改善结果的证据已经将自闭症的早期治疗作为健康优先事项。然而，由于等待治疗的名单很长，往往无法及时获得治疗，这就提出了能否在此期间对父母进行培训的问题。事实证明，关键反应治疗（PRT）的家长培训可以增强自闭症儿童的沟通能力。这通常在25小时的课程内提供，尽管强度较低的家长培训也可能有效。本研究的主要目的是评估简短的培训在PRT的家长与自闭症，谁在等待，或无法访问，更全面的treatment.Method的有效性：8名学龄前儿童与自闭症和他们的父母参加了这项研究。采用非同期多（跨参与者）基线设计，其中父母分别接受三次2小时的PRT培训。儿童和家长的结果进行了评估之前，立即后，2至4个月后，培训使用标准化测试，问卷调查和行为编码直接从video recording.Results：总体而言，儿童的沟通技巧，即功能性话语，增加培训。父母在实施PRT技术方面的忠诚度在培训后也有所提高，并且通常这些变化在随访中得以维持。一个温和的强有力的关系被发现之间的父母的能力增加，实施PRT技术和改善儿童的沟通技巧。结论：我们的研究结果表明，简短的家长培训PRT承诺提供一个即时的，具有成本效益的干预，可以广泛采用。
Background:Evidence of improved outcomes with early behavioural intervention has placed the early treatment of autism as a health priority. However, long waiting lists for treatment often preclude timely access, raising the question of whether parents could be trained in the interim. Parent training in pivotal response treatment (PRT) has been shown to enhance the communication skills of children with autism. This is typically provided within a 25-hour programme, although less intensive parent training may also be effective. The main objective of the present study was to evaluate the efficacy of brief training in PRT for parents of preschoolers with autism, who were awaiting, or unable to access, more comprehensive treatment.Method:Eight preschoolers with autism and their parents participated in the study. A non-concurrent multiple (across-participants) baseline design was used, in which parents were seen individually for three 2-hour training sessions on PRT. Child and parent outcomes were assessed before, immediately after, and 2 to 4 months following training using standardised tests, questionnaires and behaviour coded directly from video recordings.Results:Overall, children's communication skills, namely functional utterances, increased following training. Parents' fidelity in implementing PRT techniques also improved after training, and generally these changes were maintained at follow-up. A moderate to strong relationship was found between parents' increased ability to implement PRT techniques and improvement in the children's communication skills.Conclusion:Our findings suggest that brief parent training in PRT promises to provide an immediate, cost-effective intervention that could be adopted widely.