基于证据的父母介导干预对自闭症儿童实施的文化响应适应的混合方法检查
Asha Rudrabhatla1,2, Nicole Hendrix1, Scott Gillespie1
1Department of Pediatrics, Marcus Autism Center, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Administration and policy in mental health
|January 23, 2024
概括
障碍阻碍了护理人员参与自闭症儿童的家长介导干预 (PMI). 文化敏感的适应可以改善不同家庭的参与和结果.
科学领域:
- 儿童心理学 儿童心理学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 父母介导干预 (PMI) 是基于证据的,用于支持幼儿自闭症儿童的社交沟通.
- 护理人员参与PMI可能在服务不足的社区具有挑战性,因为缺乏适应多样化的家庭需求.
研究的目的:
- 检查参与ImPACT项目的障碍,这是一个基于证据的PMI.
- 确定临床医生报告的策略,以适应对少数群体家庭的项目影响.
- 探索文化响应性护理对护理人员参与度的影响.
主要方法:
- 混合方法方法利用定量和定性数据.
- 134名儿童 (13-48个月) 患有自闭症或社会沟通障碍的照顾者.
- 六位临床医生提供了ImPACT项目.
主要成果:
- 护理人员在参与ImPACT项目时遇到了障碍,影响了项目完成.
- 临床医生通过考虑家庭文化,心理社会经验,目标和障碍来适应ImPACT项目.
- 文化响应的护理和适应与改善的护理人员参与 (关系,信任,出席) 相关.
结论:
- 在各种环境中实施PMI如Project Impact存在障碍.
- 专注于文化和背景因素的临床医生适应对少数群体家庭至关重要.
- 文化响应,以家庭为中心的方法提高了护理人员的参与度,并可能改善干预结果.
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