Telehealth Parent Training in the Early Start Denver Model: Results From a Randomized Controlled Study
Telehealth Parent Training in the Early Start Denver Model: Results From a Randomized Controlled Study
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DOI：
10.1177/1088357616651064
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发表时间：
2018-06-01
影响因子：
2
通讯作者：
Young, Gregory S.
中科院分区：
文献类型：
--
作者：
Vismara, Laurie A.;McCormick, Carolyn E. B.;Young, Gregory S.
远程保健培训可能有利于家长对自闭症谱系障碍（ASD）儿童进行早期干预。本研究是为数不多的比较远程医疗家长培训在早期启动丹佛模式（P-ESDM）和社区照旧治疗早期干预计划的随机试验之一。父母被随机分配参加12次每周1.5小时的视频会议，并通过网站访问P-ESDM学习资源，或每月1.5小时的视频会议，并通过网站访问替代资源，以支持他们的干预。在为期12周的培训和随访结束时，远程医疗培训比社区组促进了更多的P-ESDM家长忠诚度和项目满意度的提高。无论父母是否忠诚，两组孩子的社交能力都有所提高。研究结果表明，远程医疗培训在提高家长干预使用率和满意度方面是可行的。然而，随着时间的推移，这些影响对儿童发展的影响尚不清楚。
Telehealth training may benefit parents' use of early intervention for children with autism spectrum disorder (ASD). This study is one of the few randomized trials to compare telehealth parent training in the Early Start Denver Model (P-ESDM) with a community treatment-as-usual, early intervention program. Parents were randomized to 12 weekly 1.5-hr videoconferencing sessions with website access to P-ESDM learning resources or to monthly 1.5-hr videoconferencing sessions with website access to alternative resources to support their intervention. Telehealth training facilitated higher parent fidelity gains and program satisfaction for more of the P-ESDM than the community group at the end of the 12-week training and at follow-up. Children's social communication skills improved for both groups regardless of parent fidelity. Findings suggest the feasibility of telehealth training with improved parent intervention usage and satisfaction from the program. However, the impact of these effects on children's development over time is yet to be understood.