A mixed-method evaluation of the feasibility and acceptability of a telehealth-based parent-mediated intervention for children with autism spectrum disorder
A mixed-method evaluation of the feasibility and acceptability of a telehealth-based parent-mediated intervention for children with autism spectrum disorder
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DOI：
10.1177/1362361315614496
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发表时间：
2016-10-01
期刊：
影响因子：
5.2
通讯作者：
Ingersoll, Brooke R.
中科院分区：
文献类型：
--
作者：
Pickard, Katherine E.;Wainer, Allison L.;Ingersoll, Brooke R.
自闭症谱系障碍领域的研究呼吁使用能够更有效地将循证实践传播到社区环境的服务提供模式。本研究采用远程医疗方法，以提供基于互联网的，家长培训自闭症谱系障碍，在线ImPACT干预。本研究采用混合方法分析，以创建一个更彻底的了解家长的经验可能会影响社区环境中的程序的采用和实施。具体的研究问题包括：（1）家长对网络课程的看法如何？(2)与父母为子女提供的其他服务相比，ImPACT Online如何？以及（3）父母对该计划的经验和看法是否因他们是否接受了该计划的治疗师辅助版本而有所不同？来自28名自闭症谱系障碍儿童的父母的结果表明，无论他们是否接受治疗师的帮助，父母都能在项目过程中看到孩子的社交技能和自己的能力得到改善。然而，定性访谈表明，接受治疗师援助的父母更有可能赞同该计划的可接受性和可观察性。这些研究结果支持基于互联网的服务提供更有效地传播自闭症谱系障碍的循证父母培训干预措施的潜力。
Research within the autism spectrum disorder field has called for the use of service delivery models that are able to more efficiently disseminate evidence-based practices into community settings. This study employed telehealth methods in order to deliver an Internet-based, parent training intervention for autism spectrum disorder, ImPACT Online. This study used mixed-methods analysis to create a more thorough understanding of parent experiences likely to influence the adoption and implementation of the program in community settings. Specific research questions included (1) What are parents' perceptions of the online program? (2) How does ImPACT Online compare to other services that parents are accessing for their children? And (3) Do parents' experience in, and perceptions of, the program differ based on whether they received a therapist-assisted version of the program? Results from 28 parents of a child with autism spectrum disorder indicate that parents saw improvements in their child's social communication skills and their own competence during the course of the program, regardless of whether they received therapist assistance. However, qualitative interviews indicate that parents who received therapist assistance were more likely endorse the acceptability and observability of the program. These findings support the potential for Internet-based service delivery to more efficiently disseminate evidence-based parent training interventions for autism spectrum disorder.