在早期启动丹佛模型中干预效益的概率
Kyle Sterrett1, Sally J Rogers2, Annette Estes3
1Department of Pediatrics, University of Minnesota, Minneapolis, USA.
Journal of autism and developmental disorders
|September 1, 2025
概括
对于自闭症谱系障碍 (ASD) 的早期干预显示出不同的结果. 与社区干预相比,早期启动丹佛模型 (ESDM) 改善了更多儿童的结果,特别是那些有认知迟缓或ASD严重程度较高的儿童.
科学领域:
- 发展心理学
- 临床心理学
- 儿童医学
背景情况:
- 早期干预对于改善自闭症谱系障碍 (ASD) 儿童的结果至关重要.
- 根据孩子的特点评估各种干预措施的差异性好处对于个性化护理至关重要.
- 早期启动丹佛模型 (ESDM) 是一种基于证据的早期干预方法.
研究的目的:
- 将早期启动丹佛模型 (ESDM) 与ASD儿童通常的社区干预效果进行比较.
- 根据儿童的基线人口和行为特征,检查特定的早期干预是否产生差异性益处.
- 应用干预效益概率框架来分析干预结果.
主要方法:
- 随机对照试验数据的回顾分析,涉及85名自闭症儿童.
- 在24个月内,接受ESDM和接受社区干预的儿童之间的结果进行比较.
- 主要结果测量:社会沟通变化的简要观察 (视频编码的社会沟通和重复行为评估).
主要成果:
- 在ESDM组中,73%的儿童表现出可靠的改善,而在社区干预组中,57%的儿童表现出可靠的改善.
- 社区群体可靠变化的可能性受到基线特征的影响,认知延迟和更大的自闭症严重程度与较差的结果有关.
- 这些基线特征并没有类似地预测ESDM组的结果,这表明更广泛的益处.
结论:
- 像ESDM这样的早期干预方法可以显著改善自闭症儿童的社交沟通.
- 干预的有效性可以根据个体儿童的特点而有所不同,这凸显了需要量身定制的方法.
- 分析群体和个体水平的干预结果对于理解治疗变异性和优化自闭症儿童的护理至关重要.
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