Environmental Enrichment Therapy for Autism: Outcomes with Increased Access.

Environmental Enrichment Therapy for Autism: Outcomes with Increased Access.
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DOI:
10.1155/2016/2734915
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发表时间:
2016
期刊:
影响因子:
3.1
通讯作者:
Leon M
Leon M
中科院分区:
医学4区
文献类型:
--
作者:
Aronoff E;Hillyer R;Leon M

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我们之前在两个随机临床试验中表明,环境富集能够改善自闭症谱系障碍(ASD)的症状,在本研究中,我们确定这种治疗在现实环境下是否有效。1002名儿童每天接受感官强化治疗,由他们的父母通过互联网提供个性化的治疗指导。父母被要求每两周评估一次孩子的症状,长达7个月。意向治疗分析显示,在这些儿童的广泛症状方面,包括学习、记忆、焦虑、注意力持续时间、运动技能、饮食、睡眠、感觉处理、自我意识、沟通、社交技能和情绪/自闭症行为方面,总体上取得了显著的进展。依从性照顾者的孩子更有可能经历症状的显著改善。该治疗在广泛的年龄范围内都是有效的,并且在男性和女性、美国和国际受试者、付费治疗和不付费治疗以及不同初始症状严重程度的个体中都有相同的进展。因此,通过在线系统提供的环境富集似乎是一种有效、低成本的治疗ASD症状的方法。
We have previously shown in two randomized clinical trials that environmental enrichment is capable of ameliorating symptoms of autism spectrum disorder (ASD), and in the present study, we determined whether this therapy could be effective under real-world circumstances. 1,002 children were given daily Sensory Enrichment Therapy, by their parents, using personalized therapy instructions given over the Internet. Parents were asked to assess the symptoms of their child every 2 weeks for up to 7 months. An intention-to-treat analysis showed significant overall gains for a wide range of symptoms in these children, including learning, memory, anxiety, attention span, motor skills, eating, sleeping, sensory processing, self-awareness, communication, social skills, and mood/autism behaviors. The children of compliant caregivers were more likely to experience a significant improvement in their symptoms. The treatment was effective across a wide age range and there was equal progress reported for males and females, for USA and international subjects, for those who paid and those who did not pay for the therapy, and for individuals at all levels of initial symptom severity. Environmental enrichment, delivered via an online system, therefore appears to be an effective, low-cost means of treating the symptoms of ASD.
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