缩写早期开始的丹佛模式,以社区为基础的以家庭为中心的护理
Laurie A Vismara1, Lucy Nyugen2, Carolyn E B McCormick3
1ESDM Online, Toronto, ON, Canada.
Frontiers in psychology
|August 7, 2023
概括
在社区中,为自闭症幼儿提供基于证据的家长指导是可行的. 这种方法改善了父母的技能和孩子的社交沟通,支持更广泛地获得早期干预.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 儿科医学 儿科医学
背景情况:
- 父母介导的干预措施对患有或患有自闭症谱系障碍 (ASD) 高风险的幼儿有希望.
- 研究结果和社区实施之间存在差距,需要研究现实世界的有效性.
- 基于社区的交付模式对于广泛获得早期干预至关重要.
研究的目的:
- 评估在社区环境中进行的以家长为媒介的干预措施的可行性和有效性.
- 评估家长干预效率和儿童社会沟通成果的改善.
- 探索以社区为基础的自闭症家长辅导的促进者和障碍.
主要方法:
- 一个社区参与的框架指导了这项研究.
- 十个亲子二元组参加了为期五天的研讨会和六次后续指导会议.
- 干预提供包括面对面和远程医疗两种形式,分两个阶段.
主要成果:
- 父母在实施干预后培训时表现出更好的忠诚度.
- 儿童在社交沟通的近距离测量方面表现得更好.
- 使用了面对面和远程医疗交付模式.
结论:
- 社区为ASD幼儿提供以家长为媒介的干预措施是可行的,并且非常有前途.
- 调查结果支持通过可访问,资源效率高的家长介导方法扩大早期干预服务.
- 了解促进者和障碍者是成功实施这些干预措施的关键,也是成功扩大这些干预措施的关键.
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