Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions.
Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions.
复制标题
DOI：
10.3390/bs13060484
复制
发表时间：
2023-06-07
影响因子：
2.6
通讯作者：
Ramey, Sharon Landesman
中科院分区：
文献类型：
--
作者：
DeLuca, Stephanie C.;Trucks, Mary Rebekah;Wallace, Dorian;Ramey, Sharon Landesman
关键词：
在过去的二十年里，强化疗法在偏瘫儿童中变得越来越受欢迎，并被特别推荐，因为与它们相关的高水平科学证据，包括多个随机对照试验和系统评价。记录了疗效的大多数强化疗法的共同特征包括：高剂量的治疗时间；儿童的积极参与；个性化的目标导向活动；以及系统地应用操作性条件反射技术来激发和进步技能，强调以成功为导向的游戏。然而，科学方案没有产生指导原则，旨在帮助临床医生理解将这些原则应用于不同临床人群的复杂性，我们也没有收集到足够的临床数据，使用强化疗法来证明它们在偏瘫以外的广泛临床应用是合理的。我们定义了一个框架来描述每时每刻的治疗相互作用，我们已经使用这个框架来培训跨多个临床试验的治疗师实施强化治疗方案。我们还记录了在临床为儿童(7个月-20岁)提供强化治疗期间使用该框架的结果，这些儿童来自一系列运动障碍的诊断，包括偏瘫和四肢瘫痪。结果表明，来自广泛诊断类别的儿童表现出功能改善。
Intensive therapies have become increasingly popular for children with hemiparesis in the last two decades and are specifically recommended because of high levels of scientific evidence associated with them, including multiple randomized controlled trials and systematic reviews. Common features of most intensive therapies that have documented efficacy include: high dosages of therapy hours; active engagement of the child; individualized goal-directed activities; and the systematic application of operant conditioning techniques to elicit and progress skills with an emphasis on success-oriented play. However, the scientific protocols have not resulted in guiding principles designed to aid clinicians with understanding the complexity of applying these principles to a heterogeneous clinical population, nor have we gathered sufficient clinical data using intensive therapies to justify their widespread clinical use beyond hemiparesis. We define a framework for describing moment-by-moment therapeutic interactions that we have used to train therapists across multiple clinical trials in implementing intensive therapy protocols. We also document outcomes from the use of this framework during intensive therapies provided clinically to children (7 months–20 years) from a wide array of diagnoses that present with motor impairments, including hemiparesis and quadriparesis. Results indicate that children from a wide array of diagnostic categories demonstrated functional improvements.
登录
查看更多内容
影响因子：
2.7
作者：
SKINNER, BF
通讯作者：
SKINNER, BF
DOI：
10.1901/jeab.1962.5-s543
发表时间：
1962-01-01
期刊：
JOUR EXPTL ANALYSIS BEHAVIOR
影响因子：
--
作者：
KELLEHER, ROGER T.;GOLLUB, LEWIS R.
通讯作者：
GOLLUB, LEWIS R.
DOI：
10.1111/j.1469-8749.2007.00259.x
发表时间：
2007-04-01
影响因子：
3.8
作者：
Krumlinde-Sundholm, Lena;Holmefur, Marie;Eliasson, Ann-Christin
通讯作者：
Eliasson, Ann-Christin
影响因子：
4.6
作者：
RAMEY, CT;OURTH, LL
通讯作者：
OURTH, LL
影响因子：
8
作者：
Ramey, Sharon Landesman;DeLuca, Stephanie C.;Lo, Warren
通讯作者：
Lo, Warren