Randomized Controlled Trial of Developmental Reciprocity Treatment in Young Children with Autism.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Grace W Gengoux, Katherine Paszek, Maria Estefania Millan, Jared Gong, Rebecca Goodman, Sasha Guillory, Gina Baldi, Robin Libove, Jennifer M Phillips, Antonio Y Hardan
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引用次数: 0

Abstract

Developmental social pragmatic interventions for autism spectrum disorder (ASD) focus on development of strong interpersonal relationships by encouraging social communication during joint play routines. The goal of the current investigation was to conduct a randomized controlled 24-week pilot trial to examine the efficacy of a Developmental Reciprocity Treatment package (DRT-P), a developmentally-based intervention that includes both parent training and direct treatment with the child, compared to a delayed treatment group (DTG). Thirty-seven children aged 2-5 years with ASD and language delay were randomized. 83% of parents in DRT-P met fidelity of implementation criteria by 24 weeks. Controlling for fidelity, participants in DRT-P showed significantly greater improvement on the Social Responsiveness Scale Total Score (F = 5.00; p = 0.034) and the Clinical Global Impressions Improvement scale; however no significant group differences were observed on the Brief Observation of Social Communication Change, Vineland Adaptive Behavior Scales, or the MacArthur-Bates Communicative Development Inventories. Findings suggest DRT is a promising intervention for improving some aspects of social functioning in young children with ASD. Future research exploring how behavioral and developmental interventions can be optimally combined to target core social difficulties along with adaptive and functional communication skills is expected to be beneficial.

幼儿自闭症发展互惠治疗的随机对照试验。
自闭症谱系障碍(ASD)的发展性社会实用主义干预侧重于通过在共同游戏过程中鼓励社会交流来发展牢固的人际关系。当前调查的目标是进行一项为期24周的随机对照试验,以检验发展互惠治疗方案(DRT-P)的效果,与延迟治疗组(DTG)相比,这是一种基于发展的干预措施,包括父母培训和对儿童的直接治疗。随机选取37例2-5岁ASD伴语言迟缓儿童。DRT-P中83%的家长在24周时达到了实施标准的保真度。控制了保真度,DRT-P参与者在社会反应量表总分上有显著的提高(F = 5.00;p = 0.034)和临床总体印象改善量表;然而,在社会交流变化的简短观察、Vineland适应行为量表或MacArthur-Bates交流发展量表上没有观察到显著的组间差异。研究结果表明,DRT是一种很有希望的干预措施,可以改善自闭症儿童某些方面的社会功能。未来的研究将探索如何将行为和发展干预措施最佳地结合起来,以针对核心社会困难以及适应性和功能性沟通技巧,这将是有益的。
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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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