Parent and Multidisciplinary Provider Perspectives on Earliest Intervention for Children at Risk for Autism Spectrum Disorders.

Parent and Multidisciplinary Provider Perspectives on Earliest Intervention for Children at Risk for Autism Spectrum Disorders.
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家长和多学科提供者对有自闭症谱系障碍风险的儿童的早期干预的看法。

DOI:
10.1097/iyc.0b013e31822cf700
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发表时间:
2011
影响因子:
1.1
通讯作者:
Reed,Sarah
Reed,Sarah
中科院分区:
医学4区
文献类型:
--
作者:
Stahmer,AubynC;Brookman-Frazee,Lauren;Lee,Ember;Searcy,Karyn;Reed,Sarah

文献摘要

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3岁以下儿童自闭症谱系障碍(ASD)的早期识别和治疗正在成为越来越普遍的关注和研究领域。研究表明,系统的早期干预可以显着改善结果,并降低在整个生命周期中照顾ASD儿童的成本。因此,必须将这一年轻年龄组的循证实践有效地转化为社区环境。促进基于生态系统的做法和发展执行能力的一个方法是研究人员和社区利益攸关方之间的积极合作。这就需要准确了解利益攸关方对具体做法和一般早期干预的益处和障碍的看法。在目前的研究中,我们通过焦点小组收集了来自家庭和多学科社区提供者小组的反馈,这些社区提供者关于ASD风险婴儿/幼儿及其家庭的早期干预价值。社区样本的意见和价值观进行了检查,使用混合定性和定量的方法,以促进努力建设长期的能力,实施有效的ASD干预3岁以下的儿童。结果显示,社区提供者与家长的价值观高度相似,且与EBP策略一致。翻译EBP为这一人群到社区设置的建议进行了讨论。
Early identification and treatment of Autism Spectrum Disorder (ASD) in children younger than age 3 years is becoming an increasingly common area of concern and study. Research suggests that systematic, early intervention can significantly improve outcomes and reduce the cost of caring for children with ASD through the lifespan. Therefore, it is imperative that evidence-based practices (EBPs) for this young age group are translated effectively into community settings. One method of promoting EBPs and developing capacity for implementation is active collaboration between researchers and community stakeholders. This requires a precise understanding of the perspectives of stakeholders regarding the benefits and barriers of specific practices and early intervention in general. In the current study, we gathered feedback from families and a multidisciplinary group of community providers regarding early intervention values for infants/toddlers at risk for ASD and their families through focus groups. The opinions and values of the community sample were examined using mixed qualitative and quantitative methods to facilitate efforts to build long-term capacity for implementing efficacious ASD intervention for children younger than 3 years. Results indicated that, the values of community providers and parents were highly similar and were aligned with EBP strategies. Recommendations for translating EBPs for this population into community settings are discussed.