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Evaluation of Telehealth Delivery of Group Parent-Led Cognitive-Behavioral Therapy During COVID-19: A Pilot Study. 小组家长主导的认知行为治疗在COVID-19期间远程医疗服务的评估:一项试点研究
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-12-01 DOI: 10.1177/10883576221121280
Gary Byrne, Louise Vickers, Eithne Ni Longphuirt, Roisin Cunningham

The COVID-19 pandemic has led to governments around the world imposing varying levels of restrictions and lockdowns leading to home confinement and closure of schools. Children with autism spectrum disorder (ASD) and their families may be particularly susceptible to increased anxiety. A growing evidence base has developed for parent-led cognitive-behavioral therapy (CBT) for child anxiety disorders. The current pilot study aimed to evaluate the preliminary clinical utility (acceptability, feasibility, and efficacy) of a parent-led CBT program in Dublin, Ireland, through an online format. Parents of nine children completed the program. The child did not participate in any part of the online program. Acceptability was strong, and although technical issues were problematic at times, all families completed the program. Preliminary efficacy analysis is mixed, with significant reductions on youth anxiety as measured by clinician-administered questionnaire but no reduction in parent-report measures. Findings suggest that the online program is acceptance, feasible, and effective.

COVID-19大流行导致世界各国政府实施了不同程度的限制和封锁,导致家庭隔离和学校关闭。患有自闭症谱系障碍(ASD)的儿童及其家庭可能特别容易增加焦虑。越来越多的证据表明,家长主导的认知行为疗法(CBT)可以治疗儿童焦虑症。目前的试点研究旨在通过在线形式评估爱尔兰都柏林家长主导的CBT项目的初步临床效用(可接受性、可行性和有效性)。九个孩子的父母完成了这个项目。这个孩子没有参加在线项目的任何部分。可接受性很强,尽管有时会出现技术问题,但所有的家庭都完成了这个项目。初步的疗效分析结果好坏参半,临床医生管理的问卷调查显示,青少年焦虑显著减少,但父母报告的措施没有减少。调查结果表明,在线课程是可接受的,可行的,有效的。
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引用次数: 0
Early Reading Outcomes in Response to a Comprehensive Reading Curriculum for Students With Autism Spectrum Disorder and Intellectual Disability 自闭症谱系障碍和智力障碍学生综合阅读课程的早期阅读效果
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-11-28 DOI: 10.1177/10883576221137905
Carlin L. Conner, Jill Allor, Stephanie Al Otaiba, P. Yovanoff, Lauren M. LeJeune
This study examined the response of two students with autism spectrum disorder and IQ in the intellectual disability range to a comprehensive, text-based reading intervention. The intervention, Friends on the Block, includes multiple strands of literacy providing explicit instruction in phonics, phonemic awareness, high-frequency irregular or temporarily irregular words, decoding, vocabulary, oral language, and comprehension. Multiple supports for students with intensive needs are embedded within the intervention, such as specially designed multi-criteria books, extensive scaffolding, and intensive cumulative review. Teachers customize the program to address the varying needs of students. We used single-case multiple baselines across levels of instruction design to assess growth on a measure of reading (words read correctly). Results indicated a positive, functional relation between reading intervention and word reading. Both students also demonstrated modest growth on measures of phonemic awareness, letter–sound knowledge, and word identification from pre- to post-intervention.
这项研究考察了两名患有自闭症谱系障碍和智商在智力残疾范围内的学生对基于文本的全面阅读干预的反应。干预措施“街区之友”包括多个识字环节,提供语音、音位意识、高频不规则或暂时不规则单词、解码、词汇、口语和理解方面的明确指导。干预措施为有密集需求的学生提供了多种支持,如专门设计的多标准书籍、广泛的脚手架和密集的累积复习。教师根据学生的不同需求定制课程。我们使用跨教学设计水平的单案例多基线来评估阅读(单词阅读正确)的增长。结果表明,阅读干预与单词阅读之间存在着积极的功能关系。从干预前到干预后,两名学生在音位意识、字母发音知识和单词识别方面也表现出了适度的增长。
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引用次数: 1
The Exploration of a Low-Intensity Paraprofessional-Delivered Peer Training in Inclusive High School Classrooms 低强度准专业人员在包容性高中课堂上进行同伴培训的探索
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-11-28 DOI: 10.1177/10883576221137906
Yun-Ching Chung, Karen H. Douglas
Social competence is an essential skill that can be promoted in inclusive high school classrooms. For high school students with developmental disabilities, peer-mediated interventions have shown promise for increasing social communication with feasible implementation. This study focused on increasing the appropriate peer interactions of three high school students with autism or intellectual disabilities in inclusive general education classrooms. We used a single-case multiple probe design to evaluate the effectiveness of a low-intensity peer-mediated intervention delivered by a paraprofessional to six peer partners. Our visual analysis of the data resulted in determining a functional relation between the intervention and students’ appropriate peer interactions. The peer partners and educators found the goals, procedures, and outcomes to be beneficial, important, and practical. We also discuss the implications, limitations, and ideas for future research.
社会能力是一项基本技能,可以在包容性高中课堂上推广。对于有发育障碍的高中生,同伴调解干预措施已显示出通过可行的实施来增加社会沟通的前景。这项研究的重点是增加三名患有自闭症或智力残疾的高中生在包容性普通教育课堂上的适当同伴互动。我们使用单例多探针设计来评估由一名准专业人员向六名同伴伙伴提供的低强度同伴介导干预的有效性。我们对数据的视觉分析确定了干预与学生适当的同伴互动之间的功能关系。同行伙伴和教育工作者发现目标、程序和结果是有益的、重要的和实用的。我们还讨论了未来研究的含义、局限性和想法。
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引用次数: 0
Evaluating the Prevent–Teach–Reinforce Model for High School Students With Autism Spectrum Disorder 高中生孤独症谱系障碍的预防-教学-强化模式评价
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-11-22 DOI: 10.1177/10883576221137284
Deanna Deenihan, K. Blair, Rose Iovannone
This study evaluated the use of the Prevent–Teach–Reinforce (PTR) model as an intensive individualized behavior intervention. Three educators and three high school students with autism spectrum disorder participated in the study. A concurrent multiple baseline design across participants was used to demonstrate the outcomes. The results indicated that the educators implemented the PTR intervention plans with high levels of fidelity, and their implementation of the intervention plans led to decreases in problem behavior and increases in replacement behavior across all three participating students with autism spectrum disorder. The educators demonstrated using the Individualized Behavior Rating Scale Tool effectively as designed to monitor student progress, and the educators and students found the PTR intervention to be acceptable and satisfactory. All three educators expressed interest in continuing to implement the PTR intervention after the completion of the study. Implications and areas for future research are discussed.
本研究评估了预防-教学-强化(PTR)模型作为强化个性化行为干预的使用情况。三名教育工作者和三名患有自闭症谱系障碍的高中生参与了这项研究。参与者之间同时进行的多基线设计用于证明结果。结果表明,教育工作者以高度的忠诚度实施PTR干预计划,他们对干预计划的实施导致三名自闭症谱系障碍学生的问题行为减少,替代行为增加。教育工作者展示了有效使用个性化行为评定量表工具来监测学生的进步,教育工作者和学生发现PTR干预是可接受和令人满意的。三位教育工作者都表示有兴趣在研究完成后继续实施PTR干预。讨论了未来研究的意义和领域。
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引用次数: 0
Using Computer-Assisted Instruction to Decrease Transition Times for Students With Autism Spectrum Disorder 利用计算机辅助教学缩短自闭症谱系障碍学生的过渡时间
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-11-20 DOI: 10.1177/10883576221133501
Kristina A. Bewley, K. Crosland, Asha A. Fuller
Students with autism spectrum disorder (ASD) may have a difficult time transitioning frequently throughout a school day, and problem behavior can be more apparent during this time. Valuable academic time can be preserved by decreasing the time it takes to transition between tasks. Hine et al. (2015) found that computer-assisted instruction (CAI)–based intervention was successful in decreasing classroom transition times for students in general education. The purpose of this study was to evaluate the effects of a similar CAI intervention to decrease the latency to on-task behavior during transitions in students with ASD. Two different transitions were evaluated with three student participants with ASD. Results indicated the CAI intervention decreased latency to on-task behavior for all three participants for both transitions without the need for a reinforcement component. High implementation fidelity and social validity scores demonstrated acceptance of the intervention by both the teachers and the student participants.
患有自闭症谱系障碍(ASD)的学生在学校里可能会有一段困难的过渡时期,在这段时间里,问题行为会更加明显。通过减少任务之间的转换时间,可以节省宝贵的学习时间。Hine等人(2015)发现基于计算机辅助教学(CAI)的干预在减少通识教育学生的课堂过渡时间方面取得了成功。本研究的目的是评估类似CAI干预的效果,以减少ASD学生在过渡期间对任务行为的延迟。对三名自闭症学生参与者进行了两种不同的过渡评估。结果表明,CAI干预在不需要强化成分的情况下,降低了所有三名参与者在两种过渡中对任务行为的延迟。高的实施保真度和社会效度分数表明教师和学生参与者都接受干预。
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引用次数: 1
The Effects of Community Preschool Characteristics on Developmental Outcomes for Students With Autism Spectrum Disorder 社区学前教育特征对自闭症谱系障碍学生发展结果的影响
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-11-17 DOI: 10.1177/10883576221133495
Allison S. Nahmias, Samantha R. Crabbe, Steven C. Marcus, D. Mandell
This study examined factors associated with 9-month outcomes of 78 preschoolers with autism spectrum disorder ([ASD]; 66 males, mean age = 44.8 [7.0] months) receiving preschool special education services. Use of recommended intervention practices was observed in each student’s primary educational setting: autism-only ( n = 28), mixed-disability ( n = 25), and regular early education ( n = 25). Recommended practice use across setting types and developmental changes were compared using generalized estimating equations. Autism-only settings had the highest implementation of classroom structure, classroom environment, and curriculum and instruction. Regular early education had greater implementation of practices to support social and peer relationships. Supporting social and peer relationships was the largest predictor of gains, controlling for setting type; the association was greater for children with lower initial receptive language or developmental skills. These findings highlight the importance of supporting and promoting peer engagement in students with ASD across preschool placement types.
本研究调查了78名患有自闭症谱系障碍的学龄前儿童([ASD];66名男性,平均年龄=44.8[7.0]个月)接受学前特殊教育服务的9个月结果的相关因素。在每个学生的小学教育环境中都观察到了推荐干预措施的使用:仅自闭症(n=28)、混合残疾(n=25)和常规早期教育(n=25)。使用广义估计方程比较了不同环境类型和发展变化的推荐实践使用。只有自闭症的环境对课堂结构、课堂环境、课程和教学的实施程度最高。常规早期教育更多地实施了支持社会和同伴关系的做法。支持社会和同伴关系是收益的最大预测因素,控制了环境类型;对于初始接受语言或发展技能较低的儿童,这种联系更大。这些发现强调了支持和促进ASD学生参与学前教育的重要性。
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引用次数: 0
Efficacy of Teachers Supporting Paraeducators to Implement Functional Communication Training 教师支持辅助教育工作者实施功能沟通培训的效果
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-11-08 DOI: 10.1177/10883576221130715
Nicolette Ogden, Virginia L. Walker, Melissa C. Tapp, Megan E. Carpenter
Functional communication training (FCT) is an evidence-based practice for individuals with autism spectrum disorder (ASD) that can be implemented by practitioners in school settings. However, few s...
功能性沟通训练(FCT)是一种针对自闭症谱系障碍(ASD)患者的循证实践,可以由从业者在学校环境中实施。然而,很少人……
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引用次数: 0
Adaptation of the PEERS for Young Adults Social Skills Curriculum for College Students With Autism Spectrum Disorder 大学生孤独症谱系障碍社会技能课程的同龄人适应
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-11-07 DOI: 10.1177/10883576221133484
Natalie C Ridgely, Ashley A Pallathra, C. Raffaele, Caitlin Rothwell, Brendan A. Rich
Young adults with autism spectrum disorder (ASD) experience a variety of unique challenges that may be compounded for individuals pursuing postsecondary education. Particular difficulties identified for college students with ASD include variability in social skills, social isolation, and reduced access to appropriate support and services. Research on effective interventions supporting college students with ASD is considerably lacking. This pilot study sought to address this area of need by modifying the Program for the Education and Enrichment of Relational Skills (PEERS) for Young Adults, a social skills training program for young adults with autism, for use on a college campus. Following the intervention, participants showed improvements in areas of social functioning that are particularly important for college students with ASD, including overall social functioning, social awareness, social motivation, social cognition, and knowledge of social skills. This study is an important step toward the development of effective interventions that address social competence specifically for young adults with autism in postsecondary educational environments.
患有自闭症谱系障碍(ASD)的年轻人经历了各种独特的挑战,对于追求高等教育的个人来说,这些挑战可能会变得更加复杂。患有ASD的大学生面临的特殊困难包括社交技能的变化、社会孤立以及获得适当支持和服务的机会减少。对于支持ASD大学生的有效干预措施的研究相当缺乏。这项试点研究试图通过修改“青少年关系技能教育和丰富计划”(同龄人)来解决这一领域的需求,这是一项针对患有自闭症的年轻人的社交技能培训计划,并在大学校园中使用。在干预之后,参与者在社会功能方面表现出改善,这些方面对ASD大学生尤为重要,包括整体社会功能、社会意识、社会动机、社会认知和社会技能知识。这项研究是发展有效的干预措施的重要一步,特别是针对中学后教育环境中患有自闭症的年轻成年人。
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引用次数: 0
Self-Determination Development Among College Students With Intellectual and Developmental Disabilities: A Longitudinal Study 智力和发育障碍大学生自主发展的纵向研究
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-11-07 DOI: 10.1177/10883576221133491
Ayse Torres, Kelly B. Kearney, Angelica Downey, Candice Tedesco
Students with intellectual and developmental disabilities (IDD) who attend inclusive postsecondary education (IPSE) programs gain many new and beneficial skills, including independent living, social, and employability skills. Another skill set that may be strengthened by attending an IPSE program is self-determination. There is limited research available identifying the impact of IPSE programs on self-determination growth. We addressed this gap by using a longitudinal study designed to examine the changes in self-determination levels of students with IDD across 3 years in an IPSE program. Data collected from 23 students with IDD at 4 points of time within 3 years showed that there was an increasing trend in students’ self-determination levels at the end of each year. The difference was highly significant between the baseline and the end of the third year. This suggests that IPSE programs can play a critical role in the improvement of the self-determination levels in students with IDD. Implications and future research are discussed.
参加包容性中等后教育(IPSE)项目的智力和发育残疾(IDD)学生获得了许多新的有益技能,包括独立生活、社交和就业技能。参加IPSE项目可以加强的另一项技能是自决。关于IPSE项目对自主成长的影响,现有的研究有限。我们通过一项纵向研究来解决这一差距,该研究旨在检验IPSE项目中IDD学生在3年内自决水平的变化。从23名IDD学生在3年内的4个时间点收集的数据显示,学生的自决水平在每年年底都有上升趋势。基线和第三年结束时的差异非常显著。这表明IPSE项目可以在提高IDD学生的自决水平方面发挥关键作用。讨论了影响和未来的研究。
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引用次数: 0
Effects of Behavioral Skills Training With Video Modeling and In Situ Training on Workplace Conversational Skills of Students With Autism 视频建模行为技能训练和现场训练对自闭症学生职场会话技能的影响
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-10-25 DOI: 10.1177/10883576221127971
Holly N. Whittenburg, Yaoying Xu, Colleen A. Thoma, Carol Schall, Whitney Ham
This study investigated the effects of behavioral skills training (BST) with video modeling and in situ training on workplace conversational skills of four transition-age students with autism enrolled in a U.S. community-based internship program. Intervention sessions began with BST, which included direct instruction, video modeling, conversational practice, and feedback on practice performance, and concluded with in situ training, during which participants conversed with coworkers in their internship settings. Data were collected on participants’ accuracy in conversing with coworkers through mock conversations and in situ trials in internship settings. Findings demonstrated a functional relation between the implementation of the intervention package and increases in skill accuracy on in situ trials for all participants. Substantive improvements in participants’ mock conversation scores within training settings were also noted. Findings highlight the importance of in situ training and how video modeling can be incorporated within a BST instructional sequence.
本研究调查了四名参加美国社区实习项目的过渡年龄自闭症学生的行为技能训练(BST)与视频建模和现场训练对工作场所会话技能的影响。干预课程以BST开始,包括直接指导、视频建模、会话练习和对练习表现的反馈,并以现场培训结束,在此期间,参与者在实习环境中与同事交谈。通过模拟对话和实习环境中的现场试验,收集了参与者与同事交谈的准确性数据。研究结果表明,在所有参与者的原位试验中,干预包的实施与技能准确性的提高之间存在功能关系。在训练设置中,参与者的模拟会话分数也有实质性的改善。研究结果强调了原位培训的重要性,以及如何将视频建模纳入BST教学序列。
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引用次数: 4
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Focus on Autism and Other Developmental Disabilities
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