以家庭为中心的应用行为分析有助于改善治疗利用和治疗结果
Robert P Adelson1, Madalina Ciobanu1, Anurag Garikipati1
1Montera, Inc., dba Forta, Research and Development, 548 Market St., PMB 89605, San Francisco, CA 94104-5401, USA.
Journal of clinical medicine
|April 27, 2024
概括
提供应用行为分析 (ABA) 的家长行为技术人员 (pBTs) 改善了自闭症谱系障碍 (ASD) 儿童的适应性行为并减少了干扰行为. 这种由家长主导的ABA模型显示了增加治疗可访问性的前景.
科学领域:
- 神经发育障碍 神经发育障碍
- 行为科学 行为科学
- 儿科健康 儿科健康
背景情况:
- 自闭症谱系障碍 (ASD) 在社会技能,日常生活中存在终身挑战,包括受限制的,重复性的行为 (RRB).
- 应用行为分析 (ABA) 是ASD的黄金标准治疗方法,但由于专业人员的可用性和成本,这种治疗方法受到限制.
- 父母主导的ABA模型可以克服这些障碍,改善治疗的可访问性.
研究的目的:
- 检查父母行为技师 (pBT) 提供的ABA模型对ASD儿童适应性和干扰性行为 (IBs) 的影响.
- 评估该模型在不同ASD严重程度和临床显著IBs存在时的有效性.
主要方法:
- 一项回顾性队列研究,涉及36名年龄在3至15岁的患者.
- 使用Vineland-3评分对临床结果的纵向评估,经过3个月以上的pBT-交付的ABA治疗.
主要成果:
- 患者在Vineland-3复合物,域和子域得分中显示出临床显著的改善.
- 在患有严重ASD的儿童中,治疗利用率更高.
- 在基线临床显著IBs的儿童在复合分数中表现出更大的收益.
结论:
- 与传统的ABA相比,pBT模型显示了高的治疗利用率和在改善适应性行为和减少IBs方面强大的有效性.
- 这种由家长领导的ABA方法是解决ASD治疗可访问性差距的可行解决方案.
- 该pBT模型提供了一个强大的工具,以克服ABA治疗的系统性问题.
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