父母倡导干预对过渡年龄自闭症青少年服务获取的影响:一个多站点随机对照试验
Julie Lounds Taylor1, Leann Smith DaWalt2, Meghan M Burke3
1Vanderbilt University Medical Center, Nashville, TN, USA.
概括
辅助干预措施并没有显著改善自闭症青少年的服务获取. 然而,它对年轻人已经从高中毕业的家庭带来了一些好处,增加了获得政府资助的计划的机会.
科学领域:
- 自闭症谱系障碍 自闭症谱系障碍
- 过渡服务 过渡服务
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 在美国,自闭症青少年在获得成人服务方面面临重大障碍.
- 父母倡导是改善服务获取的关键因素.
- 该研究评估了ASSIST干预措施,以加强父母对成人服务的倡导.
研究的目的:
- 确定ASSIST干预是否增加了自闭症青少年过渡到成年期的服务获取.
- 评估加强家长倡导技能对服务利用的影响.
主要方法:
- 一个多站点,单盲,并行组随机对照试验.
- 185名过渡年龄自闭症青少年的父母被随机分配到ASSIST干预或对照组.
- 通过6个月和12个月的家长采访来衡量服务 (政府计划,直接服务) 的获取.
主要成果:
- 没有发现ASSIST对服务访问的显著整体治疗效应.
- 小组分析显示,青少年在政府资助的项目中获得更多机会,这些青少年的家庭接受了ASSIST,并且已经离开了高中.
- 这种效应在6个月的随访期观察到.
结论:
- 在ASSIST干预过程中,自闭症青少年在服务获取方面没有显著的整体改善.
- 有证据表明,对于高中毕业的年轻人家庭来说,增加政府计划的机会可能有好处.
- 需要进一步的研究来确定影响信息成功转化为服务访问和需要个性化支持的因素.
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