为家长和照顾者进行小组干预,以识别和理解自闭症儿童的限制性和重复性行为:一个多站点的RCT
Victoria Grahame1, Ashleigh Kernohan2, Ehsan Kharati3
1Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, UK.
Health technology assessment (Winchester, England)
|September 27, 2025
概括
"理解重复性行为"干预措施显示了改善自闭症儿童特定行为的潜力,但该研究不足. 需要进一步的研究来证实其有效性和成本效益.
科学领域:
- 自闭症谱系障碍研究研究
- 儿童心理学 儿童心理学
- 行为干预 行为干预
背景情况:
- 自闭症儿童的限制性和重复性行为 (RRB) 存在各种挑战,影响学习并可能造成伤害.
- 了解重复性行为 (URB) 的干预措施是为了支持家长在幼儿自闭症中管理功能性影响性RRB的.
研究的目的:
- 评估URB家长/照顾者小组干预的临床和成本效益.
- 为了比较URB与心理教育小组,学习自闭症 (LAA).
主要方法:
- 一个多站点随机对照试验,涉及227个家庭的3-9岁的自闭症儿童.
- 干预组接受URB (8周的面对面和在线课程);对照组接受LAA.
- 主要结果:临床总体印象 - 改善规模;次要结果:RRB的响应率,父母/家庭的功能.
主要成果:
- 在URB和LAA组之间,在初级结果 (临床总体印象 - 改善尺度) 中没有发现显著差异.
- 在24周,URB组的儿童在目标RRB中表现出更高的响应率.
- 在两组中,父母和家庭的功能都得到了改善,两组之间没有显著差异.
结论:
- 由于随访时间低于预期,这项研究的实力不足,使URB临床有效性的研究结果无法确定.
- 在12个月后,URB不太可能具有成本效益.
- 未来的研究应该探索RRB的变化机制,并考虑更长的时间框架和不同的估值方法.
关键词:
自闭症谱系障碍 (AUTISM SPECTRUM DISORDERERER) 是一种自闭症的表现.照顾者的照顾者孩子是一个孩子.进行成本效益分析.功能上没有影响的限制和重复的行为.意图治疗的分析.父母调解的干预.父母们的孩子们随机对照试验 随机对照试验治疗的结果.更多相关视频
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