The Social ABCs Caregiver-Mediated Intervention for Toddlers With Autism Spectrum Disorder: Feasibility, Acceptability, and Evidence of Promise From a Multisite Study
The Social ABCs Caregiver-Mediated Intervention for Toddlers With Autism Spectrum Disorder: Feasibility, Acceptability, and Evidence of Promise From a Multisite Study
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DOI：
10.1002/aur.1582
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发表时间：
2016-08-01
期刊：
影响因子：
4.7
通讯作者：
Bryson, Susan E.
中科院分区：
文献类型：
--
作者：
Brian, Jessica A.;Smith, Isabel M.;Bryson, Susan E.
社交ABC是一种由父母调解的干预措施，针对疑似或确诊为自闭症谱系障碍(ASD)的幼儿。我们进行了一项多点试点研究，以评估可行性和可接受性，并确定儿童和父母行为的趋势，以便使用更大的样本和严格的研究设计为未来的研究提供信息。该计划包括12周的父母指导，然后12周的实施，以及对20个亲子二人组(年龄范围：12-32个月)进行为期3个月的随访评估。家长们成功地学习了这些技术，并认为干预措施是高度可接受的。配对样本t检验显示，儿童在功能性沟通(响应性、启发性)和语言习得(标准化测量中的年龄等值)方面取得了与典型发育速度相称的显著进步。分享微笑和社交取向的显著增加也出现了，但在后续行动中减弱。父母的忠诚度与孩子的责任感呈正相关。培训父母作为调解人是一种可行和高度可接受的方法，它为在自闭症风险的第一个迹象出现时在很小的年龄就进行密集干预提供了一个潜在的成本效益高的机会。子女和父母在几个关键变量上的收益表明了这种干预的前景。(C)2015年，作者自闭症研究，由Wiley期刊公司代表国际自闭症研究学会出版
The Social ABCs is a parent-mediated intervention for toddlers with suspected or confirmed autism spectrum disorder (ASD). We undertook a multi-site pilot study to evaluate feasibility and acceptability, and to identify trends in child and parent behavior to inform future research using a larger sample and a rigorous research design. The program involved 12 weeks of parent coaching, followed by 12 weeks' implementation, and 3-month follow-up assessment for 20 parent-toddler dyads (age range: 12-32 months). Parents successfully learned the techniques and rated the intervention as highly acceptable. Paired samples t-tests revealed significant gains in children's functional communication (responsivity, initiations), and language gains (age-equivalents on standardized measures) commensurate with typical developmental rates. Significant increases in shared smiling and social orienting also emerged, but were attenuated at follow-up. Parents' fidelity was positively associated with child responsivity. Training parents as mediators is a feasible and highly acceptable approach that provides a potentially cost-effective opportunity for intensive intervention at a very young age at the first signs of ASD risk. Child and parent gains in several key variables demonstrate the promise of this intervention. (C) 2015 The Authors Autism Research published by Wiley Periodicals, Inc. on behalf of International Society for Autism Research