Developing Telehealth Systems for Parent-mediated Intervention of Young Children with Autism: Practical Guidelines
Developing Telehealth Systems for Parent-mediated Intervention of Young Children with Autism: Practical Guidelines
复制标题
开发远程医疗系统以家长介导的自闭症幼儿干预：实用指南
DOI：
10.33425/2641-4317.1061
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
M. Valenti
中科院分区：
文献类型：
--
作者：
M. Esposito;M. Dipierro;Federica Mondani;Giovanna Gerardi;Bruna Monopoli;Carmelo Felicetti;Francesco Forieri;M. Mazza;M. Valenti
自闭症谱系障碍（Autism spectrum disorder， ASD）是一种以社会沟通障碍、兴趣限制和重复性行为为特征的儿童早期慢性神经发育疾病。据估计，每1000名儿童中有6-14人患有自闭症，这是一项重大的公共卫生挑战。然而，经验支持的行为干预措施的可用性很少。实施经验支持的干预措施的障碍之一是缺乏训练有素的专家，特别是在服务不足的地区。获得有效行为治疗的机会有限，往往导致家庭从具有适当专业知识的中心获得服务的长时间延误和额外的旅行费用。远程保健（也称为远程医疗或远程医疗）使用通信技术（例如，基于计算机的视频会议），使专家能够在地理距离之外进行实时咨询或提供服务。通过使用远程保健，增加有经验支持、有时间限制和具有成本效益的自闭症儿童干预措施的可得性，可能是缩小农村和服务不足地区服务需求与可得性之间差距的一种方式。这些技术在各种条件下提供卫生服务的应用正在迅速增长，服务越来越多地从医院和卫星诊所转移到家庭和移动设备。当前研究的目的是探索基于证据的教学策略和临床模式，以提高自闭症儿童的社交和个人技能，并开发和评估多语言远程医疗系统的有效性，该系统能够支持家长和工作人员调解干预的实施，并与早期标准行为项目进行比较。
Autism spectrum disorder (ASD) is a chronic neurodevelopmental condition of early childhood onset characterized by social communication deficits, restricted interests and repetitive behaviors. ASD affects an estimated 6–14 per 1000 children and is a major public health challenge. Availability of empirically supported behavioral interventions, however is scarce. One of the barriers to implementation of empirically supported interventions is the lack of trained specialists especially in underserved areas. The limited access to effective behavioral treatment often results in long delays and additional travel costs for families to obtain services from centers with appropriate expertise. Telehealth (also known as telepractice or telemedicine) uses communication technologies (e.g., computer-based videoconferencing) that allow specialists to consult or deliver services in real-time over a geographical distance. Increasing the availability of empirically-supported, time-limited and cost-effective interventions for children with ASD through the use of telehealth may be a way to close the gap between service demand and availability in rural and underserved areas. The application of these technologies to deliver health services across a range of conditions is growing at a rapid pace, with services increasingly migrating from hospitals and satellite clinics to the home and mobile devices. The aim of the current research is to explore the Evidence-Based teaching strategies and clinical models applied to enhance social and personal skills of children with ASD and to develop and to assess the effectiveness of a multilingual telehealth system able to support the implementation of parent and staff mediated interventions in comparison to early standard behavioral programs.
DOI：
10.1177/1362361307098516
发表时间：
2009-01
期刊：
Autism : the international journal of research and practice
影响因子：
--
作者：
Vismara LA;Colombi C;Rogers SJ
通讯作者：
Rogers SJ