Practitioner Adherence and Competence in MEYA, a Free Online Self-Instruction Program in Modular Psychotherapy and Counseling for Children's Autism-Related Clinical Needs.
Practitioner Adherence and Competence in MEYA, a Free Online Self-Instruction Program in Modular Psychotherapy and Counseling for Children's Autism-Related Clinical Needs.
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MEYA 中的从业者依从性和能力，MEYA 是针对儿童自闭症相关临床需求的模块化心理治疗和咨询的免费在线自学项目。
DOI：
10.1007/s10803-023-06226-w
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发表时间：
2024
影响因子：
3.9
通讯作者：
McLeod,BryceD
中科院分区：
文献类型：
--
作者：
Wood,JeffreyJ;Wood,KarenS;Rosenau,KashiaA;Cho,AnChuen;Johnson,AmandaR;Muscatello,VirginiaS;Tien,IngridS;Straus,Jolie;Wolpe,Samara;Zeldin,Ari;Kazlauskas,Kristofer;McLeod,BryceD
公立学校和其他社区机构对自闭症学龄儿童的护理质量参差不齐，而且往往没有证据。在这些环境中培训从业者以提供循证实践(EBP)可能会提高护理质量。我们开发了一个免费的互联网培训和临床指导系统，综合了自闭症谱系上的多个青年EBPS，解决了一系列心理健康需求和与自闭症相关的行为，名为自闭症谱系青年模块化EBPS(meya；meya.ucla.edu)。对从美国各地的精神健康实践环境中招募的七名从业者进行了一项多基线研究，他们为自闭症儿童(6至17岁)提供服务。从业者被随机分配接受2至8周的基线条件。一旦MEYA的在线培训开始，从业者就在自闭症的EBPS中进行算法引导的自学。参与者录制了会议的视频。独立编码员使用Meya Fidelity Scale(Meya-FS)对自闭症EBP的忠诚度和能力进行评级。实践者还完成了与实施结果有关的措施，父母根据个性化的目标行为对青少年的结果进行评分。在MEYA培训之后，七名从业者中有五人增加了对MEYA实践的遵守(即MEYA-FS分数)。关于胜任力的调查结果类似，尽管不那么可靠。从业者普遍认为Meya是可行的、可以理解的和可以接受的。在MEYA期间，大多数青年的结果都有所改善。MEYA的随机对照试验将有助于确定其在学校和社区服务环境中支持从业者EBP实施和青年结果的有效性。
The quality of care in public schools and other community settings for school-aged youths on the autism spectrum is variable and often not evidence-based. Training practitioners in these settings to deliver evidence-based practices (EBPs) may improve the quality of care. We developed a free internet-based training and clinical guidance system synthesizing multiple EBPs for youth on the autism spectrum addressing a range of mental health needs and autism-related behaviors, entitledModular EBPs for Youth on the Autism Spectrum(MEYA; meya.ucla.edu). A multiple baseline study was conducted with seven practitioners recruited from mental health practice settings across the United States who were providing services to children on the autism spectrum (aged 6 to 17 years). Practitioners were randomly assigned to undergo baseline conditions of 2 to 8 weeks. Once online training in MEYA commenced, practitioners engaged in algorithm-guided self-instruction in EBPs for autism. Participants video-recorded sessions. Independent coders used the MEYA Fidelity Scale (MEYA-FS) to rate adherence and competence in EBPs for autism. Practitioners also completed measures pertaining to implementation outcomes and parents rated youth outcomes on personalized target behaviors. Five of seven practitioners increased their adherence to MEYA practices (i.e., MEYA-FS scores) following MEYA training. Findings for competence were similar, though somewhat less robust. Practitioners generally viewed MEYA as feasible, understandable, and acceptable. Most youth outcomes improved during MEYA. A randomized, controlled trial of MEYA would be helpful in characterizing its effectiveness for supporting practitioner EBP implementation and youth outcomes in school and community service settings.
健康：美国
DOI：
10.1001/jama.1986.03370120114036
发表时间：
1986
期刊：
JAMA
影响因子：
--
作者：
John A. H. Lee
通讯作者：
John A. H. Lee
用于正颌手术的头影测量。
DOI：
--
发表时间：
1978
期刊：
The Journal of Oral Surgery
影响因子：
--
作者：
Burstone Cj;James Rb;H. Legan;Murphy Ga;Norton La
通讯作者：
Norton La
DOI：
10.1136/jech.21.3.122
发表时间：
1967
期刊：
British Journal of Preventive & Social Medicine
影响因子：
--
作者：
T. Khosla;C. Lowe
通讯作者：
C. Lowe