在线提供护理人员介导的早期支持计划与家庭自闭症风险较高的婴儿的常规护理相比:印度的一项并行,蒙面的评估者,可行性随机控制试验
Shoba S Meera1, Prathyusha Vasuki2, Malavi Srikar1
1Department of Speech Pathology and Audiology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
概括
在高家族自闭症风险的婴儿中,LiL' STEPS计划显著改善了护理人员的敏感反应和双向互惠. 需要进一步的研究来评估长期疗效和持续支持的需要.
科学领域:
- 发展心理学
- 临床心理学
- 儿童医学
背景情况:
- 患有自闭症家族风险的婴儿需要早期干预以支持社会沟通和语言发展.
- 护理人员为培养早期的社会沟通和语言能力提供关键服务.
- 这是一个全新的,手动化的,护理人员介绍的在线干预方案,
研究的目的:
- 评估LiL' STEPS计划在改善患有自闭症家族风险的婴儿的初步疗效.
- 评估护理人员敏感反应和社会沟通和语言措施的变化.
- 在南印度的第三级护理环境中确定小步计划的可行性和可接受性.
主要方法:
- 对36个9-15个月龄的婴儿家庭进行了一项可行性随机对照试验,其中一个年长的兄弟姐妹被诊断为自闭症.
- 家庭被随机分配到LiL' STEPS干预组 (n=24) 或通常照顾组 (n=12).
- 主要结果是护理人员的敏感反应,使用曼彻斯特护理人员与婴儿互动评估 (MACI) 进行评估,次要结果包括基线,12周和12周后的社会沟通和语言测量.
主要成果:
- 在基线和终点之间没有发现主要或次要治疗效应.
- 在基线和12周之间观察到对护理人员敏感反应 (d=1.15) 和双向互惠 (d=1. 01) 的显著,大,积极的治疗效应.
- 这些发现表明需要持续支持超过最初的计划持续时间.
结论:
- 对于有高家族自闭症风险的婴儿来说, LiL' STEPS 计划可以在短期内改善护理人员与婴儿的互动.
- 这项研究强调了护理人员持续支持最佳发展结果的重要性.
- 需要进一步进行大规模的疗效试验来证实这些初步发现,并探索最佳的干预持续时间.
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