探索关键干预特征和试验过程,评估自闭症儿童的感官整合疗法
Elizabeth Randell1, Rachel McNamara2, Monica Busse2
1Centre for Trials Research, Cardiff University, Cardiff, UK. randelle@cardiff.ac.uk.
Trials
|February 17, 2024
概括
这项研究评估了自闭症儿童的手动感官整合疗法 (SIT). 虽然通常可以接受,但物流方面的挑战影响了自闭症患者的干预交付和有效性.
科学领域:
- 临床试验方法论 临床试验方法论
- 自闭症谱系障碍研究研究
- 治疗干预评估治疗干预的评估.
背景情况:
- 手动感官整合疗法 (SIT) 被评估为自闭症儿童的感官处理困难.
- 嵌套过程评估探索了试验行为和影响结果的上下文因素.
- 本研究详细介绍了自闭症患者定制干预的过程评估方法和结果.
研究的目的:
- 评估手动感官整合疗法 (SIT) 的临床和成本效益.
- 探索影响自闭症儿童干预结果的试验过程和上下文因素.
- 讨论对评估个体级别,针对自闭症个体量身定制的干预措施的影响.
主要方法:
- 一个双臂随机对照试验结合了嵌套过程评估.
- 描述性统计报告了招聘,保留,坚持和不良影响.
- 与治疗师和护理人员进行的定性访谈探讨了干预的可接受性和试验过程.
主要成果:
- 试验招募和留守达到值;招募了138名儿童和护理人员.
- 干预忠实度很高,大多数接受"足够剂量",但会话变化存在.
- 后勤挑战 (约会,旅行,COVID-19) 是障碍;没有报告的不良影响.
结论:
- 过程评估确定了影响自闭症儿童个性化干预有效性的上下文因素.
- 严格的评估至关重要,解决诸如小样本大小和短期后续等局限性.
- 护理人员参与促进干预访问对于自闭症儿童的有效性至关重要.
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