Preschool based JASPER intervention in minimally verbal children with autism: pilot RCT.
Preschool based JASPER intervention in minimally verbal children with autism: pilot RCT.
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DOI：
10.1007/s10803-012-1644-3
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发表时间：
2013-05
影响因子：
3.9
通讯作者：
Kasari C
中科院分区：
文献类型：
--
作者：
Goods KS;Ishijima E;Chang YC;Kasari C
在这项试点研究中，我们测试了一种新的干预措施（碧玉，联合注意符号游戏参与和调节）对3至5岁的自闭症儿童的影响，这些自闭症儿童正在参加非公立幼儿园。参与者被随机分配到对照组（治疗照常，每周30小时的ABA治疗）或治疗组（替代30分钟的碧玉治疗，每周两次常规程序）。在基线3个月内，核心缺陷没有变化，随后对随机接受碧玉治疗的儿童进行10周的干预。治疗组的参与者在标准化评估中表现出更大的游戏多样性。效果也普遍适用于课堂，治疗组的参与者发起更多的手势，花更少的时间不参与。这些结果提供了进一步的支持，即使是简短的，有针对性的干预联合注意力和游戏可以改善最低限度的语言自闭症儿童的核心缺陷。
In this pilot study, we tested the effects of a novel intervention (JASPER, Joint Attention Symbolic Play Engagement and Regulation) on three to 5 year old, minimally verbal children with autism who were attending a non-public preschool. Participants were randomized to a control group (treatment as usual, 30 h of ABA-based therapy per week) or a treatment group (substitution of 30 min of JASPER treatment, twice weekly for regular program). A baseline of 3 months in which no changes were noted in core deficits was followed by 10 weeks of intervention for children randomized to the JASPER treatment. Participants in the treatment group demonstrated greater play diversity on a standardized assessment. Effects also generalized to the classroom, where participants in the treatment group initiated more gestures and spent less time unengaged. These results provide further support that even brief, targeted interventions on joint attention and play can improve core deficits in minimally verbal children with ASD.
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