中度至重度智力障碍儿童的特殊恐惧症:SPIRIT,适应性和可行性研究
Kylie M Gray1, Magdalena M Apanasionok1, Emma Scripps1
1Centre for Research in Intellectual and Developmental Disabilities (CIDD), University of Warwick, Coventry, UK.
Health technology assessment (Winchester, England)
|October 5, 2024
概括
针对中度至重度智力障碍儿童的特定恐惧症开发了一种新的干预措施,并被发现是可行的和可接受的. 建议在临床试验中对这一重要的儿童心理健康干预进行进一步的测试.
科学领域:
- 儿童和青少年精神病学
- 智力障碍 智力障碍 智力障碍
- 特定恐惧症治疗方法 特定恐惧症治疗方法
背景情况:
- 对于中度至重度智力障碍的儿童和青少年的特定恐惧症,存在有限的基于证据的干预措施.
- 这项研究解决了在这个人群中需要量身定制的治疗方法的需求.
研究的目的:
- 开发和评估一种新型干预措施 (SPIRIT) 的可行性和可接受性,用于中度至重度智力障碍儿童的特定恐惧症.
- 评估候选结果措施,通常的治疗和研究过程.
主要方法:
- 一个分阶段的方法,包括对干预开发的共识方法 (第1a阶段),一项关于通常治疗的全国调查 (第1b阶段) 和一个单组非随机可行性研究 (第2阶段).
- 这项可行性研究涉及15名年龄在5-15岁的儿童,他们有中度至严重的学习障碍和特定恐惧症,来自NHS社区儿童学习障碍团队和英国特殊学校.
- 灵魂的干预包括研讨会和支持会议,与通常的治疗一起提供.
主要成果:
- SPIRIT干预成功开发和建模,证明了父母/照顾者和治疗师的可行性和可接受性.
- 父母/照顾者报告说,结果指标缺失数据的比例非常低.
- 招聘受到COVID-19大流行影响,但干预和研究过程被认为是可以接受的.
结论:
- 对于中度至重度智力障碍和特定恐惧症的儿童来说,SPIRIT干预和相关的研究程序是可行的和可以接受的.
- 利益相关者建议对干预措施进行轻微修改.
- 灵魂的干预需要在随机对照试验中进行进一步的调查.
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