基于职业的辅导对于自闭症儿童和初级护理人员的可行性
Melanie Morriss Tkach1, Winnie Dunn1, Timothy J Wolf1
1University of Missouri-Columbia, USA.
OTJR : occupation, participation and health
|January 6, 2025
概括
基于远程医疗职业指导 (OBC) 显示出改善自闭症儿童的表现和满意度的希望. 这种干预也可能对睡眠障碍产生积极影响,尽管对参与和家庭生活质量的影响较小.
科学领域:
- 儿科职业治疗 儿科职业治疗
- 发展心理学 发展心理学
- 自闭症谱系障碍研究研究
背景情况:
- 与神经类型的同龄人相比,自闭症儿童经常经历参与和技能发展的减少.
- 基于职业的辅导 (OBC) 是一种超认知策略培训干预.
- 远程医疗OBC对自闭症儿童参与的影响仍未得到充分探索.
研究的目的:
- 评估对自闭症儿童及其照顾者的远程医疗OBC的可行性.
- 评估远程医疗OBC对儿童,护理人员和家庭结果的初步影响.
- 为了确定OBC是否可以提高自闭症儿童的参与技能.
主要方法:
- 采用了一个单组测试前后测试设计.
- 13名自闭症儿童和12名主要护理人员参加了这次活动.
- 八个远程医疗OBC会议重点关注基于活动的目标,以及干预前后的结果措施.
主要成果:
- 招聘,留住和坚持的可行性基准被超越了.
- 对儿童的表现 (赫奇的g=1.65) 和满意度 (赫奇的g=1.89) 观察到很大的影响.
- 在儿童睡眠障碍 (Hedge's g = 0.60) 上发现了中度影响,在儿童参与 (Hedge's g = 0.23) 和家庭生活质量 (Hedge's g = 0.26) 上发现了较小的影响.
结论:
- 远程医疗OBC是自闭症儿童及其照顾者的可行的干预措施.
- 该干预措施对儿童的表现和满意度产生了显著的积极影响.
- 建议进行进一步的大规模研究,以优化协议并支持儿童措施的完成.
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