父母带领的应用行为分析对自闭症谱系个体的临床结果产生影响:回顾性图表审查
Anurag Garikipati1, Madalina Ciobanu1, Navan Preet Singh1
1Montera, Inc. dba Forta, 548 Market St, PMB 89605, San Francisco, CA, 94104-5401, United States, 1 415 322 8857.
JMIR pediatrics and parenting
|October 30, 2024
概括
父母主导的应用行为分析 (ABA) 改善了自闭症谱系障碍 (ASD) 儿童的技能学习. 该模型为ABA治疗师短缺提供了可行的解决方案,提高了治疗机会和治疗结果.
科学领域:
- 行为科学 行为科学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 自闭症谱系障碍 (ASD) 带来了影响功能和生活质量的终身挑战.
- 早期,基于证据的干预,如应用行为分析 (ABA),对于减轻ASD的长期影响至关重要.
- 经过认证的ABA治疗师短缺造成了严重的进入障碍,需要创新的治疗交付模式.
研究的目的:
- 评估ASD儿童家长主导的ABA治疗的临床结果.
- 检查修改后的ABA交付对各重点领域 (FA) 的技能获取的影响.
- 评估一组接受家长领导的ABA的患者的持续进展.
主要方法:
- 对接受家长领导的ABA的30名儿童的回顾性图表审查.
- 父母在开始治疗之前接受了超过40小时的ABA培训.
- 数据分析超过90天,根据年龄,治疗计划强度和利用情况评估进展,结果通过自定义软件应用程序记录.
主要成果:
- 在较年长的儿童中观察到更好的目标实现,治疗利用率高,在集中和综合计划中都有改善.
- 技能获取成功率通常随着时间的推移而增加,在40个分析队列/FA组合中的20个中发现了统计学上显著的正线性关系.
- 对于沟通,社交技能,情绪调节和整体成功,特别是在高利用率和综合治疗组中,发现了显著的积极关系.
结论:
- 父母主导的ABA在实现治疗目标和改善ASD儿童的临床结果方面是有效的.
- 该模型在克服接入障碍方面表现有前途,确保及时启动和延续必要的ABA治疗.
- 父母主导的ABA代表了一个可扩展和有效的方法来解决对自闭症干预的日益增长的需求.
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