比较有效性试验:与全面的行为干预相比,幼儿自闭症的模块化行为方法与全面的行为干预相比
Cynthia Anderson1, Samantha Hochheimer2, Zachary Warren3
1The May Institute, Randolph, Massachusetts, USA.
概括
对于自闭症干预的新模块化方法 (MAYAC) 显示在幼儿中与标准的综合行为干预 (CBI,TAU) 不相差. 这种灵活,低强度的疗法为自闭症儿童及其家人提供了一个有前途的替代方案.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 儿科医学 儿科医学
背景情况:
- 早期干预对于自闭症儿童至关重要.
- 综合行为干预 (CBI) 是一种常见的治疗方法,通常需要大量的时间投入.
- 需要灵活的,可能低强度的干预措施,根据个体需求量身定制.
研究的目的:
- 为了比较一个小自闭症儿童的新型模块化方法 (MAYAC) 与标准的综合行为干预 (CBI,TAU).
- 评估MAYAC的疗效和家长的满意度.
- 为了确定MAYAC是否在改善适应性行为方面不低于CBI,TAU.
主要方法:
- 一项为期24周的单盲试验,涉及56名自闭症儿童 (18-60个月).
- 干预组:MAYAC (5-10小时/周,模块化,父母输入) 和CBI,TAU (≥15小时/周).
- 结果措施包括维尼兰适应性行为量表 (VABS),俄俄州自闭症临床改善量表 - 自闭症严重程度 (OACIS-AS) 和普遍发育障碍行为库存 - 父母 (PDDBI-P).
主要成果:
- 无论是MAYAC和CBI,TAU组都显示了VABS与基线的显著改善.
- 在VABS上,MAYAC被发现与CBI,TAU不逊色 (p=0.0144).
- 在OACIS-AS中观察到类似的治疗反应率;在PDDBI-P中没有注意到任何组的显著变化. 在这两种情况下都报告了高的治疗忠诚度和父母满意度.
结论:
- 针对幼儿自闭症的模块化方法 (MAYAC) 是标准综合行为干预 (CBI,TAU) 的可行替代方案.
- 马雅克在改善幼儿自闭症适应性行为方面表现出与CBI,TAU相似的有效性.
- 这些发现表明MAYAC作为灵活有效的早期干预选项的潜力.
关键词:
应用行为分析 应用行为分析自闭症自闭症是什么行为干预是行为干预.综合行为干预 (CBI) 是一种全面的行为干预.离散试验培训 (DTT) 离散试验培训早期密集的行为干预 (EIBI)自然主义的发展行为干预 (NDBI).非劣质设计的设计.随机临床试验 (RCT) 是一种随机临床试验.更多相关视频
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