Preliminary efficacy of adapted responsive teaching for infants at risk of autism spectrum disorder in a community sample.
Preliminary efficacy of adapted responsive teaching for infants at risk of autism spectrum disorder in a community sample.
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DOI：
10.1155/2015/386951
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发表时间：
2015
影响因子：
--
通讯作者：
Reznick JS
中科院分区：
文献类型：
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作者：
Baranek GT;Watson LR;Turner-Brown L;Field SH;Crais ER;Wakeford L;Little LM;Reznick JS
本研究探讨了（a）将社区样本中有ASD风险的12个月大婴儿纳入随机对照试验的可行性，（B）随后对社区服务的利用，以及（c）一种新的父母介导的干预措施改善结局的潜力。第一年调查表用于筛选和招募12个月大的ASD风险婴儿，以比较6-9个月的适应性反应教学（ART）与早期干预和监测（REIM）的效果。对18个家庭进行了约20个月的随访。在随机化前、治疗后和6个月随访时进行评估。REIM组的社区服务利用率最高。ART显着优于REIM家长报告和观察到的措施，儿童接受的语言与良好的线性模型拟合。多阶段生长模型更适合更多的变量，在积极治疗阶段显示出最大的效果，ART在父母互动方式（较少指令），儿童感觉反应（较少低反应）和适应行为（增加沟通和社会化）方面优于REIM。这项研究表明，在社区样本中，父母介导的干预措施有望改善ASD风险婴儿的发育结局，并强调了早期识别比标准做法更早获得社区服务的实用性。
This study examined the (a) feasibility of enrolling 12-month-olds at risk of ASD from a community sample into a randomized controlled trial, (b) subsequent utilization of community services, and (c) potential of a novel parent-mediated intervention to improve outcomes. The First Year Inventory was used to screen and recruit 12-month-old infants at risk of ASD to compare the effects of 6–9 months of Adapted Responsive Teaching (ART) versus referral to early intervention and monitoring (REIM). Eighteen families were followed for ~20 months. Assessments were conducted before randomization, after treatment, and at 6-month follow-up. Utilization of community services was highest for the REIM group. ART significantly outperformed REIM on parent-reported and observed measures of child receptive language with good linear model fit. Multiphase growth models had better fit for more variables, showing the greatest effects in the active treatment phase, where ART outperformed REIM on parental interactive style (less directive), child sensory responsiveness (less hyporesponsive), and adaptive behavior (increased communication and socialization). This study demonstrates the promise of a parent-mediated intervention for improving developmental outcomes for infants at risk of ASD in a community sample and highlights the utility of earlier identification for access to community services earlier than standard practice.