Randomized control study relationship focused intervention young children ASD

描述(由申请人提供)：一项对患有自闭症谱系障碍的幼儿进行反应教学的随机对照研究项目摘要：这项研究项目是一项试验性的随机对照研究，旨在评估心理-社会早期干预方法的有效性，这种方法被称为以关系为中心的干预(RFI)，在干预开始时对18至30个月大的自闭症谱系障碍儿童进行干预。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的互动来增强儿童的功能。在这个项目中，我们建议对一种新的被称为反应教学(RT)的新的手册RFI进行为期一年的实验研究(MaHony&MacDonald，2007)。56名18至30个月大的自闭症谱系障碍儿童将被随机分配到实验组和对照组，实验组每周接受响应性教学，对照组每月接受父母支持干预。事后评估将用于评估干预对以下方面的影响：(A)儿童的发展和社会情绪功能；(B)父母的互动方式和儿童的关键行为；以及(C)可能影响儿童干预结果的其他个人/家庭特征和干预因素。本项目有四个目标：目标1：考察18至30个月大的自闭症儿童在12个月的时间内接受RT治疗对其认知、语言和社会情绪功能的影响。目的2：在12个月的时间里，考察RT对母亲的交互方式和儿童关键行为的影响。目的3：评估母亲的互动方式和儿童的关键行为是如何在干预中调节儿童的发展和社会情绪改善的。目的4：确定有助于RT效果的儿童和家长的特征。 公共卫生相关性：越来越多的儿童在三岁之前被确认患有自闭症谱系障碍，这要求为这一年龄段的儿童制定有效的干预措施。该项目将对父母中介的发育干预进行随机对照研究，该干预可以在自闭症谱系障碍儿童三岁之前实施。事后评估将确定这一干预措施对儿童发展和社会情绪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.