Using Telepractice in Parent Training in Early Autism
Using Telepractice in Parent Training in Early Autism
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DOI：
10.1089/tmj.2010.0029
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发表时间：
2010-07-01
期刊：
影响因子：
--
通讯作者：
Reiser, Carly
中科院分区：
文献类型：
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作者：
Baharav, Eva;Reiser, Carly
越来越多的文献表明，强烈的早期干预是目前治疗自闭症谱系障碍（ASD）儿童的最佳做法。几项研究证明了父母作为干预儿童家庭环境的代理人的有效性。然而，这种方法需要由训练有素的专业人员进行一对一的严格监督。因此，对自闭症儿童的强化服务需求与提供这些服务的现有资源之间存在显著差距。在目前的试点研究中，使用远程技术，即远程实践，被评估为一种指导两个被发现患有自闭症的孩子的父母的工具。比较了两种临床干预模式：一种是传统的每周两次的言语和语言治疗课程（传统临床模式），另一种是每周一次的临床课程之后是由父母管理的家庭课程，由临床医生远程监督和指导（临床/远程实践模式）。结果表明，在传统治疗中获得的收益可以保持甚至超过使用远程医疗的治疗模式。家长们报告说，他们认为远程练习课程与直接由临床医生提供的课程一样有价值，他们觉得使用这种技术很舒服，并且愿意在家里继续对孩子进行干预。这些初步结果表明，远程医疗的使用有望减少这一人群对现有服务资源的需求。目前正在进行一项更大范围的研究，包括成本效益分析，以检查这种治疗模式对其用户和医疗保健系统的影响。
There is a growing body of literature indicating that intense early intervention is current best practice for treating children with autism spectrum disorders (ASD). Several studies demonstrate the effectiveness of parents as agents of intervention in the child's home environment. However, this approach requires intense one-on-one supervision by highly trained professionals. Consequently, there is a significant gap between the intensive service requirements for children with ASD and the available resources to provide these services. In the current pilot study, the use of remote technology, telepractice, is evaluated as a tool for coaching parents of two children found to have ASD. Two clinical models of intervention are compared: a traditional model of twice-weekly speech and language therapy sessions (traditional clinical model) and a model where a once-a-week clinical session is followed by a home-based session administered by the parents and remotely supervised and coached by the clinician (clinic/telepractice model). Results suggest that gains obtained in traditional therapy can be maintained and even exceeded in a treatment model that uses telepractice. Parents reported that they perceived telepractice sessions to be as valuable as those delivered directly by the clinician, felt comfortable using the technology, and were willing to continue intervention with their children at home. These preliminary results suggest that use of telepractice holds promise for reducing the demands on available resources of service for this population. A study with a larger population is currently underway including cost-benefit analyses to examine the implications for such a treatment model to its users and to the healthcare system.