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A Review of Early Motor Issues in Young Children With Autism Spectrum Disorder 自闭症谱系障碍幼儿早期运动障碍的研究进展
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-10-01 DOI: 10.1097/IYC.0000000000000227
E. Hebert, Karen W. Nolan, Katie Smith
The cardinal features of autism spectrum disorder (ASD) are recognized to include impairments in communication, social interactions, and restricted, repetitive behaviors and stereotyped interests. However, many children with ASD also have motor activity limitations that are often overlooked. The purpose of this review is to summarize the literature on neuromotor impairment and motor activity limitation in children with ASD. A literature search was conducted of citations from 1998 through 2021 using PubMed, EMBASE, and PsycINFO. Twenty-three search terms were used to encompass diverse articles focused on children with autism and motor activity. The search resulted in 78 articles that included the search terms and were also consistent with the aims of this literature review. The potential significance of motor activity limitations on development from an early age is explored and recommendations are offered for more holistic surveillance in children with ASD, which can facilitate early access to services when indicated.
自闭症谱系障碍(ASD)的主要特征被认为包括沟通障碍、社会互动障碍、限制性重复行为和刻板兴趣。然而,许多自闭症儿童也有经常被忽视的运动活动限制。本文综述了有关ASD儿童神经运动障碍和运动活动限制的文献。使用PubMed、EMBASE和PsycINFO对1998年至2021年的引文进行了文献检索。研究人员使用了23个搜索词来涵盖各种关于自闭症儿童和运动活动的文章。检索结果为78篇包含检索词的文章,这些文章也与本文献综述的目的一致。本文探讨了运动活动限制对早期发育的潜在意义,并提出了对ASD儿童进行更全面监测的建议,这有助于在需要时尽早获得服务。
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引用次数: 0
Including Peers in Intervention for Young Children With Disabilities 包括对残疾儿童的同伴干预
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-07-01 DOI: 10.1097/IYC.0000000000000221
M. Hanline, Jennifer Eldridge, Audrey Robbins
The purpose of this systematic review was to describe single case design (SCD) research studies that systematically included peers in interventions designed to have positive outcomes for children with disabilities aged 3–8 years. Thirty-nine articles published in peer-referred journals in the past 10 years were analyzed in relation to study rigor and characteristics of interventions. Overall, this review supports including peers into systematic interventions for young children with disabilities, as the interventions were effective in producing positive changes in the behavior of young children with a variety of disabilities in social, communication, cognitive, play, and academic skills. No clear pattern emerged of a relationship between ecological factors (setting and interventionist) and generalization and maintenance of child behaviors. The analysis of study rigor suggests that fewer than half of the studies met current standards for SCD research and the number of studies conducting generalization, maintenance, and social validity was inadequate. A significant challenge for the field is to conduct more rigorous research to identify critical factors promoting positive behavior change for young children with disabilities when peers are included in interventions.
本系统综述的目的是描述单病例设计(SCD)研究,这些研究系统地将同伴纳入旨在对3-8岁残疾儿童产生积极结果的干预措施中。我们分析了过去10年发表在同行参考期刊上的39篇文章,分析了研究的严谨性和干预措施的特点。总的来说,这篇综述支持将同伴纳入对残疾儿童的系统干预,因为这些干预有效地在社交、沟通、认知、游戏和学术技能方面对残疾儿童的行为产生积极的变化。生态因素(环境因素和干预因素)与儿童行为的普遍化和维持之间没有明确的关系模式。研究严谨性分析表明,只有不到一半的研究符合SCD研究的现行标准,进行概括、维持和社会效度的研究数量不足。该领域面临的一个重大挑战是进行更严格的研究,以确定在同伴参与干预时促进残疾儿童积极行为改变的关键因素。
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引用次数: 0
Developing Parents Plus 发展父母Plus
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-07-01 DOI: 10.1097/IYC.0000000000000219
Brook E. Sawyer, C. Hammer, Julie K. Santoro, Julie Smith, Edward G. Feil
In this article, we describe the development and investigation of the social validity of Parents Plus, a parent-implemented intervention for preschool children with developmental language disorder. Parents Plus is a fully online intervention that is delivered through three components: (a) training delivered through an app that educates parents on how to use focused stimulation (FS), a language facilitation strategy; (b) parent implementation of FS during naturally occurring routines; and (c) remote practice-based coaching provided by a coach via Zoom. Parents Plus was developed in three steps: (a) initial content development with input from parents and professional advisory board members, (b) brief field test with five parent–child dyads, and (c) full-length field test with seven parent–child dyads. Throughout the development process, we collected social validity data on the intervention's goals, procedures, content and outcomes. Each step was followed by revisions to Parents Plus. Findings suggest that Parents Plus has strong social validity. Recommendations for early intervention practice are provided based on lessons learned, such as different methods to scaffold learning experiences for parents.
在本文中,我们描述了父母实施的学龄前儿童发展性语言障碍干预“父母加”的社会效度的开发和调查。Parents Plus是一种完全在线的干预,通过三个部分提供:(a)通过一个应用程序提供培训,教育父母如何使用集中刺激(FS),一种语言促进策略;(b)在自然发生的例程中父端执行FS;(c)由教练通过Zoom提供的远程实践指导。“家长Plus”的开发分三个步骤:(a)根据家长和专业顾问委员会成员的意见进行初步内容开发,(b)对五对亲子进行简短的实地测试,以及(c)对七对亲子进行全面的实地测试。在整个开发过程中,我们收集了有关干预目标、程序、内容和结果的社会效度数据。每个步骤之后都对“家长Plus”进行了修订。研究结果表明,“家长Plus”具有较强的社会效度。根据经验教训,提供了早期干预实践的建议,例如为家长提供不同的学习经验的方法。
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引用次数: 0
Latinx Mothers' Experiences With Linkage to Early Intervention 拉丁裔母亲与早期干预相关的经验
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-07-01 DOI: 10.1097/IYC.0000000000000220
Irina Quebles, Judith L. Perrigo, R. Bravo, Mona Patel Gera, M. Poulsen, B. Wheeler, Marian E. Williams
This study explored the experiences and perspectives of Latinx mothers of children younger than 3 years who had participated in a developmental screening initiative provided by 2 Federally Qualified Health Centers in an urban setting, had positive developmental screenings, and were referred to early intervention (EI) services. A 2-phase mixed-methods explanatory design was implemented in English and Spanish. In Phase 1, a telephone survey was conducted with 62 parents. In Phase 2, qualitative semistructured interviews (regarding parental experiences with their child's developmental screening, the process of linking to services, the EI evaluation, and subsequent services received) were conducted with a subset of 13 Phase 1 mothers. Results from the phone survey showed that 91% of children were found eligible for EI and 92% were receiving EI services. More than 90% of mothers reported positive experiences with their children's developmental screening, learning about their child's development, and accessing services. However, results from the semistructured interviews revealed that mothers had mixed experiences with the developmental screening process and linkage to EI services. Findings from this study provide insights into the perceived value of EI services by Latinx families and the need for improved system supports to access and navigate EI services.
本研究探讨了三岁以下儿童的拉丁裔母亲的经验和观点,这些母亲参加了由城市环境中的两家联邦合格卫生中心提供的发育筛查倡议,进行了积极的发育筛查,并被转介到早期干预(EI)服务。采用英语和西班牙语两阶段混合方法解释设计。在第一阶段,对62名家长进行了电话调查。在第二阶段,对13位第一阶段的母亲进行了定性半结构化访谈(关于父母对孩子发育筛查的经历、与服务的联系过程、情商评估以及随后接受的服务)。电话调查的结果显示,91%的儿童有资格获得情商,92%的儿童正在接受情商服务。90%以上的母亲报告说,她们在接受儿童发育筛查、了解儿童发育情况和获得服务方面经历了积极的经历。然而,半结构化访谈的结果显示,母亲在发育筛选过程和与情商服务的联系方面有不同的经历。本研究的结果为拉丁裔家庭对EI服务的感知价值以及改善系统支持以获取和导航EI服务的需求提供了见解。
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引用次数: 1
Comparison of Participants' Behaviors During Telepractice and In-Person Family-Centered Early Intervention 远程练习与亲临家庭早期干预的行为比较
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-07-01 DOI: 10.1097/IYC.0000000000000218
Melissa G. McCarthy, G. Leigh, M. Arthur-Kelly
Family-centered early intervention (FCEI) is characterized by the collaborative relationships that exist within triads of practitioners, caregivers, and young children whereby practitioners use capacity-building practices to foster caregivers' involvement in supporting their children's early development. Traditionally, FCEI has been provided in-person with practitioners and families physically present in the same location but, for children who are deaf or hard of hearing, access to in-person early intervention is often limited by external factors. To address these challenges, practitioners are using telepractice more frequently to connect with families through synchronous, 2-way videoconferencing. This exploratory study examined whether participants' behaviors differed when FCEI was delivered in-person and through telepractice. The Triadic Intervention and Evaluation Rating Scale (TIERS) was used to compare 2 groups of triads (16 in-person and 12 telepractice) in terms of practitioner behaviors, caregiver behaviors, and the reciprocal influences of those behaviors. Results indicated that practitioners in telepractice used most family-centered practices more frequently than practitioners in-person. Correspondingly, caregivers in telepractice had more opportunities to participate in early intervention and more frequently demonstrated a variety of participation behaviors than caregivers in-person. Although further research is required to confirm these exploratory findings, these results suggest that FCEI provided through telepractice may enhance practitioners' use of family-centered practices, which, in turn, supports greater participation by caregivers.
以家庭为中心的早期干预(FCEI)的特点是存在于实践者、照料者和幼儿三方之间的协作关系,即实践者利用能力建设实践来促进照料者参与支持其儿童的早期发展。传统上,FCEI是由从业者和家庭在同一地点亲自提供的,但对于失聪或听力障碍的儿童,获得亲自早期干预的机会往往受到外部因素的限制。为了应对这些挑战,从业者更频繁地使用远程练习,通过同步的双向视频会议与家庭联系。本探索性研究考察了现场授课和远程授课时,被试的行为是否存在差异。采用三合一干预与评估评定量表(TIERS)比较两组(16组亲临现场和12组远程诊疗)的执业者行为、照顾者行为以及这些行为的相互影响。结果表明,远程医疗从业者比面对面医疗从业者更频繁地使用以家庭为中心的医疗实践。相应的,远程护理人员比现场护理人员有更多的机会参与早期干预,并且更频繁地表现出各种参与行为。虽然需要进一步的研究来证实这些探索性发现,但这些结果表明,通过远程实践提供的FCEI可能会提高从业者对以家庭为中心的实践的使用,这反过来又支持照顾者更多地参与。
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引用次数: 0
Early Childhood Providers' Perceptions of Effective Professional Development Components 幼儿服务提供者对有效专业发展要素的认知
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-07-01 DOI: 10.1097/IYC.0000000000000217
Danika L. Pfeiffer, Julie L Feuerstein, Dana Herman, R. Landa
A research-to-practice gap exists between evidence-based practices (EBPs) and actual practices implemented with children with developmental disabilities (DD) in early childhood care and education (ECCE) settings. Many ECCE providers lack the training needed to support these children's learning. Ten center-based providers working in inclusive ECCE classrooms participated in the Early Achievements for Child Care Providers Professional Development (EA-CP PD) program to learn to deliver differentiated instruction to children with DD using EBPs. Post-PD focus groups assessed the training's impact on providers' perceptions of the PD program and implementation of the EA-CP instructional strategies. Results of qualitative analysis revealed providers' perceived benefit of job-embedded coaching to support their implementation of the instructional strategies and ability to enhance children's social–communication and language development. Providers desired greater involvement from ECCE directors. Implications are discussed for giving directors more explicit roles in providers' PD to support implementation and enhance child outcomes.
在幼儿保育和教育(ECCE)环境中,基于证据的实践(ebp)与对发育障碍儿童(DD)实施的实际实践之间存在研究到实践的差距。许多教育教育提供者缺乏支持这些儿童学习所需的培训。在包容性ECCE教室工作的10个中心提供者参加了儿童保育提供者专业发展早期成就(EA-CP PD)项目,学习使用ebp向DD儿童提供差异化教学。PD后焦点小组评估了培训对提供者对PD计划和EA-CP教学策略实施的看法的影响。定性分析的结果揭示了工作嵌入辅导的提供者感知到的好处,以支持他们实施教学策略和能力,提高儿童的社会沟通和语言发展。提供者希望ECCE董事更多地参与。讨论了在提供者的PD中赋予主任更明确的角色以支持实施和提高儿童成果的意义。
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引用次数: 0
Transitions Out of Early Intervention 早期干预的过渡
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-04-01 DOI: 10.1097/IYC.0000000000000211
Jamie Mahurin-Smith
This study was designed to describe the experience of families exiting the early intervention (EI) system and transitioning into early childhood special education (ECSE) programs. Eight mothers of children preparing to exit EI services completed semistructured interviews, which were transcribed and analyzed using interpretative phenomenological analysis. Four mothers answered additional post-transition interview questions. Interview participants experienced anxiety about the transition process but reported that they found EI personnel to be knowledgeable and supportive allies. Participants also described favorable outcomes related to a structured transition class. These findings indicate that the transition out of EI is associated with parental anxiety and uncertainty, which can be allayed through strong relationships with EI service providers.
本研究旨在描述家庭退出早期干预(EI)系统,过渡到早期儿童特殊教育(ECSE)项目的经验。8名准备退出EI服务的儿童母亲完成了半结构化访谈,并使用解释现象学分析对访谈进行了转录和分析。四位母亲回答了额外的变性后访谈问题。受访者对过渡过程感到焦虑,但报告称,他们发现EI人员知识渊博,是支持他们的盟友。参与者还描述了与结构化过渡课程相关的良好结果。这些发现表明,情商的过渡与父母的焦虑和不确定性有关,这可以通过与情商服务提供者建立牢固的关系来缓解。
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引用次数: 0
Views of Parents of Children With Down Syndrome on Early Intervention Services in Turkey 唐氏综合症儿童家长对土耳其早期干预服务的看法
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-04-01 DOI: 10.1097/IYC.0000000000000212
G. Tomris, S. Çelik, I. Diken, Yusuf Akemoğlu
Perceptions of parents of young children receiving early intervention are important to understand. Parents have valuable opinions on the delivery of early interventions services and can provide critical feedback that can help professionals revise their existing early intervention delivery modalities. In the current study, we examined the perceptions of parents of young children with Down syndrome on early intervention services in Turkey. Specifically, we aimed to understand the parents' views on medical and educational evaluation and diagnosis processes. The study was conducted using a cross-sectional research design, which is one of the survey design methods. Data were collected from a total of 893 parents via an online survey. The results demonstrated that children with Down syndrome were diagnosed within an average of 2.3 months from birth, but the average age for starting education was 10.5 months. The majority of the parents evaluated the process until their children were diagnosed and accessed education services as a rather slow process that proceeded with their own means and efforts. Furthermore, the parents reported that during the diagnosis processes the type of materials, equipment, toys, and settings used were not relevant and time provided was insufficient. Moreover, the majority of the parents reported that the education services presented to them and their children were not sufficient and early intervention services were not provided within a system. As a result, although the legal regulations in Turkey are parallel to those in developed countries and studies in the field have been increasingly gaining momentum, issues such as the absence of an early intervention system model, insufficient cooperation between experts and institutions, and the shortage of expert staff in the field are still present and awaiting a solution.
了解接受早期干预的幼儿家长的看法是很重要的。家长对早期干预服务的提供有宝贵的意见,可以提供关键的反馈,帮助专业人员修改他们现有的早期干预提供模式。在目前的研究中,我们调查了土耳其唐氏综合症儿童的父母对早期干预服务的看法。具体而言,我们旨在了解家长对医疗和教育评估和诊断过程的看法。本研究采用横断面研究设计,这是调查设计方法之一。通过一项在线调查,共收集了893名家长的数据。结果表明,患有唐氏综合症的儿童在出生后平均2.3个月内被诊断出来,但开始接受教育的平均年龄是10.5个月。在他们的孩子被诊断出来并获得教育服务之前,大多数家长都认为这是一个相当缓慢的过程,需要他们自己的手段和努力。此外,家长报告说,在诊断过程中,使用的材料、设备、玩具和设置的类型不相关,提供的时间不足。此外,大多数家长报告说,向他们和他们的孩子提供的教育服务不够充分,而且在一个系统内没有提供早期干预服务。因此,尽管土耳其的法律法规与发达国家的法律法规平行,该领域的研究也日益蓬勃发展,但缺乏早期干预系统模式、专家和机构之间的合作不足、该领域专家人员短缺等问题仍然存在,有待解决。
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引用次数: 1
Perceptions on Screening for Developmental Disabilities and Autism in Childcare Settings 对儿童保育环境中发育障碍和自闭症筛查的看法
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-04-01 DOI: 10.1097/IYC.0000000000000213
Thelma E Uzonyi, Jessica M Page, Michaela DuBay, E. Crais
This qualitative study explored the knowledge and perceptions about early screening for developmental disabilities and autism spectrum disorder (ASD) in childcare settings using semistructured interviews with directors, teachers, and parents at 12 childcare centers. Results indicated that most of the directors and teachers, who were interviewed, were cautiously open to implementing screening programs but wanted additional training in recognizing early signs of ASD and other developmental disabilities, as well as communicating with families about concerns. All interviewed parents reported wanting childcare professionals to communicate with them if they had developmental concerns for their child, and all but one parent was open to the idea of universal screening at their child's center.
本定性研究通过对12个托儿中心的主任、教师和家长进行半结构化访谈,探讨了儿童保育机构对发育障碍和自闭症谱系障碍(ASD)早期筛查的认识和看法。结果表明,大多数接受采访的主任和教师对实施筛查计划持谨慎开放的态度,但希望接受额外的培训,以识别ASD和其他发育障碍的早期迹象,并与家庭沟通他们的担忧。所有接受采访的家长都表示,如果他们对孩子的发育有担忧,希望儿童保育专业人员与他们沟通,除了一位家长外,所有家长都对在孩子的中心进行普遍筛查的想法持开放态度。
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引用次数: 1
Improving Language Support for Infants and Toddlers 提高婴幼儿语言支持能力
IF 1.1 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2022-04-01 DOI: 10.1097/IYC.0000000000000214
Gail E. Joseph, Janet S. Soderberg, Rob Abbott, Roxanne Garzon, Crista Scott
Language skills are vital to children's learning and well-being, and the first 5 years of life are an especially critical time for language acquisition. Research suggests that when early childhood teachers create language-rich environments, children develop stronger receptive and expressive language abilities, especially children from low-income households who are more at risk for language delays. This study investigated the effects of a 10-week professional learning intervention focused on language-based interactions in early care and education settings that serve infants and toddlers on state childcare subsidy. The intervention with childcare providers was titled Filming Interactions to Nurture Development (FIND), which utilized video-based reflective practices to promote positive interactions between providers and children. Using a treatment–control design (control: n = 44; treatment: n = 42), we compared childcare providers' language practices. Provider language use was measured using the Language Environment Analysis (LENA), a wearable digital language processer. Results indicate that, as compared with the control group, FIND participation was associated with increased adult word count and conversational turns in facilities that serve the most vulnerable children. These results suggest the utility of video-based professional learning and automated data collection for supporting providers' positive interactions and improving the quality of infant/toddler programs.
语言技能对儿童的学习和幸福至关重要,而生命的前5年是语言习得的关键时期。研究表明,当幼儿教师创造语言丰富的环境时,孩子们会发展出更强的接受和表达语言的能力,尤其是来自低收入家庭的孩子,他们更有可能出现语言迟缓。本研究调查了一项为期10周的专业学习干预的效果,重点是在国家儿童保育补贴的婴幼儿早期护理和教育环境中进行基于语言的互动。与托儿服务提供者的干预被称为“拍摄互动以培育发展”(FIND),它利用基于视频的反思实践来促进提供者和儿童之间的积极互动。采用治疗对照设计(对照组:n = 44;治疗:n = 42),我们比较了托儿服务提供者的语言实践。使用可穿戴式数字语言处理器语言环境分析(LENA)来测量提供者的语言使用情况。结果表明,与对照组相比,在为最弱势儿童服务的设施中,参与FIND与成人字数和会话次数增加有关。这些结果表明,基于视频的专业学习和自动数据收集在支持提供者的积极互动和提高婴幼儿课程质量方面的效用。
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引用次数: 1
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Infants & Young Children
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