Pilot study of a parent training program for young children with autism
Pilot study of a parent training program for young children with autism
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自闭症幼儿家长培训计划试点研究
作者：
R. Solomon;J. Necheles;C. Ferch;D. Bruckman
PLAY 项目家庭咨询 (PPHC) 计划使用斯坦利·格林斯潘医学博士的 DIR/Floortime 模型对自闭症谱系障碍儿童的父母进行培训。 68 名儿童完成了 8-12 个月的课程。鼓励家长每周提供 15 小时的一对一互动。盲评者使用功能情绪评估量表 (FEAS) 对录像带进行的前/后评分显示，儿童子量表分数显着增加 (p ≤ 0.0001)。从临床角度来看，45.5% 的儿童在功能发育方面取得了良好甚至非常好的进展。在干预前或干预后，父母之间的 FEAS 子量表得分没有显着差异，所有父母的得分水平表明他们能够有效地与孩子一起工作。对 PPHC 的总体满意度为 90%。平均干预费用为 2500 美元/年。尽管有重要的局限性，这项 PLAY 项目家庭咨询模型的试点研究表明，该模型有可能成为自闭症幼儿的一种具有成本效益的干预措施。
The PLAY Project Home Consultation (PPHC) program trains parents of children with autistic spectrum disorders using the DIR/Floortime model of Stanley Greenspan MD. Sixty-eight children completed the 8—12 month program. Parents were encouraged to deliver 15 hours per week of 1:1 interaction. Pre/post ratings of videotapes by blind raters using the Functional Emotional Assessment Scale (FEAS) showed significant increases (p ≤ 0.0001) in child subscale scores. Translated clinically, 45.5 percent of children made good to very good functional developmental progress. There were no significant differences between parents in the FEAS subscale scores at either pre-or post-intervention and all parents scored at levels suggesting they would be effective in working with their children. Overall satisfaction with PPHC was 90 percent. Average cost of intervention was $2500/ year. Despite important limitations, this pilot study of The PLAY Project Home Consulting model suggests that the model has potential to be a cost-effective intervention for young children with autism.