在衡量社会沟通干预结果时,平衡标准化和生态有效性
Hannah Feiner1, Bailey Sone1, Jordan Lee1
1Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL.
Journal of speech, language, and hearing research : JSLHR
|November 11, 2024
概括
在典型的家庭环境中测量护理人员介导的沟通干预结果是关键. 这项研究发现自闭症幼儿及其照顾者的标准化和家庭选择的背景之间没有显著差异.
科学领域:
- 发展心理学 发展心理学
- 语音语言病理学 语音语言病理学
- 自闭症谱系障碍研究研究
背景情况:
- 照顾者介导的沟通干预对于自闭症幼儿至关重要.
- 目前的结果测量方法因环境,材料和活动而异,影响一致性.
- 标准化评估环境的生态有效性,以捕捉现实世界的干预结果仍然不清楚.
研究的目的:
- 调查家庭选择和标准化交互背景之间的干预结果的差异.
- 确定标准化环境是否公平地捕捉了典型的双层相互作用的代表性护理人员和儿童结果.
- 探索标准化材料的代表性与家庭为自闭症幼儿选择的活动相比.
主要方法:
- 一个为期8周的护理人员介导的远程医疗干预措施被交付给了22个DYAD.
- 护理人员的忠诚度和儿童的沟通行为被衡量在两个背景下:家庭选择的活动和标准化的玩具.
- 一个例行检查清单评估了家庭的有价值,愉快,频繁和困难的活动.
主要成果:
- 在这两种背景之间,护理人员或儿童的结果没有发现显著差异.
- 标准化的玩具集似乎代表了家庭通常选择的材料.
- 家庭在家庭选择的环境中使用了在标准化环境中不存在的额外材料/活动.
结论:
- 在生态有效的环境中测量干预结果对于准确和公平的评估至关重要.
- 需要采用广泛的标准化方法,以反映家庭的日常生活和功能成果.
- 研究结果支持使用多种背景来捕捉干预效应的全部范围.
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