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

项目概要/摘要 有效的沟通干预取决于确定沟通问题的可靠工具， 跟踪技能的变化。建立了检测和跟踪早期有意传播者技能的工具 (i.e.,指导一种行为，如向成年人伸手传达信息）涉及交流 诱惑和评估各种各样的儿童行为，以应对这些动态的诱惑。而 这些工具已被规范用于典型发育中的儿童，并用于干预跟踪， 故意传播者，他们只能用来检测缺乏这种技能，在前故意 沟通者，并没有反映出支持故意发展的基本技能的变化。 通信没有提供动态和全面数据的规范评估 关于预先有意沟通，并反映以证据为基础的程序，以评估技能和跟踪治疗 儿童和12个月以上成人的进展。如果我们能评估全面的技能， 在儿童和成人的有意沟通，我们可以干预的技能，是必不可少的基础， 所有其他沟通，并减少继发性行为或适应性障碍的可能性， 沟通和生活技能。该项目的计划是开发一个全面的，技能进步， 敏感的，动态的，独立于模态的评估，以检测和跟踪老年人的沟通技能 儿童和成人是基本的前意向传播者（基本社会和沟通 行为量表; BSCBS）。初步测试表明，试点BSCBS（改编自PI的成功 制定2-12个月婴儿的ISCBS评估）是一个有效的工具，以衡量变化的前， ASD和/或DD儿童干预后的有意沟通。一致评估预 年龄较大的儿童和成人的有意沟通可以证明有针对性的干预策略， 这些基本技能的年龄较大的儿童和成人。他们对长期的预后有预期， 沟通障碍，避免拒绝向被认为缺乏应有能力的个人提供服务。 沟通的先决条件。我们将为BSCBS开发和测试概念验证，以评估和跟踪 12个月以上的儿童和成人的基本沟通者的预先有意沟通， 严重的发展性或后天残疾，测试的可靠性和有效性的沟通评估，和 使用BSCBS进行治疗前/后评估，以跟踪治疗进展，从而实现以下特定目标： 开发BSCBS以评估儿童和成人的预先意图沟通技能， 12个月大;发展BSCBS组件、集群和域的复合， 残疾儿童和成年人按发育年龄分列的技能进展与 ISCBS评分模式;确定BSCBS在跟踪预意图变化方面的有效性 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.