对儿童自闭症相关行为的家庭视频评估：心理计量分析以及与父母反应能力和环境的联系。

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-01-12 DOI:10.1111/bjc.12449

Jeffrey J. Wood, John Danial, Samara Wolpe

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引用次数: 0

摘要

目的：对儿童自闭症相关行为（ARB）的评估通常仅限于在临床环境中进行直接观察或根据线人报告。随着视频流设备的普及，在家中观察儿童的自闭症相关行为已变得可行。这种方法可以评估干预措施的普遍性和持久性，并能克服目前主要评估方法在方法学上的局限性（反应偏差、对治疗的敏感性有限）：44 名自闭症儿童及其家庭参加了一项相关设计的重复测量研究。在一周的时间内（每天 2 小时），对每位参与者在家中约 10 小时的无提示行为进行了录像。同时还进行了 ARB 金标准测量（ADOS-2 和 ADI-R）。利用流媒体视频开发并评估了两种基于家庭的 ARBs 观察测量方法：ARCHER 和 CHEERS。训练有素的独立评估员对 ARCHER、CHEERS 和父母反应能力的观察指标进行评分：结果：ARCHER 分数与 ADOS-2 和 ADI-R 的相关性分别为 0.47 和 0.34，CHEERS 分数与 ADOS-2 和 ADI-R 的相关性分别为 0.51 和 0.48。在线性混合模型中，父母对孩子的回应越多，孩子每天的 ARB 就越少。孩子们在下午进行了许多典型的活动，包括电子产品、家庭作业和与家庭成员的游戏，而在其中一些活动（如电子产品）中，ARB 比在其他活动（如家庭游戏）中更为突出：结论：对 ARB 的家庭观察评估可能有助于临床和描述性研究。

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Home-based video assessment of children's autism-related behaviours: Psychometric analysis and linkages with parental responsiveness and context

Objectives

Assessment of autism-related behaviours (ARBs) in children has generally been limited to direct observations in clinical settings or informant-based reports. The widespread availability of video-streaming devices has made home observations of children's ARBs feasible. This approach could enable assessment of the generalization and durability of interventions and may be able to overcome methodological limitations of predominant current assessment approaches (response biases, limited sensitivity to treatment).

Design and Methods

Forty-four autistic children and their families participated in a repeated-measures study with a correlational design. Approximately 10 hr of unprompted behaviour at home were videorecorded over the course of a week (2 hr per day) for each participant. Gold standard measures of ARBs were also administered (ADOS-2 and ADI-R). Two home-based observational measures of ARBs utilizing streaming video were developed and evaluated: the ARCHER and the CHEERS. Trained independent evaluators made ratings on the ARCHER, CHEERS and an observational measure of parental responsiveness.

Results

Correlations with the ADOS-2 and ADI-R were .47 and .34 for ARCHER scores and .51 and .48 for CHEERS scores, respectively. In linear mixed models, more responsive parenting was associated with fewer ARBs on a daily basis. Children spent their afternoons engaged in many typical activities including electronics, homework and games with family members, and ARBs were more prominent in some of these contexts (e.g., electronics) than others (e.g., family games).