在社区早期干预环境中对高概率儿童进行自闭症查:一项混合有效性实施研究
Georgina Perez Liz1, Diana Thao1, Katelyn Reeb1
1Drexel University, Philadelphia, PA, USA.
Focus on autism and other developmental disabilities
|December 5, 2025
概括
美国的早期干预 (EI) 计划使用M-CHAT-R/F.检查了少数学龄前儿童的自闭症. 自闭症评估的转诊更多地依赖于临床判断,而不是查结果.
科学领域:
- 发展心理学 发展心理学
- 儿科医疗保健 儿科医疗保健
- 公共卫生干预 公共卫生干预
背景情况:
- 早期发现自闭症谱系障碍 (ASD) 对于及时干预至关重要.
- 美国的早期干预 (EI) 系统旨在识别发育迟缓的儿童,包括自闭症.
- 在EI环境中自闭症查工具的有效性和实施需要进一步调查.
研究的目的:
- 为了检查EI摄入期间管理幼儿自闭症修改后检查清单,修订后跟踪 (M-CHAT-R/F) 的影响.
- 评估自闭症查器在高患自闭症可能性的学龄前儿童的表现.
- 确定在EI服务中实施自闭症查的障碍.
主要方法:
- 进行了一项有效性-实施混合型1型研究.
- 从EI系统中2,661个学龄前儿童的教育记录中收集数据.
- 分析了幼儿自闭症修改后检查清单,修订后跟踪 (M-CHAT-R/F) 管理.
主要成果:
- 只有42.8%的儿童接受了M-CHAT-R/F查.
- 只有14.0%的查阳性儿童被转诊接受自闭症评估.
- 高百分比 (94.8%) 的转诊儿童接受了自闭症诊断,无论查状态如何,表明依赖临床判断.
结论:
- 在EI环境中实施M-CHAT-R/F等自闭症查工具是不一致的.
- 对自闭症评估的推似乎是由临床判断驱动的,而不仅仅是查结果.
- 在EI服务中,培训和协议集成对于有效的自闭症查和检测至关重要.
更多相关视频
11:14A Novel Experimental and Analytical Approach to the Multimodal Neural Decoding of Intent During Social Interaction in Freely-behaving Human Infants
Published on: October 4, 2015
11.4K
09:13Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
17.0K
相关概念视频
01:19Autism Spectrum Disorder
905
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
905
01:26Modeling in Therapy
364
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
364
01:30Community Based Intervention
260
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
260