在自闭症谱系障碍早期干预方面实施统一的结果测量方法
Deanna Swain1, Yi Li2, Hallie R Brown3
1University of Colorado, Aurora, Colorado.
概括
社会沟通变化的简要观察 (BOSCC) 有效地衡量了自闭症谱系障碍 (ASD) 干预的社会沟通收益. 它显示了对更长,更全面的计划的承诺,但可能无法捕捉简短干预的效果.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 自然主义的发育行为干预措施在患有自闭症谱系障碍 (ASD) 的儿童中显示出针对特定社会沟通目标的有效性.
- 在不同研究中比较干预效应是具有挑战性的,因为缺乏对更广泛的社会沟通技能的标准化结果测量方法.
- 本研究解决了对统一测量方法的需求,以评估干预对一般社会沟通的影响.
研究的目的:
- 检查社会沟通变化简要观察 (BOSCC) 作为一般社会沟通技能的共同结果衡量的有用性.
- 评估BOSCC在ASD儿童不同干预模型中的实用性.
- 确定BOSCC是否能够捕捉干预组和对照组之间的社会沟通技能的差异.
主要方法:
- 对不同干预模型的三项先前进行的随机对照试验 (RCT) 数据的二次分析.
- 包括聚焦早期社会干预 (ESI),早期起步丹佛模型 (ESDM) 和联合注意力象征性游戏参与和监管 (JASPER) 的数据集.
- 在干预过程中,研究了干预和对照组之间的BOSCC分数差异,使用207个照顾者-儿童二合体的582个视频.
主要成果:
- 在三个干预模型中的两个中,BOSCC在干预和控制组之间发现了广泛的社会沟通技能的显著差异.
- 这些显著的发现在持续时间较长的干预中观察到,并且专注于广泛的发育技能.
- 在全面的干预模型中,BOSCC证明了其检测社会沟通变化的能力.
结论:
- BOSCC有可能在ASD儿童的各种干预模型中作为统一的测量方法.
- 它可以有效地捕捉干预对一般社会沟通技能的影响,特别是在更长,更全面的计划中.
- BOSCC可能对针对更近距离结果的简短干预措施的影响不敏感.
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