Effects of a brief Early Start Denver model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: a randomized controlled trial.
Effects of a brief Early Start Denver model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: a randomized controlled trial.
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DOI：
10.1016/j.jaac.2012.08.003
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发表时间：
2012-10
影响因子：
13.3
通讯作者：
Dawson G
中科院分区：
文献类型：
--
作者：
Rogers SJ;Estes A;Lord C;Vismara L;Winter J;Fitzpatrick A;Guo M;Dawson G
进行这项研究是为了检查一个为期12周的低强度（治疗师接触一小时）的效率，对有自闭症频谱疾病风险（ASD）风险14-24个月的幼儿及其家人的幼儿及其家人。
一项随机对照试验涉及98个儿童和家庭在三个不同的地点进行，调查了早期起始丹佛模型（P-ESDM）的有效性（促进了父母对以儿童为中心的反应互动方式的使用，该样式将许多教学机会嵌入了许多教学机会），而在社区治疗中则是在社区治疗后的完成和父母的完成。
对父母的互动特征或任何孩子的互动技巧都没有影响，两组的父母都表现出与儿童相比，与儿童相比，两组的互动能力都比儿童的班级更大。干预开始时的年龄和更多的干预时间与大多数变量的儿童行为的改善程度呈正相关。
到目前为止，对早期ASD的父母进行干预研究并未证明在强化治疗研究中看到的很大的影响。
This study was carried out to examine the efficacy of a 12-week, low intensity (one-hour-per-week of therapist contact), parent-delivered intervention for toddlers at risk for autism spectrum disorders (ASD) ages 14–24 months and their families. A randomized controlled trial involving 98 children and families was carried out in three different sites investigating the efficacy of a parent delivery of the Early Start Denver Model (P-ESDM) (which fosters parental use of a child-centered responsive interaction style that embeds many teaching opportunities into play) compared to community treatment as usual. Assessments were completed at baseline and 12 weeks later, immediately after the end of parent coaching sessions. There was no effect of group assignment on parent-child interaction characteristics or on any child outcomes. Both groups of parents improved interaction skills and both groups of children demonstrated progress. Parents receiving P-ESDM demonstrated significantly stronger working alliances with their therapists than did the community group. Children in the community group received significantly more intervention hours than those in the P-ESDM group. For the group as a whole, both younger child age at the start of intervention, and a greater number of intervention hours, were positively related to degree of improvement in children’s behavior for most variables. Parent-implemented intervention studies for early ASD have thus far not demonstrated the large effects seen in intensive treatment studies. Evidence that both younger age and more intervention hours positively affect developmental rates has implications for clinical practice, service delivery, and public policy.
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影响因子：
2.9
作者：
LASKI, KE;CHARLOP, MH;SCHREIBMAN, L
通讯作者：
SCHREIBMAN, L
影响因子：
4
作者：
Dawson, G;Toth, K;Liaw, J
通讯作者：
Liaw, J
影响因子：
3.9
作者：
Luyster, Rhiannon;Gotham, Katherine;Lord, Catherine
通讯作者：
Lord, Catherine
DOI：
10.2511/rpsd.24.3.162
发表时间：
1999-09-01
期刊：
JOURNAL OF THE ASSOCIATION FOR PERSONS WITH SEVERE HANDICAPS
影响因子：
--
作者：
Anderson, SR;Romanczyk, RG
通讯作者：
Romanczyk, RG
影响因子：
3.9
作者：
Kasari, C;Sigman, M
通讯作者：
Sigman, M