A randomized controlled trial evaluating the Hebrew adaptation of the PEERS® intervention: Behavioral and questionnaire-based outcomes
A randomized controlled trial evaluating the Hebrew adaptation of the PEERS® intervention: Behavioral and questionnaire-based outcomes
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DOI：
10.1002/aur.1974
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发表时间：
2018-08-01
期刊：
影响因子：
4.7
通讯作者：
Golan, Ofer
中科院分区：
文献类型：
--
作者：
Rabin, Shai Joseph;Israel-Yaacov, Sandra;Golan, Ofer
社交互动缺陷是自闭症谱系障碍的一个核心特征，通常是社交技能群体的目标。关系技能教育和丰富计划 (PEERS (R)) 是一项成熟的家长协助青少年干预措施，涉及社会功能的关键领域。 PEERS（R）主要在北美进行研究，其评估主要基于问卷调查。本研究的目的是在随机对照试验中测试经改编和翻译的希伯来语版 PEERS (R) 干预的有效性，除了自我、家长和老师的报告之外，还使用同伴互动的行为测量。 41 名 12-17 岁、患有自闭症谱系障碍且无智力障碍的参与者被随机分配到立即干预组或延迟干预组。所有参与者在立即干预之前和之后进行评估，并在延迟干预发生后的随访时再次进行评估。结果显示，干预相关的行为在青少年的参与度、提问和身体唤醒方面有所改善。家长报告表明社交技能得到改善，自闭症谱系障碍症状减轻。青少年报告说，他们有更多的社交经历、更强的同理心，并且在社交技能知识方面得分更高。大多数这些影响在 16 周的随访中得以维持。教师报告仅对干预前分析产生影响。青少年行为参与度的改善预示着家长报告的社交技能的改善。我们的研究结果通过显着的行为和基于问卷的结果支持了希伯来语版本的 PEERS (R) 对自闭症谱系障碍青少年的有效性，并在随访中保持这一结果。自闭症研究2018，11：1187-1200。 (c) 2018 年国际自闭症研究协会，Wiley periodicals, Inc.Lay 摘要 社交技能小组可以促进自闭症谱系障碍 (ASD) 的关键社交缺陷特征，是对自闭症谱系障碍 (ASD) 青少年的一种流行干预措施。事实上，许多治疗方案已经发表，有些还经过研究验证。然而，除了问卷报告之外的改进有限之外，关于不同方案的有效性的研究结果也不一致。这项研究评估了 PEERS (R) 干预措施的希伯来语改编，这是一个为期 16 周的项目，其中包括父母作为青少年的社交教练。干预后，青少年提高了社交技能，更多地参与社交活动，表现出更强的同理心，并表现出更高的社交技能知识。与不熟悉的同伴进行的现场扮演角色评估表明，青少年在谈话过程中表现出更多的参与，提出了更多的问题，身体也更加放松。干预完成后 16 周仍保持改善。
Social interaction deficits form a core characteristic of ASD that is commonly targeted through social-skill groups. The Program for the Education and Enrichment of Relational Skills (PEERS (R)) is a well-established parent-assisted intervention for adolescents, which addresses key areas of social functioning. PEERS (R) has been mainly studied in North-America and its evaluations were mostly questionnaire based. The aim of the current study was to test the effectiveness of the adapted and translated Hebrew version of the PEERS (R) intervention in a randomized controlled trial, using behavioral measures of peer interaction, in addition to self, parent, and teacher reports. Forty-one participants with ASD and no intellectual impairment, aged 12-17 years, were randomly assigned to an immediate intervention or a delayed-intervention group. All participants were assessed before and after the immediate intervention, and again at follow up, after the delayed intervention took place. Results revealed intervention-related behavioral improvements on adolescents' engagement, question-asking, and physical arousal. Parental reports indicated improved social skills, and reduced ASD symptoms. Adolescents reported on more social encounters, greater empathy, and scored higher on social-skill knowledge. Most of these effects maintained at a 16-week follow-up. Teacher reports' yielded effects only on pre-post intervention analysis. Adolescents' improvement on behavioral engagement predicted parent-reported social skills improvement. Our findings support the effectiveness of the adapted Hebrew version of PEERS (R) for adolescents with ASD, through significant behavioral and questionnaire-based outcomes, which maintained at follow-up. Autism Res2018, 11: 1187-1200. (c) 2018 International Society for Autism Research, Wiley Periodicals, Inc.Lay SummarySocial-skills groups, which facilitate key social deficits characteristic of ASD, are a popular intervention for adolescents with ASD. Indeed, many treatment protocols have been published, and some have also been research validated. However, there have been inconsistent findings regarding the effectiveness of different protocols, in addition to limited findings of improvement beyond questionnaire reports. This study evaluated the Hebrew adaptation of the PEERS (R) intervention, a 16-weeks long program, which involves the parents as their adolescents' social coaches. Following the intervention, adolescents improved their social-skills, participated more in social encounters, reported greater empathy, and demonstrated higher social-skill knowledge. A live play-role assessment with an unfamiliar peer indicated that adolescents showed greater involvement, asked more questions and were more physically relaxed during the conversation. Improvements maintained 16 weeks after the intervention was completed.