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Parent perceptions of a group telepractice communication intervention for autism. 家长对自闭症群体远程交流干预的看法。
Q1 EDUCATION, SPECIAL Pub Date : 2022-01-06 eCollection Date: 2022-01-01 DOI: 10.1177/23969415211070127
Robyn Garnett, Bronwyn Davidson, Patricia Eadie
<p><strong>Background & aims: </strong>Estimates suggest that one in 59 children receive a diagnosis of autism and that early intervention can be effective if applied consistently and intensively. Parent implemented intervention can increase intervention consistency and intensity however, availability of providers, geographical factors, time constraints, and parental stress levels can all act as barriers to service access. Limitations in understanding elements that support family engagement can also impact participation in intervention. Telepractice can increase availability of intervention services and decrease the time and costs associated with face-to-face delivery. Research focused on children with autism has shown that telepractice is acceptable to parents. Despite positive findings for telepractice services with individual clients, limited research has been conducted on telepractice services for parent groups; parent perceptions and preferences regarding intervention; and service delivery methods. This research aimed to investigate parent perceptions of a group intervention programme for autism; the telepractice approach; parent and child outcomes; and parental stress. The purpose of the investigation was to build an understanding of parent's intervention preferences to inform future service offerings, increase choice, and support participation.</p><p><strong>Methods: </strong>Eleven parents of preschool children with autism participated in a telepractice delivered group training programme called Hanen More Than Words (HMTW). The intervention is traditionally delivered face to face and teaches strategies to facilitate social-communication development in young children.Quantitative and qualitative measures were used to evaluate parent perceptions of the telepractice HMTW intervention. Data were collected via the Parenting Stress Index, HMTW programme evaluation forms, and online parent survey.Quantitative data was analysed using descriptive statistics. Pre- and post-intervention comparisons of parenting stress were conducted using paired T-Tests. Open comment field responses were analysed qualitatively using a directed content analysis.</p><p><strong>Results: </strong>Parents reported high levels of satisfaction with telepractice delivered HMTW across intervention and post programme evaluations. Interactive learning opportunities, group participation, video coaching, individualisation of service, and programme facilitation were identified as key supports to learning.Parents perceived increased insight into the interaction, learning, and behaviour of themselves and their children. They reported positive changes in strategy implementation and confidence. Parents also perceived improvements in their children's communication, responsiveness, interaction, and play following intervention. Parental stress measurements from pre- to post intervention, were not significantly different.</p><p><strong>Conclusions: </strong>Telepractice may reduce servic
背景与目的:据估计,每59名儿童中就有1人被诊断为自闭症,如果持续和密集地进行早期干预,可能会有效。父母实施的干预措施可以提高干预措施的一致性和强度,然而,提供者的可用性、地理因素、时间限制和父母的压力水平都可能成为获得服务的障碍。对支持家庭参与的要素理解的限制也会影响干预的参与。远程实践可以增加干预服务的可用性,并减少与面对面交付相关的时间和成本。针对自闭症儿童的研究表明,家长可以接受远程训练。尽管对个人客户的远程医疗服务有积极的发现,但对父母群体的远程医疗服务进行的研究有限;家长对干预的看法和偏好;以及服务提供方式。本研究旨在调查父母对自闭症群体干预计划的看法;远程教学方法;父母和儿童的结果;还有父母的压力。调查的目的是了解家长的干预偏好,以便为未来的服务提供提供信息,增加选择,并支持参与。方法:11名学龄前自闭症儿童的家长参加了一个名为“哈宁多语”(HMTW)的远程教学小组培训项目。传统上,这种干预是面对面的,教授促进幼儿社会沟通发展的策略。采用定量和定性的方法来评估家长对远程实践HMTW干预的看法。数据通过父母压力指数、HMTW项目评估表和在线家长调查收集。定量资料采用描述性统计进行分析。采用配对t检验进行干预前和干预后父母压力的比较。使用定向内容分析对公开评论字段的响应进行定性分析。结果:通过干预和项目后评估,家长对远程实践提供的HMTW有很高的满意度。互动学习机会、小组参与、视频指导、个性化服务和项目促进被确定为学习的关键支持。父母对自己和孩子的互动、学习和行为有了更深入的了解。他们报告了战略实施和信心方面的积极变化。父母还发现,在干预后,孩子的沟通、反应、互动和玩耍都有所改善。父母压力测量从干预前到干预后,没有显著差异。结论:远程实践可以减少服务障碍,提高可及性,特别是群体交付方式的效率。利用技术来提供群体干预是父母可以接受的,并且被认为对父母和孩子都有积极的结果。进一步调查父母对干预类型和提供方法的看法,有助于更广泛地了解家庭在服务获取和参与方面的需求。影响:扩大远程医疗服务可以提高效率和家庭和服务提供者的服务选择。服务可用性方面的限制以及服务获取和参与方面的障碍,证实了追求持续的服务改进和评估服务用户偏好的重要性。开发标准化工具来衡量和比较家长对干预类型和服务提供方法的看法将是有益的。
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引用次数: 9
Teaching addition strategies to students with learning difficulties. 向有学习困难的学生教授加法策略。
Q1 EDUCATION, SPECIAL Pub Date : 2021-09-28 eCollection Date: 2021-01-01 DOI: 10.1177/23969415211045324
Irene Polo-Blanco, Eva M González López

Background & aims: In recent years, there has been an increased interest in analyzing the mathematical performance of students with learning difficulties in order to provide them with teaching methods adapted to their needs. In particular, the importance of studying the type of informal strategy that students use when solving problems has been highlighted. Observing how these strategies emerge and develop in children with learning difficulties is crucial, as it allows us to understand how they develop a subsequent understanding of arithmetic operations. In this paper we study the effect of explicit instruction in addition strategies, focusing on the minimum addend strategy, and analyze the difficulties that arise during this process.

Methods: An adapted multiple-probe design across students with a microgenetic approach was employed to assess the effectiveness of the teaching instruction and the acquisition of the minimum addend strategy while solving addition word problems. The participants were three primary-school children (two boys and one girl) with learning difficulties, one of them diagnosed with autism spectrum disorder. The instruction on the minimum addend strategy was sequenced into levels of abstraction based on the addends represented with and without manipulatives.

Results: The results show that the three participants were able to acquire the minimum addend strategy and transfer it to two-step problems. They all showed difficulties during the instructional process, with quantity comparison difficulties predominating. The instruction provided to address these and other difficulties is detailed for each participant.

Conclusions: The teaching of the minimum addend strategy has proven effective, and all three students acquired it throughout the instruction. The results concerning the student diagnosed with autism spectrum disorder are especially interesting given the lack of studies that focus on the strategies employed by students with this disorder to solve arithmetic problems. In this sense, the use of the microgenetic approach was especially useful to observe the type of spontaneous strategies used by this participant, and how they varied in response to the instruction.

Implications: Each study participant faced different difficulties and needed different periods of time to assimilate the new strategy. Conclusions are drawn for educators to help children with learning difficulties advance to more sophisticated strategies, so they can acquire these and subsequent mathematical concepts.

背景与目的:近年来,人们对分析学习困难学生的数学表现越来越感兴趣,以便为他们提供适合他们需要的教学方法。特别是,研究学生在解决问题时使用的非正式策略的重要性得到了强调。观察这些策略如何在有学习困难的儿童中出现和发展是至关重要的,因为它使我们了解他们如何发展对算术运算的后续理解。本文研究了显性教学对加法策略的影响,重点研究了最小加法策略,并分析了在此过程中出现的困难。方法:采用自适应多探针设计,采用微遗传学方法评估教学效果和解加法题时最小加数策略习得情况。参与者是三名有学习困难的小学生(两男一女),其中一人被诊断为自闭症谱系障碍。根据有和没有操纵符的加数表示,对最小加数策略的指令进行了抽象排序。结果:三名参与者都能获得最小加法策略,并将其转化为两步问题。他们在教学过程中都表现出困难,以数量比较困难为主。为解决这些和其他困难而提供的指导对每个参与者都是详细的。结论:最小加法策略的教学是有效的,三个学生在整个教学过程中都掌握了最小加法策略。考虑到缺乏关于自闭症谱系障碍学生解决算术问题的研究,关于自闭症谱系障碍学生的研究结果尤其有趣。从这个意义上说,使用微遗传学方法特别有用,可以观察参与者使用的自发策略的类型,以及它们对指令的反应如何变化。启示:每个研究参与者面临不同的困难,需要不同的时间来吸收新的策略。结论是为教育工作者提供帮助,帮助有学习困难的儿童学习更复杂的策略,这样他们就可以获得这些和随后的数学概念。
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引用次数: 3
Corrigendum to "'I have more control over my life': A qualitative exploration of challenges, opportunities, and support needs among autistic university students". “‘我对自己的生活有更多的控制’:对自闭症大学生的挑战、机遇和支持需求的定性探索”的勘误表。
Q1 EDUCATION, SPECIAL Pub Date : 2021-06-24 eCollection Date: 2021-01-01 DOI: 10.1177/23969415211028689

[This corrects the article DOI: 10.1177/23969415211010419.].

[这更正了文章DOI: 10.1177/23969415211010419.]。
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引用次数: 0
'I have more control over my life': A qualitative exploration of challenges, opportunities, and support needs among autistic university students. “我对自己的生活有更多的控制”:对自闭症大学生的挑战、机遇和支持需求的定性探索。
Q1 EDUCATION, SPECIAL Pub Date : 2021-05-17 eCollection Date: 2021-01-01 DOI: 10.1177/23969415211010419
Matthew Scott, Felicity Sedgewick

Background: Autistic people are known to experience more mental health issues than non-autistic people, and the same is true among university students. These difficulties can have long-term consequences, such as dropping out of university and unemployment. Understanding the challenges autistic students face can help institutions to better support this group, while allowing celebration of the opportunities higher education offers.

Methods: 12 autistic university students took part in semi-structured interviews about their mental health, the impact of university on their mental health, and their experiences of support while in higher education. Interviews were subject to thematic analysis.

Results: Three key themes were identified from autistic student accounts: Relationships, Independence, and Support. While each of these encompassed positive and negative elements, Relationships were described as tying everything together - when these were supportive, things went well, but when they were characterized by stigmatizing attitudes, students experienced much greater difficulties at university.

Conclusions: Autistic students can and do thrive at university, as shown by many of our participants. However, all faced significant challenges with their mental health at times, and experienced varying levels of support. Improving autism knowledge among staff, with emphasis on enabling better relationships, would make a significant difference to the autistic student experience.

背景:众所周知,自闭症患者比非自闭症患者有更多的心理健康问题,在大学生中也是如此。这些困难可能会产生长期的后果,比如从大学辍学和失业。了解自闭症学生面临的挑战可以帮助机构更好地支持这一群体,同时也可以庆祝高等教育提供的机会。方法:对12名自闭症大学生进行半结构式访谈,了解其心理健康状况、大学对其心理健康的影响以及在高等教育中的支持经历。访谈需要进行专题分析。结果:从自闭症学生的描述中确定了三个关键主题:关系,独立性和支持。虽然每一种关系都包含积极和消极的因素,但人际关系被描述为将一切联系在一起——当人际关系是支持性的,事情就会进展顺利,但当人际关系以污名化的态度为特征时,学生在大学里会经历更大的困难。结论:正如我们的许多参与者所表明的那样,自闭症学生可以而且确实在大学里茁壮成长。然而,所有人有时都面临着心理健康方面的重大挑战,并经历了不同程度的支持。提高员工的自闭症知识,重点是建立更好的关系,将对自闭症学生的经历产生重大影响。
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引用次数: 9
Cognitive and linguistic effects of narrative-based language intervention in children with Developmental Language Disorder. 基于叙事的语言干预对发展性语言障碍儿童的认知和语言影响。
Q1 EDUCATION, SPECIAL Pub Date : 2021-05-17 eCollection Date: 2021-01-01 DOI: 10.1177/23969415211015867
Laura J Pauls, Lisa Md Archibald
Background and aims Narrative-based language intervention provides a naturalistic context for targeting overall story structure and specific syntactic goals in children with Developmental Language Disorder (DLD). Given the cognitive demands of narratives, narrative-based language intervention also has the potential to positively impact related abilities such as working memory and academic skills. Methods Ten children (8–11 years old) with DLD completed 15 sessions of narrative-based language intervention. Results Results of single subject data revealed gains in language for five participants, four of whom improved on a probe tapping working memory. An additional four participants improved on a working memory probe only. On standardized measures, clinically significant gains were noted for one additional participant on a language measure and one additional participant on a visuospatial working memory. Carry over to reading was noted for three participants and to math for one participant. Across measures, gains in both verbal and visuospatial working memory were common. A responder analysis revealed that improvement in language may be associated with higher verbal short-term memory and receptive language at baseline. Those with working memory impairments were among those showing the fewest improvements across measures. Conclusions Narrative-based language intervention impacted verbal skills in different ways across individual children with DLD. Implications: Further research is needed to gain an understanding of who benefits most from narrative-based language intervention.
背景与目的:基于叙事的语言干预为发展性语言障碍儿童的整体故事结构和特定句法目标提供了一个自然的语境。考虑到叙事的认知需求,基于叙事的语言干预也有可能对工作记忆和学术技能等相关能力产生积极影响。方法:10名8-11岁的DLD患儿完成了15次基于叙述的语言干预。结果:单个受试者数据的结果显示,五名参与者在语言方面有所提高,其中四人在探索工作记忆方面有所提高。另外四名参与者仅在工作记忆探测上有所改善。在标准化测试中,一名额外的参与者在语言测试和一名额外的参与者在视觉空间工作记忆上获得了临床显著的收益。3名参与者注意到阅读的延续,1名参与者注意到数学的延续。在各种测量中,语言和视觉空间工作记忆的增加是普遍的。一项应答者分析显示,语言能力的提高可能与更高的短期言语记忆和接受性语言有关。那些有工作记忆障碍的人在各项测量中表现出的改善最少。结论:基于叙述的语言干预以不同的方式影响DLD儿童的语言技能。启示:需要进一步的研究来了解谁从基于叙述的语言干预中获益最多。
{"title":"Cognitive and linguistic effects of narrative-based language intervention in children with Developmental Language Disorder.","authors":"Laura J Pauls,&nbsp;Lisa Md Archibald","doi":"10.1177/23969415211015867","DOIUrl":"https://doi.org/10.1177/23969415211015867","url":null,"abstract":"Background and aims Narrative-based language intervention provides a naturalistic context for targeting overall story structure and specific syntactic goals in children with Developmental Language Disorder (DLD). Given the cognitive demands of narratives, narrative-based language intervention also has the potential to positively impact related abilities such as working memory and academic skills. Methods Ten children (8–11 years old) with DLD completed 15 sessions of narrative-based language intervention. Results Results of single subject data revealed gains in language for five participants, four of whom improved on a probe tapping working memory. An additional four participants improved on a working memory probe only. On standardized measures, clinically significant gains were noted for one additional participant on a language measure and one additional participant on a visuospatial working memory. Carry over to reading was noted for three participants and to math for one participant. Across measures, gains in both verbal and visuospatial working memory were common. A responder analysis revealed that improvement in language may be associated with higher verbal short-term memory and receptive language at baseline. Those with working memory impairments were among those showing the fewest improvements across measures. Conclusions Narrative-based language intervention impacted verbal skills in different ways across individual children with DLD. Implications: Further research is needed to gain an understanding of who benefits most from narrative-based language intervention.","PeriodicalId":36716,"journal":{"name":"Autism and Developmental Language Impairments","volume":" ","pages":"23969415211015867"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/23969415211015867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40687687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Word learning and verbal working memory in children with developmental language disorder. 发展性语言障碍儿童的词汇学习和言语工作记忆。
Q1 EDUCATION, SPECIAL Pub Date : 2021-03-31 eCollection Date: 2021-01-01 DOI: 10.1177/23969415211004109
Emily Jackson, Suze Leitão, Mary Claessen, Mark Boyes

Background and aims: Previous research into word learning in children with developmental language disorder (DLD) indicates that the learning of word forms and meanings, rather than form-referent links, is problematic. This difficulty appears to arise with impaired encoding, while retention of word knowledge remains intact. Evidence also suggests that word learning skills may be related to verbal working memory. We aimed to substantiate these findings in the current study by exploring word learning over a series of days.

Methods: Fifty children with DLD (mean age 6; 11, 72% male) and 54 age-matched typically developing (TD) children (mean age 6; 10, 56% male) were taught eight novel words across a four-day word learning protocol. Day 1 measured encoding, Days 2 and 3 measured re-encoding, and Day 4 assessed retention. At each day, word learning success was evaluated using Naming, Recognition, Description, and Identification tasks.

Results: Children with DLD showed comparable performance to the TD group on the Identification task, indicating an intact ability to learn the form-referent links. In contrast, children with DLD performed significantly worse for Naming and Recognition (signifying an impaired ability to learn novel word forms), and for Description, indicating problems establishing new word meanings. These deficits for the DLD group were apparent at Days 1, 2, and 3 of testing, indicating impairments with initial encoding and re-encoding; however, the DLD and TD groups demonstrated a similar rate of learning. All children found the retention assessments at Day 4 difficult, and there were no significant group differences. Finally, verbal working memory emerged as a significant moderator of performance on the Naming and Recognition tasks, such that children with DLD and poor verbal working memory had the lowest levels of accuracy.

Conclusions: This study demonstrates that children with DLD struggle with learning novel word forms and meanings, but are unimpaired in their ability to establish new form-referent links. The findings suggest that the word learning deficit may be attributed to problems with encoding, rather than with retention, of new word knowledge; however, further exploration is required given the poor performance of both groups for retention testing. Furthermore, we found evidence that an impaired ability to learn word forms may only be apparent in children who have DLD and low levels of verbal working memory.

Implications: When working with children with DLD, speech-language pathologists should assess word learning using tasks that evaluate the ability to learn word forms, meanings, and form-referent links to develop a profile of individual word learning strengths and weaknesses. Clinicians should also assess verbal working memory to identify children at particu

背景与目的:以往关于发展性语言障碍儿童词汇学习的研究表明,词汇形式和意义的学习存在问题,而形式-参照链接的学习则存在问题。这种困难似乎出现在编码受损的情况下,而单词知识的保留仍然完好无损。有证据表明,单词学习技能可能与语言工作记忆有关。我们的目标是在当前的研究中通过探索单词学习的一系列天来证实这些发现。方法:50例DLD患儿(平均年龄6岁;11.72%男性)和54名年龄匹配的典型发育(TD)儿童(平均年龄6岁;10(56%为男性)在为期四天的单词学习计划中学习8个新单词。第1天测量编码,第2天和第3天测量重新编码,第4天评估保留率。每天,通过命名、识别、描述和识别任务来评估单词学习的成功程度。结果:DLD儿童在识别任务上的表现与TD组相当,表明他们具有完整的学习形式相关链接的能力。相比之下,患有DLD的儿童在命名和识别(表明学习新单词形式的能力受损)和描述(表明建立新单词含义的问题)方面的表现明显较差。DLD组的这些缺陷在测试的第1、2和3天是明显的,表明初始编码和重新编码的损伤;然而,DLD组和TD组表现出相似的学习速度。所有的孩子在第4天都发现记忆评估很困难,并且没有显著的组差异。最后,言语工作记忆对命名和识别任务的表现起着重要的调节作用,因此,DLD和言语工作记忆差的儿童的准确性水平最低。结论:本研究表明,患有DLD的儿童在学习新单词的形式和意义方面存在困难,但他们建立新形式-参照联系的能力并未受到损害。研究结果表明,单词学习缺陷可能归因于编码问题,而不是新单词知识的保留问题;然而,考虑到两组玩家在留存率测试中的糟糕表现,我们还需要进一步探索。此外,我们发现有证据表明,学习词形的能力受损可能只在患有DLD和言语工作记忆水平较低的儿童中表现出来。含义:当与患有DLD的儿童一起工作时,语言病理学家应该使用评估单词学习能力的任务来评估单词学习,这些任务包括学习单词的形式、含义和形式参考链接的能力,以形成个人单词学习优势和劣势的概况。临床医生还应该评估语言工作记忆,以识别有语言学习缺陷风险的儿童。未来的研究应该探索促进语言和言语工作记忆不良儿童单词学习的最佳干预强度的概念。
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引用次数: 7
Speaking like a scientist: A multiple case study on sketch and speak intervention to improve expository discourse. 像科学家一样说话:素描和说话干预提高说明性话语的多案例研究。
Q1 EDUCATION, SPECIAL Pub Date : 2021-03-16 eCollection Date: 2021-01-01 DOI: 10.1177/2396941521998604
Amy K Peterson, Teresa A Ukrainetz, R J Risueño

Purpose: This descriptive multiple case study examined the effects of a contextualized expository strategy intervention on supported and independent note-taking, verbal rehearsal, and reporting skills for three elementary students with language disorders.

Method: Two 9-year-old fourth grade students and one 11-year-old sixth grade student with language disorders participated. The intervention was delivered as sixteen individual 20-minute sessions across nine weeks by the school speech-language pathologist. Students learned to take written and pictographic notes from expository texts and use verbal formulation and rehearsal of individual sentences and whole reports in varied learning contexts. To explore both emergent and independent accomplishments, performance was examined in final intervention session presentations and pre/post intervention testing.

Results: Following the intervention, all three students effectively used notes and verbal rehearsal to prepare and present fluent, organized, accurate, confident oral reports to an audience. From pre- to post-test, the students showed a range of improvements in the quality of notes, use of verbal rehearsal, holistic quality of oral and written reporting, and strategy awareness.

Conclusions: Sketch and Speak shows potential as an expository intervention for students who struggle with academic language learning. The results support further examination of this intervention for supported strategy use by younger students and independent use by older students.

目的:本描述性多案例研究考察了情境化说明性策略干预对三名语言障碍小学生支持和独立记笔记、口头排练和报告技能的影响。方法:2名9岁四年级学生和1名11岁六年级语言障碍学生参与研究。干预是由学校的语言病理学家在9周内进行的,每次20分钟,共16次。学生们学会了从说明性文本中做书面和象形文字笔记,并在不同的学习环境中使用口头表述和排练单个句子和整个报告。为了探索突发成就和独立成就,研究人员在最后的干预会议报告和干预前/后测试中检查了他们的表现。结果:在干预后,所有三名学生都有效地使用笔记和口头排练来准备和向观众呈现流利,有组织,准确,自信的口头报告。从测试前到测试后,学生们在笔记的质量、口头排练的使用、口头和书面报告的整体质量以及策略意识方面都有了一系列的提高。结论:草图和说话显示出潜在的解释性干预,为学生在学术语言学习中挣扎。结果支持进一步研究这种干预对低年级学生支持策略使用和高年级学生独立使用的影响。
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引用次数: 3
Tact instruction for children with autism spectrum disorder: A review. 自闭症谱系障碍儿童的机智教学:综述。
Q1 EDUCATION, SPECIAL Pub Date : 2021-02-24 eCollection Date: 2021-01-01 DOI: 10.1177/2396941521999010
My Savana Bak, Ana D Dueñas, Sarah M Avendaño, Ariel C Graham, Tavon Stanley

Tacts facilitate social interaction, and a strong tact repertoire can lead to the development of other verbal operants. For children with autism spectrum disorder (ASD), the development of a tact repertoire can reduce stereotypical and repetitive language and increase social communication, as functional language may reduce the amount of stereotypical vocal behavior that children engage in. However, teaching tact repertoires to children with ASD that maintain and generalize is difficult. The current study reviewed tact interventions for children with ASD from 2000 to 2019 to provide an overview of current tact interventions, their effectiveness, and the inclusion of intervention components that may promote maintenance and generalization of learned tacts in children with ASD. Fifty-one studies were included in the review. Of the studies that met criteria for effect size calculations 87.18% of the interventions showed excellent or high effect. Although many of the studies focused more on stimulus control to answer specific research questions, some studies implemented intervention components and procedures that could promote acquisition and generalization of learned tacts in children with ASD. We discuss implications and the need to increase research regarding tact intervention components that can increase generalization in children with ASD.

机智促进社会互动,一个强大的机智库可以导致其他语言操作的发展。对于患有自闭症谱系障碍(ASD)的儿童,由于功能性语言可以减少儿童参与的刻板声音行为的数量,因此,发展圆滑的语言可以减少刻板和重复的语言并增加社会沟通。然而,向ASD儿童教授保持和概括的机智曲目是困难的。本研究回顾了2000年至2019年对ASD儿童的机智干预措施,概述了目前的机智干预措施、其有效性,以及可能促进ASD儿童习得机智的维持和推广的干预成分。该综述纳入了51项研究。在符合效应量计算标准的研究中,87.18%的干预措施表现出优异或高效果。尽管许多研究更多地关注刺激控制来回答特定的研究问题,但一些研究实施了干预成分和程序,可以促进ASD儿童习得和概括学习动作。我们讨论的意义和需要增加研究的机智干预成分,可以提高泛化儿童自闭症。
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引用次数: 6
Coconuts and curtain cakes: The production of wh-questions in ASD. 椰子和窗帘蛋糕:ASD中“为什么”问题的产生。
Q1 EDUCATION, SPECIAL Pub Date : 2021-02-02 eCollection Date: 2021-01-01 DOI: 10.1177/2396941520982953
Nufar Sukenik, Eléonore Morin, Naama Friedmann, Philippe Prevost, Laurice Tuller

Background and aims: Children with autism spectrum disorders (ASD) have been found to exhibit difficulties in wh-question production. It is unclear whether these difficulties are pragmatic or syntactic in nature. The current study used a question elicitation task to assess the production of subject and object wh-questions of children with ASD in two different languages (Hebrew and French) wherein the syntactic structure of wh-questions is different, a fact that may contribute to better understanding of the underlying deficits affecting wh-question production. Crucially, beyond the general correct/error rate we also performed an in-depth analysis of error types, comparing syntactic to pragmatic errors and comparing the distribution of errors in the ASD group to that of children with typical development (TD) and children with Developmental Language Disorder (DLD).

Results: Correct production rates were found to be similar for the ASD and DLD groups, but error analysis revealed important differences between the ASD groups in the two languages and the DLD group. The Hebrew- and French ASD groups were found to produce pragmatic errors, which were not found in children with DLD. The pragmatic errors were similar in the two ASD groups. Syntactic errors were affected by the structure of each language.

Conclusions: Our results have shown that although the two ASD groups come from different countries and speak different languages, the correct production rates and more importantly, the error types were very similar in the two ASD groups, and very different compared to TD children and children with DLD.Implications: Our results highlight the importance of creating research tasks that test different linguistic functions independently and strengthen the need for conducting fine-grained error analysis to differentiate between groups and gain insights into the deficits underlying each of them.

背景和目的:自闭症谱系障碍(ASD)的儿童在产生wh问题时表现出困难。目前尚不清楚这些困难本质上是语用的还是句法的。目前的研究使用问题引出任务来评估自闭症儿童在两种不同语言(希伯来语和法语)中产生的主语和宾语wh-问题,其中wh-问题的句法结构不同,这一事实可能有助于更好地理解影响wh-问题产生的潜在缺陷。重要的是,除了一般的正确/错误率,我们还对错误类型进行了深入的分析,比较了句法错误和语用错误,并比较了ASD组与典型发展儿童(TD)和发展性语言障碍儿童(DLD)的错误分布。结果:发现ASD组和DLD组的正确率相似,但误差分析显示两种语言的ASD组和DLD组之间存在重要差异。研究发现,希伯来语组和法语组的ASD会产生语用错误,而DLD组的儿童则不会出现这种错误。两组自闭症患者的语用错误相似。语法错误受到每种语言结构的影响。结论:我们的研究结果表明,虽然两个ASD组来自不同的国家,说不同的语言,但两个ASD组的正确产出率和更重要的错误类型非常相似,与TD儿童和DLD儿童相比差异很大。启示:我们的研究结果强调了创建独立测试不同语言功能的研究任务的重要性,并加强了进行细粒度错误分析以区分不同群体的必要性,并深入了解每个群体背后的缺陷。
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引用次数: 8
Differential responses to child communicative behavior of parents of toddlers with ASD. ASD幼儿家长对儿童交际行为的差异反应。
Q1 EDUCATION, SPECIAL Pub Date : 2021-01-24 eCollection Date: 2021-01-01 DOI: 10.1177/2396941520984892
Adrienne M De Froy, Megan E Sims, Benjamin M Sloan, Sebastian A Gajardo, Pamela Rosenthal Rollins

Background and aims: The quality of parent verbal input-diverse vocabulary that is well-matched to the child's developmental level within interactions that are responsive to their interests-has been found to positively impact child language skills. For typically developing (TD) children, there is evidence that more advanced linguistic and social development differentially elicits higher quality parent input, suggesting a bidirectional relationship between parent and child. The purpose of this study was to evaluate if toddlers with ASD also differentially elicit parental verbal input by (1) analyzing the quality of parent input to the communicative behavior of their toddlers with ASD, (2) examining if parents respond differentially to more advanced toddler communicative behavior, as measured by the coordination of multiple communicative behaviors, and (3) exploring the relationship between parental responsiveness to child communicative behaviors and change in child communication and social skills.

Methods: Participants were 77 toddlers with ASD age 18-39 months and a parent who participated in a larger RCT. Ten-minute parent-toddler interactions were recorded prior to a 12-week intervention. Parent response to child communicative behaviors was coded following each child communicative behavior as no acknowledgment, responsive, directive, or nonverbal acknowledgment. Parent number of different words and difference between parent and child MLU in words were calculated separately for responsive and directive parent utterances. Child growth in language and social skills was measured using the Vineland II Communication and Socialization domain scores, respectively.

Results: (1) Parents were largely responsive to their toddler's communication. When being responsive (as opposed to directive), parents used a greater number of different words within utterances that were well-matched to child language; (2) when toddlers coordinated communicative behaviors (versus producing an isolated communicative behavior), parents were more likely to respond and their replies were more likely to be responsive; and (3) parent responsiveness to child coordinated communication was significantly correlated with change in Vineland II Socialization but not Communication. A unique role of gaze coordinated child communication in eliciting responsive parental behaviors and improving growth in child social skills emerged.

Conclusions: Our results support a bidirectional process between responsive parent verbal input and the social development of toddlers with ASD, with less sophisticated child communicative behaviors eliciting lower quality parent input.Implications: Our findings highlight the critical role of early parent-mediated intervention for children with ASD generally, and to enhance eye gaze through parent responsivity more specifically.

背景和目的:研究发现,父母语言输入的质量——在对孩子的兴趣做出反应的互动中,与孩子的发展水平相匹配的多样化词汇——对孩子的语言技能有积极的影响。对于典型发育(TD)儿童,有证据表明,语言和社会发展越先进,父母投入的质量就越高,这表明父母和孩子之间存在双向关系。本研究的目的是通过(1)分析父母对ASD幼儿交际行为的投入质量,(2)通过多种交际行为的协调来衡量父母对更高级的幼儿交际行为的反应是否存在差异,来评估ASD幼儿是否也存在差异。(3)探讨父母对儿童交际行为的反应与儿童交际和社交技能变化的关系。方法:参与者为77名年龄在18-39个月的ASD幼儿和一名参加较大随机对照试验的家长。在为期12周的干预之前,记录10分钟的亲子互动。根据每个孩子的交际行为,父母对孩子交际行为的反应被编码为不承认、回应、指示或非语言承认。对响应性和指导性父母话语分别计算不同词语的父母数量和父母与子女在词语上的最大语义差异。儿童在语言和社交技能方面的成长分别使用Vineland II沟通和社交领域得分来衡量。结果:(1)家长对幼儿的沟通反应明显。当回应(而不是指令)时,父母在话语中使用更多不同的单词,这些单词与孩子的语言非常匹配;(2)幼儿协调交际行为(相对于产生孤立的交际行为)时,父母更有可能做出回应,父母的回应也更有可能做出回应;(3)父母对儿童协调沟通的反应与Vineland II社会化的变化显著相关,而与沟通的变化无关。凝视协调儿童沟通在激发父母反应性行为和促进儿童社交技能发展方面的独特作用。结论:我们的研究结果支持反应性父母言语输入与ASD幼儿社会发展之间的双向过程,儿童沟通行为不复杂导致父母输入质量较低。意义:我们的研究结果强调了早期父母干预对ASD儿童的关键作用,并更具体地通过父母的反应来增强眼睛注视。
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引用次数: 2
期刊
Autism and Developmental Language Impairments
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