以家庭为中心的应用行为分析促进了持续的治疗利用和实现患者目标
Robert P Adelson1, Madalina Ciobanu1, Anurag Garikipati1
1Research and Development, Montera, Inc. DBA Forta, San Francisco, USA.
Cureus
|July 16, 2024
概括
父母行为技术人员 (pBTs) 改善了对自闭症谱系障碍 (ASD) 应用行为分析 (ABA) 的获取. 该模型显示了技能获得的显著增长,特别是在严重的自闭症和综合治疗计划中.
科学领域:
- 神经发育障碍 神经发育障碍
- 行为科学 行为科学
背景情况:
- 自闭症谱系障碍 (ASD) 在社交沟通和行为方面存在挑战.
- 应用行为分析 (ABA) 是有效的,但面临着成本和供应商短缺等进入障碍.
- 培训父母成为行为技术人员 (pBTs) 可以提高ABA可访问性和家庭治疗.
研究的目的:
- 评估父母行为技师 (pBT) 模型在提供ABA治疗方面的有效性.
- 为了确定ASD严重程度是否影响pBT模型中的技能获取收益.
- 评估治疗强度 (综合性与集中性) 是否影响技能获取结果.
主要方法:
- 对243名患者 (年龄在2-18岁) 的纵向,回顾性图表审查,这些患者至少三个月通过pBT模型接受了ABA.
- 根据ASD严重程度 (轻度,中度,严重) 和治疗计划类型 (综合性>25-40小时/周与集中 ≤25小时/周) 分层的患者.
- 通过获得沟通,情绪调节,执行功能和社交技能方面的技能成功率来评估结果.
主要成果:
- 在pBT模型中的患者表现出显著的整体技能获取进展.
- 与轻度或中度自闭症患者相比,患有严重自闭症患者的整体技能获取增长更大.
- 综合性治疗计划 (>25-40小时/周) 导致技能增长明显高于重点计划 (≤25小时/周).
结论:
- 该pBT模型有效地增加了ABA治疗利用率和患者的进展.
- 观察到沟通,情绪调节,执行功能和社交技能的显著改善.
- 对于患有严重自闭症和接受综合治疗计划的人来说,pBT模型特别有益.
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