婴儿成就干预改善护理人员实施忠诚和婴儿社会沟通结果:初步随机临床试验
Rebecca J Landa1,2, Rachel Reetzke1,2, Christine Reiner Hess1
1Center for Autism Services, Science and Innovation, Kennedy Krieger Institute, Baltimore, USA.
概括
在自然发展性行为干预 (NDBI) 中的护理人员指导显著改善了具有特异性社会沟通延迟 (SCD) 的婴儿的社会沟通技能. 这种早期干预表明,它有望促进语言学前发展.
科学领域:
- 发展心理学 发展心理学
- 儿科沟通障碍 儿科沟通障碍
- 早期干预 早期干预
背景情况:
- 由于研究和早期干预试验有限,婴儿的异常社会沟通延迟 (SCD) 具有挑战性.
- 护理人员的参与对于解决婴儿发育迟缓至关重要.
- 早期识别和干预可以显著影响有沟通困难的儿童的长期结果.
研究的目的:
- 为了初步测试8周的护理人员实施的干预措施对被诊断患有特异性社会沟通延迟 (SCD) 的婴儿的疗效.
- 评估婴儿成就 (IA) 干预措施对婴儿社会沟通技能的影响,与对照组相比.
- 评估护理人员指导在实施自然发展性行为干预 (NDBI) 策略中的作用.
主要方法:
- 一个评估者掩盖的随机受控试验 (RCT) 涉及8-12个月龄的婴儿,患有异常性SCD.
- 参与者被随机分配到婴儿成就 (IA) 组 (NDBI中的照顾者辅导) 或照顾者教育 (CE) 控制组.
- 结果包括照顾者实施忠诚度,婴儿启动联合关注 (IJA),联合参与协调 (CJE) 和标准化的发展评估.
主要成果:
- 与CE组相比,IA组在所有主要结果 (忠实性,IJA,CJE) 中在干预后和随访时均显著改善.
- 二次结果,包括非语言认知和语音复合分数,也在IA组显著改善.
- 护理人员辅导有效地为护理人员提供了实施NDBI策略的设备,从而提高了语言前的社会沟通.
结论:
- 通过反射指导实施的护理人员实施的NDBI,有效地促进具有特异性SCD的婴儿的社会沟通发展.
- 婴儿成就干预表明了改善早期社交互动和沟通技能的潜力.
- 这项研究强调了早期,护理人员介导的干预对于社会沟通延迟的婴儿的重要性.
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