A two-year prospective follow-up study of community-based early intensive behavioural intervention and specialist nursery provision for children with autism spectrum disorders
A two-year prospective follow-up study of community-based early intensive behavioural intervention and specialist nursery provision for children with autism spectrum disorders
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DOI：
10.1111/j.1469-7610.2007.01756.x
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发表时间：
2007-08-01
影响因子：
7.6
通讯作者：
Howlin, Patricia
中科院分区：
文献类型：
--
作者：
Magiati, Iliana;Charman, Tony;Howlin, Patricia
背景资料：这项前瞻性研究比较了在社区环境中接受自闭症特定托儿所或以家庭为基础的早期强化行为干预（EIBI）的自闭症谱系障碍（ASD）学龄前儿童的结果。方法：44名23至53个月大的ASD儿童参加了研究（28名参加了EIBI家庭项目; 16名参加了自闭症特定托儿所）。认知，语言，游戏，自适应行为技能和自闭症的严重程度进行了评估，在摄入量和2年后。结果：两组的年龄等效分数都有所改善，但标准分数随时间变化不大。在随访中，在认知能力、语言、游戏或自闭症的严重程度方面没有显著的组间差异。唯一接近显著性的差异（p = 0.06），有利于EIBI组，是葡萄园日常生活技能标准评分。然而，在进步方面存在很大的个体差异，摄入智商和语言水平最能预测整体进步。结论：在社区实施的以家庭为基础的EIBI和针对自闭症的托儿所提供在两年的干预后产生了可比的结果。
Background: This prospective study compared outcome for pre-school children with autism spectrum disorders (ASD) receiving autism-specific nursery provision or home-based Early Intensive Behavioural Interventions (EIBI) in a community setting. Methods: Forty-four 23- to 53-month-old children with ASD participated (28 in EIBI home-based programmes; 16 in autism-specific nurseries). Cognitive, language, play, adaptive behaviour skills and severity of autism were assessed at intake and 2 years later. Results: Both groups showed improvements in age equivalent scores but standard scores changed little over time. At follow-up, there were no significant group differences in cognitive ability, language, play or severity of autism. The only difference approaching significance (p =.06), in favour of the EIBI group, was for Vineland Daily Living Skills standard scores. However, there were large individual differences in progress, with intake IQ and language level best predicting overall progress. Conclusions: Home-based EIBI, as implemented in the community, and autism-specific nursery provision produced comparable outcomes after two years of intervention.