Home-based video assessment of children's autism-related behaviours: Psychometric analysis and linkages with parental responsiveness and context.
Home-based video assessment of children's autism-related behaviours: Psychometric analysis and linkages with parental responsiveness and context.
复制标题
对儿童自闭症相关行为的家庭视频评估：心理测量分析以及与父母反应和背景的联系。
DOI：
10.1111/bjc.12449
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Wolpe,Samara
中科院分区：
文献类型：
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作者：
Wood,JeffreyJ;Danial,John;Wolpe,Samara
目的对儿童自闭症相关行为(ARB)的评估通常局限于在临床环境中的直接观察或基于告密者的报告。视频流设备的广泛使用使在家中观察儿童ARB成为可能。这种方法可以评估干预措施的普遍性和持久性，并可能克服当前主要评估方法的方法学局限性(反应偏差，对治疗的敏感性有限)。设计和方法44名自闭症儿童及其家庭参与了一项相关设计的重复测量研究。对每个参与者在一周的过程中(每天2 小时)，对大约10 小时的在家自发行为进行视频记录。还实施了ARB的黄金标准测量(ADOS-2和ADI-R)。利用流视频开发和评估了两种基于家庭的ARB观测方法：弓箭手和欢呼声。训练有素的独立评估者对弓箭手、啦啦队和父母责任的观察性测量进行评级。结果与ADOS-2和ADI-R的相关性分别为0.47和0.34，啦啦队得分分别为0.51和0.48。在线性混合模型中，父母教养的反应越灵敏，每天的ARB就越少。孩子们下午参与了许多典型的活动，包括电子产品、家庭作业和与家人一起玩游戏，ARB在这些环境中(如电子产品)比其他环境(如家庭游戏)更突出。结论以家庭为基础的ARB观察评估可能对临床和描述性研究有用。
ObjectivesAssessment of autism‐related behaviours (ARBs) in children has generally been limited to direct observations in clinical settings or informant‐based reports. The widespread availability of video‐streaming devices has made home observations of children's ARBs feasible. This approach could enable assessment of the generalization and durability of interventions and may be able to overcome methodological limitations of predominant current assessment approaches (response biases, limited sensitivity to treatment).Design and MethodsForty‐four autistic children and their families participated in a repeated‐measures study with a correlational design. Approximately 10 hr of unprompted behaviour at home were videorecorded over the course of a week (2 hr per day) for each participant. Gold standard measures of ARBs were also administered (ADOS‐2 and ADI‐R). Two home‐based observational measures of ARBs utilizing streaming video were developed and evaluated: the ARCHER and the CHEERS. Trained independent evaluators made ratings on the ARCHER, CHEERS and an observational measure of parental responsiveness.ResultsCorrelations with the ADOS‐2 and ADI‐R were .47 and .34 for ARCHER scores and .51 and .48 for CHEERS scores, respectively. In linear mixed models, more responsive parenting was associated with fewer ARBs on a daily basis. Children spent their afternoons engaged in many typical activities including electronics, homework and games with family members, and ARBs were more prominent in some of these contexts (e.g., electronics) than others (e.g., family games).ConclusionsHome‐based observational assessment of ARBs may be useful for clinical and descriptive research.