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Potential Factors of Parenting Stress in Chinese Parents of Children With Autism Spectrum Disorder: A Systematic Review 中国自闭症谱系障碍患儿父母养育压力的潜在因素:系统评价
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-07-12 DOI: 10.1177/10883576211012599
C. S. Ng, Yuan Fang, Zixin Wang, Mengge Zhang
The sizable prevalence of autism spectrum disorder (ASD) in China has recently emerged as an urgent public health issue; however, studies investigating parenting stress in Chinese parents of children with ASD lack clarity in identifying the potential factors of stress. The aim of this systematic review was to identify and categorize the potential factors of stress based on findings in the literature. An extensive search of articles in online databases, including PubMed, Web of Science, and EBSCOhost (ERIC, MEDLINE and PsycINFO), was conducted, as a result of which 24 eligible articles published from 2007 to 2019 were identified. Four key categories of potential factors of parental stress—cultural factors, parents’ psychopathological symptoms, problem behaviors in ASD children, and caregiver burden—were identified. The impact of these potential factors on parental coping strategies and on the quality of life in affected families were also discussed.
自闭症谱系障碍(ASD)在中国的广泛流行最近成为一个紧迫的公共卫生问题;然而,对中国自闭症谱系障碍儿童父母的育儿压力进行调查的研究在确定压力的潜在因素方面缺乏明确性。这篇系统综述的目的是根据文献中的发现,识别和分类潜在的压力因素。对PubMed、Web of Science和EBSCOhost(ERIC、MEDLINE和PsycINFO)等在线数据库中的文章进行了广泛搜索,结果确定了2007年至2019年发表的24篇符合条件的文章。确定了四类潜在的父母压力因素——文化因素、父母的精神病理学症状、自闭症谱系障碍儿童的问题行为和照顾者负担。还讨论了这些潜在因素对父母应对策略和受影响家庭生活质量的影响。
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引用次数: 10
Validation of Wearable Sensor Technology to Measure Social Proximity of Young Children With Autism Spectrum Disorders 可穿戴传感器技术用于测量自闭症谱系障碍幼儿社交距离的验证
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-07-12 DOI: 10.1177/10883576211028223
Sarah N. Douglas, Yan Shi, Saptarshi Das, S. Biswas
Children with autism spectrum disorders (ASD) struggle to develop appropriate social skills, which can lead to later social rejection, isolation, and mental health concerns. Educators play an important role in supporting and monitoring social skills development for children with ASD, but the tools used by educators are often tedious, lack suitable sensitivity, provide limited information to plan interventions, and are time-consuming. Therefore, we conducted a study to evaluate the use of a sensor system to measure social proximity between three children with ASD and their peers in an inclusive preschool setting. We compared video-coded data with sensor data using point-by-point agreement to measure the accuracy of the sensor system. Results suggest that the sensor system can adequately measure social proximity between children with ASD and their peers. The next steps for sensor system validation are discussed along with clinical and educational implications, limitations, and future research directions.
患有自闭症谱系障碍(ASD)的儿童难以培养适当的社交技能,这可能导致后来的社交排斥、孤立和心理健康问题。教育工作者在支持和监测自闭症谱系障碍儿童的社会技能发展方面发挥着重要作用,但教育工作者使用的工具往往乏味,缺乏适当的敏感性,为计划干预措施提供的信息有限,而且耗时。因此,我们进行了一项研究,以评估在包容性学前环境中使用传感器系统来测量三名自闭症谱系障碍儿童与其同龄人之间的社交距离。我们使用逐点一致性将视频编码数据与传感器数据进行比较,以测量传感器系统的准确性。结果表明,该传感器系统可以充分测量ASD儿童与其同龄人之间的社交距离。讨论了传感器系统验证的下一步,以及临床和教育意义、局限性和未来的研究方向。
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引用次数: 4
Expert Consensus on the Development of a School-Based Intervention to Improve the School Participation and Connectedness of Elementary Students on the Autism Spectrum: A Delphi Study 专家共识:发展校本干预以改善自闭症小学生的学校参与与连通性:德尔菲研究
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-07-09 DOI: 10.1177/10883576211030483
A. Hodges, Reinie Cordier, A. Joosten, H. Bourke-Taylor
School participation and connectedness have significant implications for student outcomes while at school and in later life. The need to develop evidence-based interventions to proactively support students with autism spectrum disorder (ASD) is imperative. A two-round Delphi technique was used to gain expert consensus to inform the development of a school-based intervention to improve the school participation and connectedness of elementary students with ASD. Seventy-six expert clinicians, educators, and researchers completed Round 1 and 65 completed Round 2. Consensus was achieved on the application of a conceptual framework of participation in Round 1, which informed the theoretical rationale of the intervention. Consensus on the importance of proposed classroom modules and the feasibility of proposed intervention techniques was achieved in Round 2. The process of gaining expert perspectives to develop an evidence-based intervention provides greater confidence that the intervention will be effective in achieving meaningful outcomes for students with ASD.
学校的参与和联系对学生在学校和以后的生活中的成绩有着重要的影响。迫切需要制定循证干预措施,积极支持自闭症谱系障碍(ASD)学生。使用两轮德尔菲技术获得专家共识,为制定基于学校的干预措施提供信息,以提高自闭症谱系障碍小学生的学校参与度和联系度。76名专家临床医生、教育工作者和研究人员完成了第一轮,65人完成了第二轮。在第一轮参与的概念框架的适用问题上达成了共识,这为干预的理论依据提供了依据。第二轮会议就拟议课堂单元的重要性和拟议干预技术的可行性达成了共识。获得专家观点以制定循证干预措施的过程为ASD学生提供了更大的信心,相信该干预措施将有效地实现有意义的结果。
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引用次数: 1
School Readiness for Children With Autism Spectrum Disorder: Critical Gaps and Call for Research 自闭症谱系障碍儿童的入学准备:关键差距和研究呼吁
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-07-04 DOI: 10.1177/10883576211028206
Amy K. Izuno-Garcia, Emily R. Jellinek, Georgina J. Rosenbrock, Milena A. Keller-Margulis, Sarah S. Mire
Students who enter kindergarten without school readiness skills are more likely to demonstrate academic, behavioral, and social struggles during school. Children with autism spectrum disorder (ASD) are particularly at risk for underdeveloped school readiness skills, which can undermine academic achievement and result in poor long-term outcomes. The purpose of this article is to synthesize literature that aligns with a widely used Office of Head Start’s model of school readiness, applied to children with ASD, and to present critical gaps in research and opportunities for practice that may improve school readiness in this population. Research in this area may ultimately help to enhance service delivery that improves preparation for school and, therefore, later academic and long-term life outcomes for students with ASD.
进入幼儿园时没有具备入学准备技能的学生更有可能在学校表现出学业、行为和社会方面的挣扎。患有自闭症谱系障碍(ASD)的儿童在入学准备技能不发达方面面临的风险尤其大,这可能会影响他们的学业成绩,并导致长期结果不佳。本文的目的是综合与广泛应用于ASD儿童的Head Start办公室的入学准备模型相一致的文献,并提出研究中的关键差距和实践机会,以提高这一人群的入学准备。这一领域的研究可能最终有助于提高服务的提供,从而改善ASD学生的入学准备,从而改善他们以后的学业和长期生活结果。
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引用次数: 2
The Experience of Learning to Drive for People With Autism Spectrum Disorder 自闭症谱系障碍患者学习开车的经验
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-06-22 DOI: 10.1177/10883576211023312
Priscilla Vindin, N. Wilson, Hoe C Lee, Reinie Cordier
Gaining a driver’s license can be difficult for student drivers with autism spectrum disorder (ASD), yet little is known about their experiences of learning to drive. In this qualitative study, focus groups and individual interviews were employed to ascertain the perceptions of three participant groups, including people with ASD, parents of people with ASD, and driving instructors with experience teaching people with ASD to drive. Participants in each group were asked to discuss their feelings, concerns, and barriers encountered while learning to drive, along with the driving behaviors, challenges, and strategies used when supporting people with ASD to learn to drive. Grounded theory analysis was used to shed light on the experience of learning to drive for people with ASD. Five themes emerged supporting the core construct that targeted support ameliorates intrinsic driving complexities, generating success: (a) challenges that increase the complexity of learning to drive, (b) external challenges to overcome, (c) concerns about the reality of driving, (d) the need for a specialized model of training, and (e) success is possible. These findings highlight the importance of developing an autism-specific driving training intervention designed for people with ASD, their families, and driving instructors.
对于患有自闭症谱系障碍(ASD)的学生司机来说,获得驾驶执照可能很困难,但人们对他们学习驾驶的经历知之甚少。在这项定性研究中,采用焦点小组和个人访谈的方式来确定三个参与者群体的看法,包括自闭症患者、自闭症患者的父母和有经验教自闭症患者驾驶的驾驶教练。每个小组的参与者都被要求讨论他们在学习驾驶时遇到的感受、担忧和障碍,以及在支持自闭症患者学习驾驶时使用的驾驶行为、挑战和策略。扎根理论分析用于阐明自闭症患者学习驾驶的经验。有针对性的支持改善内在驾驶复杂性的核心结构出现了五个主题,产生了成功:(a)增加学习驾驶复杂性的挑战,(b)需要克服的外部挑战,(c)对驾驶现实的关注,(d)对专门培训模式的需求,以及(e)成功是可能的。这些发现强调了开发针对自闭症患者、他们的家庭和驾驶教练的自闭症特定驾驶训练干预措施的重要性。
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引用次数: 2
Teaching Young Children to Make Bids to Play to Peers With Autism Spectrum Disorder 教幼儿与患有自闭症谱系障碍的同龄人一起玩耍
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-06-22 DOI: 10.1177/10883576211023326
Ana D. Dueñas, Sophia R. D’Agostino, Joshua B. Plavnick
Peer-mediated intervention (PMI) within the inclusive early childhood setting increases social exposure between children with autism spectrum disorder (ASD) and typically developing peers. However, PMI research to date has provided limited data on the adherence of strategies taught to typically developing peers during training. The present study examined the extent to which a packaged intervention consisting of video modeling (VM) was an effective tool to promote bids to play by typically developing peers to children with ASD during unstructured indoor and outdoor play. A multiple probe across participants design demonstrated that (a) all three typically developing peers learned to invite children with ASD to play after observing video models and (b) children with ASD increased independent responses to initiations with least-to-most prompting from an adult.
在包容性幼儿环境中,同伴中介干预(PMI)增加了自闭症谱系障碍(ASD)儿童与典型发育中的同伴之间的社会接触。然而,到目前为止,PMI研究提供了有限的数据,说明在培训期间向典型发展同伴传授的策略的依从性。本研究考察了由视频建模(VM)组成的一揽子干预在多大程度上是一种有效的工具,可以在非结构化的室内和室外游戏中促进典型发育同伴对ASD儿童的玩耍行为。一项跨参与者的多重探测设计表明:(A)所有三个典型发展的同伴在观察视频模型后学会了邀请ASD儿童玩耍;(b) ASD儿童在成人的提示最少到最多的情况下,对启动的独立反应增加。
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引用次数: 4
Technology-Aided Instruction and Intervention in Teaching Students With Autism to Make Inferences 自闭症学生推理能力的技术辅助教学与干预
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-05-03 DOI: 10.1177/10883576211012597
J. Kouo, Courtney Visco
Inferential readings skills are necessary in ensuring that students with autism spectrum disorders (ASD) are successful in the general education curriculum. These skills provide a foundation for reading comprehension across content areas. Technology-aided instruction and intervention (TAII) has the potential to address these reading deficits, by presenting content in an interactive format. Using an adapted alternating treatment design (ATD), the present study compared the impact of the TinyTap app, videos, and traditional graphic organizers to improve the inferential reading skills of two middle school students with ASD. Replication of the most effective intervention occurred, and maintenance data were collected. The results suggested that the TinyTap treatment condition was the most functionally effective in increasing inferential reading skills. From the research, there are a number of implications moving forward for both practitioners and future researchers examining the impact of TAII on academic skills.
推理阅读技能对于确保自闭症谱系障碍(ASD)学生在普通教育课程中取得成功是必要的。这些技能为内容领域的阅读理解奠定了基础。技术辅助教学和干预(TAII)有可能通过以互动形式呈现内容来解决这些阅读缺陷。本研究采用自适应交替治疗设计(ATD),比较了TinyTap应用程序、视频和传统图形组织者对提高两名ASD中学生推理阅读技能的影响。复制了最有效的干预措施,并收集了维护数据。结果表明,TinyTap处理条件在提高推理阅读技能方面是最有效的。从这项研究来看,研究TAII对学术技能的影响,对从业者和未来的研究人员都有许多启示。
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引用次数: 0
A Systematic Review of Social Maintenance Behavior Outcomes of Interactive Social Interventions for Children With Autism Spectrum Disorders 互动式社会干预对自闭症谱系障碍儿童社会维持行为结果的系统评价
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-02-09 DOI: 10.1177/1088357621989324
C. Short, Pedro Vital
A large and varied evidence base supporting the efficacy of social therapies to improve the social behaviors of children with autism spectrum disorders (ASD) does not permit a clear understanding of which specific types of social behavior are improved by specific social therapies. Social maintenance behaviors function to form and sustain relationships, which has been associated with a reduction in negative social experiences in children with ASD. The present systematic review investigates the effectiveness of interactive social therapy in increasing these specific behaviors in this population. A systematic search of PsycArticles, Medline, Education Resources Information Centre, Child Development and Adolescent Studies, and Scopus databases identified 18 articles as relevant for inclusion. The extant evidence suggests that interactive social therapies are effective in increasing social maintenance behaviors in children with ASD. Explicit targeting of these behaviors and inclusion of reinforcement are highlighted as potentially active components in this regard.
支持社会疗法改善自闭症谱系障碍(ASD)儿童社会行为的功效的大量多样的证据基础,不允许明确了解哪些特定类型的社会行为通过特定的社会疗法得到改善。社会维持行为的作用是形成和维持关系,这与ASD儿童负面社会体验的减少有关。本系统综述调查了互动社会治疗在增加这一人群中这些特定行为方面的有效性。通过对PsycArticles、Medline、教育资源信息中心、儿童发展和青少年研究以及Scopus数据库的系统搜索,确定了18篇与纳入相关的文章。现有证据表明,互动式社会疗法在增加ASD儿童的社会维持行为方面是有效的。在这方面,明确针对这些行为和包含强化被强调为潜在的活性成分。
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引用次数: 1
Superheroes Social Skills: A Comparison of Video Only and Full Curriculum on Social Skill Use 超级英雄社交技能:视频课程与完整课程在社交技能运用方面的比较
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-02-09 DOI: 10.1177/1088357621989260
Keith C. Radley, Kate A. Helbig, S. Schrieber, Mary E. Ware, Evan H. Dart
A substantial number of multicomponent interventions have been developed to address social functioning in individuals with autism spectrum disorder (ASD). For multicomponent interventions, identifying critical elements of the intervention related to behavior change is critical and may potentially improve the social validity of interventions. Such an analysis of the Superheroes Social Skills program was conducted. Three participants with ASD and one participant without a diagnosis participated in a 4-week intervention in which three target social skills were taught. Participants were first exposed to only the video-based elements of intervention, followed by participation in the full curriculum. Results of the study indicated that exposure to video elements often resulted in limited increases in skill accuracy, but the largest increases were observed during training with the full curriculum. Limitations and future directions are discussed with respect to multicomponent interventions for individuals with ASD.
已经开发了大量多组分干预措施来解决自闭症谱系障碍(ASD)患者的社会功能问题。对于多成分干预措施,识别与行为改变相关的干预措施的关键要素至关重要,并可能提高干预措施的社会有效性。对超级英雄社交技能项目进行了这样的分析。三名患有自闭症谱系障碍的参与者和一名未确诊的参与者参加了为期4周的干预,其中教授了三项目标社交技能。参与者首先只接触到基于视频的干预元素,然后参与完整的课程。研究结果表明,接触视频元素通常会导致技能准确性的有限提高,但在完整课程的训练中观察到最大的提高。讨论了ASD患者多组分干预的局限性和未来方向。
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引用次数: 1
Implementing a Parent Education Intervention in Colombia: Assessing Parent Outcomes and Perceptions Across Delivery Modes 在哥伦比亚实施家长教育干预:评估家长在不同交付模式下的成果和看法
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2021-02-08 DOI: 10.1177/1088357620986947
S. Magaña, Marie Tejero Hughes, Kristen Salkas, W. Gonzales, Giselle Núñez, M. Morales, M. Garcia Torres, Marisol Moreno-Angarita
Knowledge and identification of autism spectrum disorder (ASD) are increasing in Latin America, yet there are limited resources available to help families of children with ASD. For this study, researchers adapted and tested a parent educational program created for Latino immigrant parents of children with ASD in the United States to the needs of parents of children with ASD in Colombia. Parents were randomized into two intervention delivery modes, one led by parents and the other by students. All measures were self-reported by parents (n = 20). Parents improved in understanding their child’s strengths and needs and frequency of using evidence-based strategies. Parents in the student-led group reported significantly lower depressive symptoms between baseline and follow-up. In focus groups, parents expressed satisfaction with the intervention and described ways they were using the information. This study demonstrated promising results to improve the experience of parents of children with ASD in Colombia.
拉丁美洲对自闭症谱系障碍(ASD)的了解和识别正在增加,但可用于帮助自闭症谱系疾病儿童家庭的资源有限。在这项研究中,研究人员根据哥伦比亚自闭症儿童父母的需求,调整并测试了一项为美国自闭症儿童的拉丁裔移民父母创建的家长教育计划。家长被随机分为两种干预实施模式,一种由家长主导,另一种由学生主导。所有测量均由父母(n=20)自我报告。父母在了解孩子的优势和需求以及使用循证策略的频率方面有所提高。学生领导小组的家长报告说,在基线和随访期间,抑郁症状显著降低。在焦点小组中,家长们对干预措施表示满意,并描述了他们使用信息的方式。这项研究证明了有希望改善哥伦比亚自闭症谱系障碍儿童父母体验的结果。
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引用次数: 9
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Focus on Autism and Other Developmental Disabilities
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