Teaching Skills to Toddlers: A Program for Caregivers

描述(由申请人提供)：将行为和发展原则应用于早期教学可以极大地改变早期诊断和治疗的自闭症谱系障碍(ASD)儿童的发展轨迹。此外，尽管家长培训是许多早期干预计划的一部分，但为家长提供的标准化或手动培训包很少。我们的目标是创建一个有效的、丰富的视频教学计划，培训照顾者基本的行为和发展原则，并将这些原则应用于患有自闭症的幼儿。我们建议开发并试行“向幼儿传授技能：照顾者计划”，这是一套视频节目，将为患有自闭症谱系障碍(ASD)的幼儿照顾者提供高质量的循证治疗基本原理和应用指导。与现有的培训材料不同，现有的培训材料通常是书面手册的形式，需要大量的教育、识字和复杂的知识，以及密切的专业监督，除了包括父母的经济成本外，我们计划将我们的系列开发为1。方便不同教育程度的人士使用，2.)可能在最低限度的直接专家监督下使用，以及3.)在互联网上免费提供。虽然最终产品的范围将更广，但该项目将开发的试点材料将侧重于沟通和社会互动。对于这一试点项目，我们将重点使用这些材料作为早期干预的补充，尽管未来还设想有其他应用。在项目期间，我们将在家长和医疗保健提供者的持续投入下，创建8个项目中的前4个项目，测试项目对家长的接受度和清晰度，并对项目对父母压力和自我效能的影响进行试点测试。 公共卫生相关性：如果自闭症谱系障碍儿童得到早期和密集的干预，他们的结果可能会有所改善，但可用的早期干预往往不是密集的，或者其方法不是基于证据的。我们的目标是创建一套视频节目，向患有自闭症儿童的父母提供基于证据的行为和自然疗法技术的基本原理和应用的高质量指导，使他们能够及早实施干预，并改善他们孩子的结局。将用非技术性语言清楚而简单地解释概念，以最大限度地扩大可使用材料的家长范围，并将在试点研究中评估材料作为早期干预服务的辅助工具的有用性。

DESCRIPTION (provided by applicant): The application of behavioral and developmental principles to early teaching can dramatically alter the developmental trajectory of children with early-diagnosed and treated Autism Spectrum Disorders (ASD). Furthermore, although parent training is part of many early intervention programs, there are few standardized or manualized training packages for parents. Our aim is to create an effective, video enriched, teaching program, to train caregivers in basic behavioral and developmental principles, and in the application of these principles to young children with ASD. We are proposing to develop and pilot test "Teaching Skills to Toddlers: A Program for Caregivers," a set of video programs that will deliver high quality instruction in basic principles and applications of evidence-based therapies for caregivers of young children with Autism Spectrum Disorder (ASD). In contrast to available training materials, which are generally in the form of written manuals and require substantial education, literacy and sophistication, as well as close professional supervision, in addition to including a financial cost to parents, we plan to develop our series so that it is 1.) user-friendly to a wide range of people with different levels of education, 2.) possible to use with a minimum of direct expert supervision, and 3.) provided free of charge on the internet. Although the final product will be broader in scope, the pilot materials to be developed in this project will focus on communication and social interaction. For this pilot project, we will focus on the use of the materials as a supplement to early intervention, although other applications are envisioned for the future. In the project period, we will, with ongoing input from parents and health care providers, create the first 4 of the projected 8 programs, test the acceptability and clarity of the program to parents, and conduct a pilot test of the effect of the programs on parent stress and self-efficacy. PUBLIC HEALTH RELEVANCE: Children with Autism Spectrum Disorders can have improved outcomes if they obtain early and intensive intervention, but available early intervention is often not intensive or not evidence-based in its methods. Our aim is to create a set of video programs that will deliver high quality instruction in basic principles and applications of evidence-based behavioral and naturalistic therapy techniques to parents of young children with ASD, enabling them to implement intervention early, and improve outcomes for their children. Concepts will be explained clearly and simply, in non-technical language, to maximize the range of parents who can use the material, and the usefulness of the material as an adjunct to early intervention services will be assessed in a pilot study.