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Parent-Mediated Interventions for School-Age Children With ASD: A Meta-Analysis 家长干预学龄期ASD儿童的meta分析
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-09-19 DOI: 10.1177/1088357620956904
Marie Ratliff-Black, W. Therrien
Parent-mediated interventions (PMIs) are commonly used with children with autism spectrum disorder (ASD), and their effectiveness for young children has been documented. However, no reviews have examined the use of PMIs with older children with ASD. Therefore, the purpose of this review is to investigate the state of the literature regarding PMIs for school-age children with ASD and to evaluate their effectiveness across domains. Eighteen studies of PMIs examining 170 child participants with ASD were included. Participants, interventions, and the effects of the interventions are described. Overall, studies demonstrated moderately positive effects for PMIs for school-age children with ASD. Group design studies demonstrated an overall effect size (ES) of 0.79, 95% confidence interval (CI) = [0.50, 1.09], while single-case design (SCD) studies yielded an overall ES of 1.84, 95% CI = [1.08, 2.60]. More research is needed to understand the differential effectiveness of parent training components, and future research should focus on including measures of parent treatment integrity, to aid in the understanding of program efficacy.
父母介导的干预(pmi)通常用于自闭症谱系障碍(ASD)儿童,其对幼儿的有效性已被记录在案。然而,没有评论研究了PMIs在年龄较大的ASD儿童中的应用。因此,本综述的目的是调查关于自闭症学龄儿童PMIs的文献现状,并评估其跨领域的有效性。18项PMIs研究检查了170名自闭症儿童。描述了参与者、干预措施和干预措施的效果。总的来说,研究表明PMIs对ASD学龄儿童有适度的积极作用。组设计研究的总体效应量(ES)为0.79,95%可信区间(CI) =[0.50, 1.09],而单例设计(SCD)研究的总体效应量(ES)为1.84,95% CI =[1.08, 2.60]。需要更多的研究来了解父母培训组成部分的不同效果,未来的研究应侧重于包括父母治疗完整性的措施,以帮助理解项目的有效性。
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引用次数: 12
Speech-Language Pathologist and Parent Perspectives on Speech-Language Pathology Services for Children With Autism Spectrum Disorders 言语病理学家和家长对自闭症谱系障碍儿童言语病理服务的看法
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-09-13 DOI: 10.1177/1088357620954380
Brenda L. Beverly, L. Mathews
Many speech-language pathologists (SLPs) are underprepared to serve children with autism spectrum disorders (ASDs), despite a growing need and increased expectation for ASD expertise. To understand this practice gap, 60 SLPs and 26 parents of children with ASDs were surveyed regarding SLP knowledge and competency. Of concern was that only about 50% of SLPs correctly identified ASD defining criteria. Respondents rated eight SLP practices as Important to Very Important, but SLPs reported being only Somewhat Competent to Competent. The parents’ rating of SLP competency was significantly lower than parental ratings of importance for one educational practice, use of nonstandardized assessment and observational methods. Also, parents rated the development of the Individualized Education Program significantly higher in importance than SLPs rated it. Findings varied for ASD specialty subgroups. Results support socially valid improvements in preparation for SLPs on the frontlines of assessment, treatment, and development of health and educational systems for children with ASDs.
尽管对自闭症谱系障碍(ASD)专业知识的需求和期望不断增长,但许多语言病理学家(slp)在为自闭症谱系障碍(ASD)儿童服务方面准备不足。为了了解这种实践差距,我们对60名自闭症儿童家长和26名自闭症儿童家长进行了关于自闭症儿童的知识和能力的调查。值得关注的是,只有大约50%的slp正确地识别出ASD的定义标准。受访者将8个SLP实践评为重要到非常重要,但是SLP报告说只有一些胜任到胜任。家长对SLP能力的评分显著低于家长对某项教育实践、非标准化评估和观察方法的重要性评分。此外,家长对个性化教育项目发展的重视程度也明显高于小学生对其的评价。ASD专科亚组的结果各不相同。结果支持在评估、治疗和发展asd儿童健康和教育系统的第一线为slp做准备方面的社会有效改进。
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引用次数: 4
Observational Effects on the Food Preferences of Children With Autism Spectrum Disorder 自闭症谱系障碍儿童食物偏好的观察效应
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-09-11 DOI: 10.1177/1088357620954368
Joseph H. Cihon, M. Weiss, J. L. Ferguson, Justin B. Leaf, T. Zane, R. K. Ross
Research addressing food selectivity has involved intrusive techniques such as escape extinction. It is possible that observational learning methods employed in previous studies could provide the desired results with respect to food selectivity without the need for invasive physical interventions. The purpose of this study was to evaluate the effectiveness of an observational learning procedure on the selection of food items of three children diagnosed with autism spectrum disorder. Baseline consisted of a simple task after which a choice was presented between high- and low-preferred foods. The intervention consisted of observing an adult engage in the same task and selecting the low-preferred food while making favorable comments and engaging with the food in novel ways. The results of a reversal design demonstrated that selection of the low-preferred food only occurred following the introduction of the intervention, and all three participants engaged in flexible responding as a result of the intervention.
针对食物选择性的研究涉及了诸如逃避灭绝之类的侵入性技术。以前的研究中采用的观察学习方法有可能在不需要侵入性物理干预的情况下提供食物选择性方面的预期结果。本研究的目的是评估观察学习程序对三名诊断为自闭症谱系障碍的儿童食物选择的有效性。基线测试包括一个简单的任务,然后在高偏好和低偏好食物之间进行选择。干预包括观察一个成年人参与同样的任务,选择低偏好的食物,同时做出有利的评论,并以新的方式参与食物。逆向设计的结果表明,低偏好食物的选择只发生在干预引入后,所有三个参与者都参与了灵活的反应作为干预的结果。
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引用次数: 4
Relationship Between Symptom Severity and Caregiver Burden Experienced by Parents of Adults With Autism 自闭症成人父母症状严重程度与照顾者负担的关系
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-09-11 DOI: 10.1177/1088357620956927
C. Marsack-Topolewski, Alexandros Maragakis
This study examined the relationship between the severity of autism spectrum disorder (ASD) and caregiver burden among parents of adult children with ASD. Using a mixed-methods study, 320 parents of adults with ASD participated in the web-based survey, with 51 parents participating in follow-up interviews. The quantitative analysis was used to determine whether caregiver burden could be predicted from the severity of ASD factors (communication, behavior, and socialization) and basic and instrumental activities of daily living (BADLs and IADLs). Results indicated that caregiver burden was predicted from BADLs, IADLs, and adult child behavior. Interview themes that emerged from qualitative analyses supported quantitative findings. Behavior was the strongest predictor of caregiver burden and discussed by parents during interviews. Professionals should develop behavioral support programs for adults with ASD to continue to reinforce positive behavior and support parents who are managing their adult child’s difficult behaviors.
本研究调查了成年自闭症谱系障碍(ASD)儿童父母的自闭症谱系疾病严重程度与照顾者负担之间的关系。通过一项混合方法研究,320名ASD成年人的父母参与了这项基于网络的调查,51名父母参与了后续访谈。定量分析用于确定是否可以从ASD因素(沟通、行为和社会化)的严重程度以及日常生活的基本和工具性活动(BADL和IADL)来预测照顾者负担。结果表明,照顾者负担是根据BADL、IADL和成年儿童行为预测的。从定性分析中得出的访谈主题支持了定量调查结果。行为是照顾者负担的最强预测因素,父母在访谈中对此进行了讨论。专业人士应为患有自闭症谱系障碍的成年人制定行为支持计划,以继续加强积极的行为,并支持管理成年子女困难行为的父母。
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引用次数: 9
College-Based Support Programs for Students With Autism 针对自闭症学生的大学支持项目
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-09-11 DOI: 10.1177/1088357620954369
Kathleen D. Viezel, Elizabeth Williams, Wesley H. Dotson
There has been an increase in the number of students with autism spectrum disorder (ASD) attending college. To support this growing population of students, institution-based support programs have developed across the country to promote college success by addressing the social, communication, and executive functioning needs of students with ASD. This study investigated the current state of college-based ASD support programs to analyze current standards of care while also disseminating cohesive program information to professionals and families involved in postsecondary planning. Trends in college-based ASD service provision, admission requirements, and administrative support were identified through a systematic search and examination of traditional 4-year colleges with ASD-specific supports.
患有自闭症谱系障碍(ASD)的学生上大学的人数有所增加。为了支持这一不断增长的学生群体,全国各地都制定了基于机构的支持计划,通过解决自闭症谱系障碍学生的社会、沟通和执行功能需求,促进大学的成功。这项研究调查了大学ASD支持项目的现状,以分析当前的护理标准,同时向参与中学后规划的专业人员和家庭传播有凝聚力的项目信息。通过对具有ASD特定支持的传统四年制大学的系统搜索和检查,确定了基于大学的ASD服务提供、入学要求和行政支持的趋势。
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引用次数: 21
Targeting Question-Asking Initiations in College Students With ASD Using a Video-Feedback Intervention 应用视频反馈干预对ASD大学生进行定向提问
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-09-11 DOI: 10.1177/1088357620943506
W. Detar, Ty W. Vernon
Social conversational vulnerabilities associated with autism spectrum disorders (ASDs) generally persist into young adulthood and have a detrimental impact on short- and long-term academic, vocational, and interpersonal success. In light of these challenges, there is a growing need for targeted interventions to improve the social competencies of this population. The current study examined the effects of a video-feedback intervention that targeted a key social conversational skill—making social initiations to one’s conversational partner. A multiple-baseline research design across three college students with ASD indicated that the use of video feedback to target question-asking initiations was associated with improvements in (a) total questions asked, (b) conversational pauses, (c) nonperseverative discussion, (d) conversational reciprocity, and (e) perceived confidence. These findings generalized across contexts and conversation partners, suggesting that this intervention strategy may hold promise for promoting key social competencies in young adults with ASD.
与自闭症谱系障碍(ASD)相关的社交会话脆弱性通常持续到成年后,并对短期和长期的学业、职业和人际关系成功产生不利影响。鉴于这些挑战,越来越需要有针对性的干预措施来提高这一人群的社会能力。目前的研究考察了视频反馈干预的效果,该干预针对的是一项关键的社交对话技能——向对话伙伴发起社交活动。一项针对三名ASD大学生的多基线研究设计表明,使用视频反馈来针对提问开始,与(A)提问总量、(b)会话停顿、(c)非中断性讨论、(d)会话互惠和(e)感知信心的改善有关。这些发现涵盖了不同的背景和谈话伙伴,表明这种干预策略可能有助于提高自闭症谱系障碍年轻人的关键社会能力。
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引用次数: 2
Social–Behavioral Interventions for Secondary-Level Students With High-Functioning Autism in Public School Settings: A Meta-Analysis 公立学校高功能自闭症中学生社会行为干预的Meta分析
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-09-01 DOI: 10.1177/1088357619890312
Glennda K. McKeithan, Edward Sabornie
The number of secondary-level students with high-functioning autism (HFA) served in public school settings has increased in recent years, and many of these students have difficulty with social–behavioral expectations in such settings. Instructional specialists must know which interventions have been shown to be effective, so they can make informed decisions about service delivery and instructional support (professional development) that maximize the potential for student success. The intent of the present meta-analysis was to examine the efficacy of social–behavioral interventions used with adolescent students with HFA served in public school settings. Thirteen studies employing single-case research designs published in peer-reviewed journals between 1987 and 2018 were found through an extensive literature search. The analyses indicated that specific social skill and behavioral interventions had high effect sizes and, likewise, improved outcomes for students with HFA. Implications for special education practice and future research are provided.
近年来,在公立学校服务的患有高功能自闭症(HFA)的中学生人数有所增加,其中许多学生在这种环境中难以实现社会行为期望。教学专家必须知道哪些干预措施已被证明是有效的,这样他们才能就服务提供和教学支持(专业发展)做出明智的决定,最大限度地发挥学生成功的潜力。本荟萃分析的目的是检验在公立学校环境中对患有HFA的青少年学生使用的社会行为干预的有效性。通过广泛的文献检索,发现了1987年至2018年间发表在同行评审期刊上的13项采用单一案例研究设计的研究。分析表明,特定的社会技能和行为干预具有很高的效果,同样也改善了HFA学生的结果。对特殊教育实践和未来研究提供了启示。
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引用次数: 6
The Endrew Decision’s Impact on the Education of Students With Autism: Implications for Practice and Policy Endrew决策对自闭症学生教育的影响:对实践和政策的启示
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-09-01 DOI: 10.1177/1088357619888928
Sarah Hurwitz, Janet R. Decker, Ilana L. Linder
In 2017, the U.S. Supreme Court provided a ruling regarding what constitutes an appropriate education for students with disabilities in Endrew v. Douglas County. The case concerned a student with autism, and we use it to offer schools and families autism-related recommendations for practice and policy. We analyze the legal history of the educational benefit standard prior to Endrew and what has occurred in the year after the Court’s decision. Endrew may not dramatically alter education for students who are progressing alongside their peers, but it elevates expectations for those like Endrew, who are in self-contained classrooms or are not making grade-level progress. We suggest that schools prioritize behavior management to facilitate academic and functional progress, and theorize that there may be an increase in the number of families requesting evidence-based practices, like Applied Behavior Analysis (ABA), and placement in alternative settings like specialized charter and private schools.
2017年,美国最高法院在Endrew诉道格拉斯县案中就什么是残疾学生的适当教育作出裁决。该案例涉及一名自闭症学生,我们用它为学校和家庭提供与自闭症相关的实践和政策建议。我们分析了Endrew之前教育福利标准的法律历史,以及法院判决后一年发生的事情。Endrew可能不会显著改变与同龄人一起进步的学生的教育,但它提高了对像Endrew这样的学生的期望,他们在独立的教室里,或者没有取得年级水平的进步。我们建议学校优先考虑行为管理,以促进学业和功能进步,并推测可能会有越来越多的家庭要求循证实践,如应用行为分析(ABA),并将其安置在专业特许学校和私立学校等替代环境中。
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引用次数: 0
Examination of Stimulus Over-Selectivity in Children With Autism Spectrum Disorder and Its Relationship to Stereotyped Behaviors and Cognitive Flexibility 自闭症谱系障碍儿童刺激过度选择性的研究及其与刻板印象行为和认知灵活性的关系
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-08-05 DOI: 10.1177/1088357620943504
Michelle P. Kelly, Phil Reed
Stimulus over-selectivity describes a phenomenon in which an individual responds only to a subset of the stimuli present in the environment and, thus, may restrict learning. This study aimed to develop understanding of the nature and role of over-selectivity in autism spectrum disorder (ASD) by analyzing the relationship of over-selectivity to core deficits of ASD: stereotyped responding and inflexibility. Over-selectivity was investigated in a visual discrimination task in 24 children, 12 diagnosed with ASD and 12 mental-age-matched typically developing children. In addition, the participants’ levels of intellectual functioning, stereotypy, and cognitive flexibility were assessed using established tools. Results showed that over-selectivity was associated with IQ and stereotyped behavior but was not related to levels of cognitive flexibility nor did cognitive flexibility significantly correlate with stereotyped behavior in individuals with ASD. The current findings require consideration when designing behavioral interventions for individuals with ASD.
刺激过度选择性描述了一种现象,在这种现象中,个体只对环境中存在的一小部分刺激做出反应,因此可能会限制学习。本研究旨在通过分析过度选择性与自闭症谱系障碍(ASD)核心缺陷:刻板反应和缺乏灵活性的关系,进一步了解过度选择性在自闭症谱系障碍(ASD)中的本质和作用。对24名儿童,12名诊断为ASD的儿童和12名智力年龄匹配的正常发育儿童进行了视觉辨别任务的过度选择性研究。此外,参与者的智力功能水平、刻板印象和认知灵活性使用既定的工具进行评估。结果表明,过度选择性与智商和刻板行为有关,但与认知灵活性水平无关,认知灵活性与ASD个体的刻板行为也没有显著相关性。目前的研究结果需要在为自闭症患者设计行为干预措施时加以考虑。
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引用次数: 10
Teaching Mobile Device-Based Leisure to Adults With Autism Spectrum Disorder and Intellectual Disability 向患有自闭症谱系障碍和智力残疾的成年人教授基于移动设备的休闲
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2020-07-24 DOI: 10.1177/1088357620943500
Kaori Nepo, M. Tincani, S. Axelrod
The use of mobile devices has become a major medium of leisure engagement for the general population. However, individuals with intellectual disabilities (ID) experience disparities in technology access, which may limit their engagement in mobile device-based leisure. Little research has examined procedures for teaching individuals with ID to engage in leisure activities with technology. Employing an iPad2, the present study examined the effects of an intervention package with most-to-least prompting on independent leisure engagement of six adults with autism spectrum disorder (ASD) and ID. In addition, the impact of teaching visual schedule use to increase their independence in leisure engagement was assessed. Results indicated that the interventions were effective in increasing the participants’ independent leisure engagement and their duration of leisure engagement. Caregivers reported high degrees of satisfaction with the interventions.
移动设备的使用已经成为大众休闲活动的主要媒介。然而,智障人士在技术获取方面存在差异,这可能会限制他们参与基于移动设备的休闲活动。很少有研究检验了教有ID的人利用科技从事休闲活动的程序。本研究采用iPad2,对6名患有自闭症谱系障碍(ASD)和ID的成年人进行了最多或最少提示干预包对其独立休闲参与的影响。此外,还评估了视觉教学计划对提高学生在休闲活动中的独立性的影响。结果表明,干预措施能有效提高被试的独立休闲参与程度和休闲参与持续时间。护理人员报告了对干预措施的高度满意度。
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引用次数: 4
期刊
Focus on Autism and Other Developmental Disabilities
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