通过家长和儿童/青少年主导的数字社交故事干预措施支持自闭症社区:一项探索性研究

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2024-03-13 DOI:10.3389/fdgth.2024.1355795
L. Camilleri, Katie Maras, Mark Brosnan
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引用次数: 0

摘要

社交故事(SS)是一种针对自闭症儿童和青少年(CYP)的社会有效干预措施,被专业人士和家长广泛使用。本探索性研究调查了在几乎没有研究人员参与的情况下,家长通过数字中介有效开发和实施社交故事的程度(n = 17,样本 1),以及影响效果的因素。此外,本研究还调查了以数字为媒介的社会服务在多大程度上可以支持自闭症儿童青少年开发和传播他们自己的故事,从而将干预作为自我支持和自我管理的一种手段(样本 2,n = 5)。研究结果表明,数字媒介可以有效支持家长主导的社会服务干预。研究结果还表明,自闭症儿童的接受/表达语言能力、他们的系统化水平,以及在确定目标和编写故事时与自闭症儿童进行协商的做法,都是对家长主导的干预效果产生积极影响的个人和程序特征。研究还发现,自闭症儿童青少年可以利用以数字为媒介的社会支持系统作为自我支持工具。研究结果为有关数字干预和支持工具的文献发展提供了信息,这些干预和支持工具旨在让自闭症社区参与并进一步参与干预和研究的制定和创作。
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Supporting autistic communities through parent-led and child/young person-led digital social story interventions: an exploratory study
Social Stories (SS) is a socially-valid intervention for autistic children and young people (CYP) which is used widely by professionals and parents. Research suggests that whilst parents are in an ideal position to deliver interventions for their autistic CYP, a lack of procedural integrity can result in a great deal of variability in parent-mediated intervention outcomes.This exploratory study investigated the extent to which SS can be effectively developed and delivered, through digital mediation, by parents with little to no researcher input (n = 17, sample 1) and the factors that impact effectiveness. Furthermore, the study also investigated the extent to which digitally-mediated SS can support autistic CYP to develop and deliver their own stories, thereby utilising the intervention as a means for self-support and self-management (n = 5, sample 2).The outcomes of the study indicate that digital mediation can effectively support parent-led SS intervention. Findings also indicate that receptive/expressive language skills of autistic CYP, their level of systemizing, as well as the practice of consulting with the autistic CYP whilst identifying goals and developing stories, are individual and procedural characteristics which positively influence the effectiveness of the parent-led intervention. The study also found that digitally-mediated SS can be utilised as a self-support tool by autistic CYP themselves.The results inform the developing literature on digital interventions and support tools that aim to engage with, and involve further, the autistic community in the setting and authoring of interventions and research.
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审稿时长
13 weeks
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