A randomized control study of relationship focused intervention with young childr

描述（申请人提供）：ASD幼儿反应式教学的随机对照研究（自闭症谱系障碍）项目摘要：本研究是一项随机对照试验研究，旨在评估心理社会早期干预方法的有效性，该方法被称为关系集中干预（RFI）自闭症谱系障碍的儿童谁是18至30个月大的干预开始。RFI是一种相对较新的发展干预方法，旨在通过鼓励父母和其他照顾者与他们进行高度反应性的互动来增强儿童的功能。在这个项目中，我们建议进行为期一年的实验研究，一个新的手动RFI被称为响应式教学（RT）（马奥尼和麦克唐纳，2007年）。56名年龄在18至30个月之间的自闭症谱系障碍儿童将被随机分配到每周接受反应式教学的实验组或每月接受父母支持干预的对照组。我们会采用事前及事后评估的方法，以评估干预措施对以下各方面的影响：（a）儿童的发展及社交情绪功能;（B）父母的互动方式及儿童的关键行为;及（c）其他可能影响儿童干预措施成效的个人/家庭特征及干预因素。该项目有四个目标：目标1：在12个月的时间内，检查RT对18至30个月大的ASD儿童的认知，语言和社会情感功能的有效性。目的二：探讨在12个月的时间内，RT对母亲的互动风格和儿童的关键行为的影响。目标3：评估母亲的互动风格和儿童的关键行为如何介导儿童在干预中的发展和社会情感改善。目标4：确定儿童和父母的特点，有助于RT的有效性。 公共卫生相关性：越来越多的儿童在三岁之前被确定患有自闭症谱系障碍，这要求为这一年龄组的儿童制定有效的干预措施。该项目将进行一项父母介导的发展干预的随机对照研究，该研究可以在三岁之前对自闭症谱系障碍儿童实施。前后评估将确定这种干预对儿童发展和社会情感功能以及对父母和家庭的若干心理社会特征的影响。

DESCRIPTION (provided by applicant): A Randomized Control Study of Responsive Teachings with Young Children with ASD (Autism Spectrum Disorder) Project Summary: This research project is a pilot randomized control study that is being conducted to evaluate the effectiveness of a psycho-social early intervention approach which is referred to as relationship focused intervention (RFI) on children with Autism Spectrum Disorder who are between 18 to 30 months old at the start of intervention. RFI is a relatively new approach to developmental intervention that is designed to enhance children's functioning by encouraging parents and other caregivers to engage in highly responsive interactions with them. In this project, we propose to conduct a one-year experimental study of a new manualized RFI referred to as Responsive Teaching (RT) (Mahoney & MacDonald, 2007). 56 children with Autism Spectrum Disorder who are between 18 to 30 months of age will be randomly assigned to either an experimental group that receives weekly sessions of Responsive Teaching or a control group that receives monthly parent support interventions. Pre- post- assessments will be used to evaluate the effects of intervention on (a) children's development and social emotional functioning, (b) parents' style of interaction and children's pivotal behavior; and (c) other personal/family characteristics and intervention factors that are likely to effect children's intervention outcomes. There are four Aims of this project: Aim 1: To examine the effectiveness of RT with children who have ASD's beginning when children are 18 to 30 months of age on their cognitive, language and social emotional functioning over a 12 month period of time. Aim 2: To examine the impact of RT on mothers' style of interaction and children's pivotal behaviors over a 12 month period of time. Aim 3: To assess how mothers' style of interaction and children's pivotal behaviors mediate the developmental and social emotional improvements children make in intervention. Aim 4: To identify characteristics of children and parents that contribute to the effectiveness of RT. PUBLIC HEALTH RELEVANCE: The increasing numbers of children being identified with Autism Spectrum Disorder before they are three years old calls for the development of effective interventions for this age group of children. This project will conduct a randomized control study of a parent-mediated developmental intervention that can be implemented with children with Autism Spectrum Disorder before they are three years old. Pre- post- assessments will determine the impact of this intervention on children's development and social emotional functioning as well as on several psychosocial characteristics of parents and families.