Using qualitative content analysis to understand the active ingredients of a parent-mediated naturalistic developmental behavioral intervention.
Using qualitative content analysis to understand the active ingredients of a parent-mediated naturalistic developmental behavioral intervention.
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DOI：
10.1177/13623613211003747
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Ingersoll B
中科院分区：
文献类型：
--
作者：
Frost KM;Russell K;Ingersoll B
虽然自然主义发展行为干预（NDBI）有相当大的和不断增长的证据基础，支持自闭症谱系儿童的发展，其有效成分和变化机制还没有得到很好的理解。本研究采用质性内容分析法，以更好地了解父母介导的NDBI的干预过程。护理人员在学习每种干预技术时完成每周书面反思。这些反应进行了编码，代码共现进行了检查，以了解实施具体的干预技术和潜在的变化机制之间的关系，根据照顾者的意见。随后将这些反应与来自干预手册的理论因果模型进行比较。许多反应与干预理论一致，然而，一些理论结果没有被照顾者报告，照顾者描述了一些潜在的机制，没有明确说明在干预理论。重要的是，我们发现，个人技术与各种机制，这表明，全球措施的社会沟通可能是不够的测量上下文依赖的个人干预技术的反应。我们的研究结果指出，具体的可观察到的行为，可能是有用的测量目标，在未来的实验研究，并在临床环境中的治疗反应的指标。总体而言，定性方法可能有助于理解复杂的干预过程。
Although naturalistic developmental behavioral interventions (NDBI) have a sizeable and growing evidence base for supporting the development of children on the autism spectrum, their active ingredients and mechanisms of change are not well understood. This study used qualitative content analysis to better understand the intervention process of a parent mediated NDBI. Caregivers completed weekly written reflection responses as they learned each intervention technique. These responses were coded, and code-cooccurrences were examined to understand the relationship between implementation of specific intervention techniques and potential mechanisms of change according to caregiver observations. The responses were subsequently compared to a theoretical causal model derived from the intervention manual. Many responses were consistent with the intervention theory, however, some theoretical outcomes were not reported by caregivers, and caregivers described some potential mechanisms that were not explicitly stated in the intervention theory. Importantly, we found that individual techniques were associated with various mechanisms, suggesting that global measures of social communication may be insufficient for measuring context-dependent responses to individual intervention techniques. Our findings point to specific observable behaviors that may be useful targets of measurement in future experimental studies, and as indicators of treatment response in clinical settings. Overall, qualitative methods may be useful for understanding complex intervention processes.
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