Measuring parent strategy use in early intervention: Reliability and validity of the Naturalistic Developmental Behavioral Intervention Fidelity Rating Scale across strategy types.
Measuring parent strategy use in early intervention: Reliability and validity of the Naturalistic Developmental Behavioral Intervention Fidelity Rating Scale across strategy types.
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DOI：
10.1177/13623613211015003
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Roberts MY
中科院分区：
文献类型：
--
作者：
Sone BJ;Kaat AJ;Roberts MY
患有自闭症谱系障碍的儿童受益于早期的强化干预，以改善社会沟通，父母实施的干预措施是一种可行的，以家庭为中心的方式来增加治疗剂量。这种干预措施的成功取决于父母忠实执行这些战略的能力。然而，父母策略使用的测量因研究而异。大多数研究使用两种类型的观察性编码措施（宏观编码和微观编码）之一。宏代码以高效而闻名，而微代码以精确而闻名。本研究评估的信度和效度的NDBI-Fi，一个宏代码，相比，一个微代码。177名参与者的亲子互动视频被用来比较这些措施。结果表明，NDBI-Fi具有较强的评分者间信度。干预后与微代码也有较强的收敛效度。此外，NDBI-Fi对变化很敏感，并且其精度与微代码相当。此外，一种新的评分程序检测到父母谁学会了不同的干预策略类型的差异。然而，NDBI-Fi在干预前并没有表现出很强的有效性，特别是在测量响应性干预策略时。总之，研究结果支持使用NDBI-Fi作为一种结果衡量标准，未来的工作应侧重于继续制定有效的干预前宏观代码。
Children with autism spectrum disorder benefit from early, intensive interventions to improve social communication, and parent-implemented interventions are a feasible, family-centered way to increase treatment dosage. The success of such interventions is dependent on a parent’s ability to implement the strategies with fidelity. However, measurement of parent strategy use varies across studies. Most studies use one of two types of observational coding measures (macro and micro-coding). Macro-codes are known for being efficient while micro-codes are known for being precise. The present study evaluates the reliability and validity of the NDBI-Fi, a macro-code, compared to a micro-code. Parent-child interaction videos for 177 participants were used to compare these measures. Results demonstrated that the NDBI-Fi had strong interrater reliability. It also had strong convergent validity with the micro-code after intervention. In addition, the NDBI-Fi was sensitive to change, and it demonstrated precision comparable to the micro-code. Furthermore, a novel scoring procedure detected differences in parents who learned different intervention strategy types. However, the NDBI-Fi did not demonstrate strong validity before intervention, particularly when measuring responsive intervention strategies. Taken together, findings support the use of the NDBI-Fi as an outcome measure, and future work should focus on continued development of valid pre-intervention macro-codes.
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