Assessing Skills and Treatment Progress in Basic Communicators of All Ages: The Basic Social and Communication Behavior Scales (BSCBS), Phase I

项目摘要/摘要 有效的沟通干预依赖于可靠的工具来识别沟通问题和 跟踪技能的变化。已建立的工具用于检测和跟踪早期意向传播者的技能 (即，指挥诸如向成年人伸手传达信息之类的行为)涉及交流 并评估对这些动态诱惑做出反应的各种儿童行为。而当 这些工具已经被标准化，通常用于发育中的儿童，并用于干预跟踪 意向交际者，他们只能用来检测这种技能在预意性中的缺失 并且不反映支持意向性发展的基本技能的变化 沟通。没有可用的标准化评估来提供动态和全面的数据 关于意向前沟通，并反映评估技能和跟踪治疗的循证程序 在12个月以上的儿童和成人中取得进展。如果我们能够评估综合技能，促进 在儿童和成人的有意交流中，我们可以干预作为基本技能基础的技能 所有其他沟通，并减少影响的次级行为或适应性障碍的可能性 沟通和生活技能。这个项目的计划是发展一个全面的，技能进步的， 敏感、动态且独立于医疗模式的评估，可检测和跟踪老年人的沟通技能 儿童和成人，是基本的意向前传播者(基本社交和交流 行为量表；BSCBS)。初步测试表明，试点的BSCBS(改编自PI的成功 2-12个月婴儿ISCBS测评的开发是衡量Pre的变化的有效工具 ASD和/或DD儿童干预后的意向性沟通。始终如一地评估Pre 年龄较大的儿童和成年人的有意沟通可以证明有针对性的干预策略是合理的，以解决 这些是年龄较大的儿童和成年人的基本技能。对长期预后有预期的人 沟通障碍，并避免拒绝向被认为缺乏假定的个人提供服务 沟通的前提条件。我们将为BSCBS开发和测试概念验证以进行评估和跟踪 所有年龄在12个月以上的基本沟通者的意向前交流，适用于患有以下疾病的儿童和成人 严重发育或后天残疾，沟通评估的测试信度和效度，以及 使用BSCBS进行事前/事后评估来跟踪治疗进度，以实现以下具体目标： 开发BSCBS以评估儿童和成人的意向前沟通技能 12个月；开发BSCBS组件、集群和显示以下内容的域组合 残疾儿童和成人按发育年龄划分的技能进步可比 ISCBS评分模式；建立BSCBS在跟踪意图前的变化方面的有效性 干预后的沟通技巧。

Project Summary/Abstract Effective communication intervention depends on reliable tools for identifying communication concerns and tracking changes in skills. Established tools for detecting and tracking skills in early intentional communicators (i.e., directing a behavior such as reaching toward an adult to convey a message) involve communication temptations and assessing a wide variety of child behaviors in response to those dynamic temptations. While these tools have been normed for typically developing children and used for intervention tracking with intentional communicators, they can only be used to detect the absence of such skills in pre-intentional communicators and do not reflect changes in essential skills that support the development of intentional communication. There are no available normed assessments that provide dynamic and comprehensive data on pre-intentional communication and reflect evidence-based procedures to assess skills and track treatment progress in children and adults older than 12 months. If we can assess comprehensive skills that promote intentional communication in children and adults, we can intervene in skills that are essential foundations of all other communication and reduce the likelihood of secondary behavioral or adaptive impairments that affect communication and life skills. The plan for this project is to develop a comprehensive, skill progressive, sensitive, dynamic, and modality-independent assessment to detect and track communication skills in older children and adults who are basic pre-intentional communicators (Basic Social and Communication Behavior Scales; BSCBS). Initial testing showed that the pilot BSCBS (adapted from the PI’s successful development of the ISCBS assessment for infants 2-12 mo.) is an effective tool to measure changes in pre- intentional communication after intervention for children with ASD and/or DD. Consistent assessment of pre- intentional communication in older children and adults could justify focused intervention strategies to address these essential skills for older children and adults. who have an expected prognosis for long-term communication impairment and avoid denial of services to individuals who are presumed to lack supposed prerequisites of communication. We will develop and test proof-of-concept for the BSCBS to assess and track pre-intentional communication in basic communicators of all ages over 12 months for children and adults with severe developmental or acquired disabilities, test reliability and validity for communication assessment, and use pre/post assessments to track treatment progress using the BSCBS to address these specific aims: Develop BSCBS to assess pre-intentional communication skills for children and adults beyond 12 months of age; develop BSCBS components, clusters, and a composite of domains that show skill progression by developmental age in children and adults with disabilities comparable to ISCBS score patterns; establish the efficacy of the BSCBS at tracking changes in pre-intentional communication skills following intervention.