最大限度地利用基于实践的临床数据来跟踪自闭症学龄前儿童的社会沟通发展
Lauren Denusik1, Katarina Miletic1, Barbara Jane Cunningham2
1School of Communication Sciences and Disorders, University of Western Ontario, Canada.
Journal of communication disorders
|September 20, 2025
概括
"多于言语" (MTW) 计划的临床形式有效地对自闭症学前儿童进行了分类.
科学领域:
- 儿科语音语言病理学
- 自闭症谱系障碍研究研究
- 临床项目评估的临床项目评估
背景情况:
- 在临床环境中评估护理人员提供的干预措施,如More Than Words® (MTW),对于产生基于实践的证据至关重要.
- 临床医生完成额外的测量工具的负担在现实研究中构成了挑战.
- 这项研究调查了MTW计划中现有的临床形式的有效性.
研究的目的:
- 检查在标准的"多于文字" (MTW) 程序交付期间已经完成的临床表格的有效性.
- 探索这些临床数据是否可以在自闭症学龄前儿童的现实世界中揭示不同的临床和结果配置文件.
- 评估特定程序表格对于基于实践的证据生成的有用性.
主要方法:
- 收集了36名自闭症学龄前儿童的社会沟通检查清单 (SCC) 数据,这些数据来自公共资助的MTW交付期间.
- 通过比较SCC评级与通信功能分类系统 (CFCS) 和关注六岁以下通信成果 (FOCUS-34) 评分来评估并发有效性.
- 探索了课程前的SCC阶段和FOCUS-34沟通参与结果档案之间的相关性.
主要成果:
- 计划前的SCC社会沟通阶段与CFCS沟通水平和FOCUS-34分数相关.
- 大多数孩子在SCC后期计划中表现出积极的社会沟通变化;三分之二的孩子在FOCUS-34上有所改善.
- 对于自闭症学龄前儿童,在不同的SCC计划前阶段观察到不同的沟通参与结果.
结论:
- 特定程序的临床形式,如SCC,对于对自闭症学龄前儿童的社会沟通技能进行分类有价值.
- 这些形式可以帮助探索结果差异,并在现实环境中捕捉新发现.
- 临床形式有效地为MTW等干预措施产生基于实践的证据.
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