Autism Caregiver Coaching in Africa (ACACIA): Protocol for a type 1-hybrid effectiveness-implementation trial.
Autism Caregiver Coaching in Africa (ACACIA): Protocol for a type 1-hybrid effectiveness-implementation trial.
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DOI：
10.1371/journal.pone.0291883
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发表时间：
2024
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
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作者：
虽然早期自闭症干预可以显着改善结果，但全球范围内存在实施差距。这些差距在非洲最为明显，到2050年，世界上40%的儿童将生活在那里。鉴于非洲缺乏专家，对非专家进行早期干预是一项关键的执行战略。自然主义发展行为干预（NDBI）是一类可以由照顾者提供的早期自闭症干预。作为解决早期自闭症干预差距的基础性步骤，我们为南非的情况调整了非专家提供的护理人员指导NDBI，并在现有的护理系统中预先试点了这种级联任务共享方法。首先，我们将测试与常规护理相比，护理人员指导NDBI的有效性。其次，我们将描述教练在南非西开普省教育部内的实施因素。这是一项1型有效性-实施混合设计;评估者设盲、分组随机对照试验。参与者包括150名自闭症儿童（18-72个月）和他们的照顾者，他们住在南非开普敦，以及参与干预实施的人。由教育部雇用的儿童早期发展从业人员将为干预小组提供12个一小时的辅导课程。对照组给予常规护理。远端共同主要结局包括沟通领域标准评分（Vineland适应性行为量表，第三版）和语言和沟通发展商（格里菲斯儿童发展量表，第三版）。近端次要结局包括由联合参与评级量表中的五项之和测量的护理人员策略。我们将描述关键的实施决定因素。参与者于2023年4月开始报名。预计主要完成日期为2027年3月。ACACIA试验将确定在教育环境中提供的级联任务共享干预是否会导致自闭症儿童沟通能力的有意义的改善，并确定实施障碍和促进因素。临床试验登记研究中的NCT 05551728（https：clinicaltrials.gov）。
While early autism intervention can significantly improve outcomes, gaps in implementation exist globally. These gaps are clearest in Africa, where forty percent of the world’s children will live by 2050. Task-sharing early intervention to non-specialists is a key implementation strategy, given the lack of specialists in Africa. Naturalistic Developmental Behavioral Interventions (NDBI) are a class of early autism intervention that can be delivered by caregivers. As a foundational step to address the early autism intervention gap, we adapted a non-specialist delivered caregiver coaching NDBI for the South African context, and pre-piloted this cascaded task-sharing approach in an existing system of care. First, we will test the effectiveness of the caregiver coaching NDBI compared to usual care. Second, we will describe coaching implementation factors within the Western Cape Department of Education in South Africa. This is a type 1 effectiveness-implementation hybrid design; assessor-blinded, group randomized controlled trial. Participants include 150 autistic children (18–72 months) and their caregivers who live in Cape Town, South Africa, and those involved in intervention implementation. Early Childhood Development practitioners, employed by the Department of Education, will deliver 12, one hour, coaching sessions to the intervention group. The control group will receive usual care. Distal co-primary outcomes include the Communication Domain Standard Score (Vineland Adaptive Behavior Scales, Third Edition) and the Language and Communication Developmental Quotient (Griffiths Scales of Child Development, Third Edition). Proximal secondary outcome include caregiver strategies measured by the sum of five items from the Joint Engagement Rating Inventory. We will describe key implementation determinants. Participant enrolment started in April 2023. Estimated primary completion date is March 2027. The ACACIA trial will determine whether a cascaded task-sharing intervention delivered in an educational setting leads to meaningful improvements in communication abilities of autistic children, and identify implementation barriers and facilitators. NCT05551728 in Clinical Trial Registry (https://clinicaltrials.gov).
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DOI：
10.1016/s0140-6736(16)31389-7
发表时间：
2017-01-07
期刊：
Lancet (London, England)
影响因子：
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作者：
Black MM;Walker SP;Fernald LCH;Andersen CT;DiGirolamo AM;Lu C;McCoy DC;Fink G;Shawar YR;Shiffman J;Devercelli AE;Wodon QT;Vargas-Barón E;Grantham-McGregor S;Lancet Early Childhood Development Series Steering Committee
通讯作者：
Lancet Early Childhood Development Series Steering Committee
影响因子：
5.2
作者：
Berg A;Lachman A
通讯作者：
Lachman A
影响因子：
3.9
作者：
Dingfelder, Hilary E.;Mandell, David S.
通讯作者：
Mandell, David S.
DOI：
10.1186/s13034-023-00611-0
发表时间：
2023-05-20
影响因子：
5.6
作者：
Rieder, Amber D.;Viljoen, Marisa;Seris, Noleen;Shabalala, Nokuthula;Ndlovu, Minkateko;Turner, Elizabeth L.;Simmons, Ryan;de Vries, Petrus J.;Franz, Lauren
通讯作者：
Franz, Lauren
DOI：
10.1177/1476750318775796
发表时间：
2021-06
期刊：
Action research (London)
影响因子：
--
作者：
Gomez E;Drahota A;Stahmer AC
通讯作者：
Stahmer AC