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非洲自闭症护理人员培训 (ACACIA):为1型混合有效性实施试验的协议

Lauren Franz^1,2,3, Marisa Viljoen³, Sandy Askew²

¹Duke Center for Autism and Brain Development, Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina, United States of America.

|January 12, 2024

概括

本研究测试了南非早期自闭症支持的护理人员辅导干预措施,旨在通过任务共享改善自闭症儿童的沟通技巧. 调查结果将为教育环境中的实施提供信息.

科学领域:

全球健康全球健康
发展心理学发展心理学
公共卫生干预公共卫生干预

背景情况:

对自闭症的早期干预显著改善了结果,但面临着全球实施差距,特别是在非洲.
由于非洲自闭症专家稀缺,将任务分给非专家至关重要.
自然主义发展行为干预 (NDBI) 是适应护理人员交付的.

研究的目的:

测试与南非自闭症儿童的通常护理相比,护理人员指导NDBI的有效性.
描述西开普省教育部内这项指导干预的实施因素.
通过一个级联的任务共享模型来解决早期自闭症干预差距.

主要方法:

使用一组随机对照试验的1型有效性-实施混合设计.
150名自闭症儿童 (18-72个月) 和他们的照顾者在南非开普敦.
12个为期1小时的辅导课程由幼儿发展从业者提供,通过Vineland和Griffiths尺度测量结果.

主要成果:

参与者招生于2023年4月开始.
主要完成日期估计为2027年3月.
数据收集和分析正在进行中.

结论:

该ACACIA试验将评估一连串的任务共享干预措施是否能改善自闭症儿童的沟通.
该研究将确定在教育环境中实施此类干预措施的障碍和促进因素.
结果将指导可扩展的早期自闭症干预策略在资源有限的环境中.

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