RESEARCH IN AUTISM--PARENT INTERVENTION

自闭症研究——家长干预

• 批准号: 2674830
• 负责人: LAURA E SCHREIBMAN
• 金额: $ 22.98万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 1984
• 资助国家: 美国
• 起止时间: 1984-09-01 至 2001-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2674830
• 关键词: adolescence (12-20); autism; behavior modification; behavior test; behavioral /social science research tag; child behavior; clinical research; communication behavior; family structure /dynamics; human subject; human therapy evaluation; language development; mental disorder diagnosis; middle childhood (6-11); mother child interaction; outcomes research; parent offspring interaction; prognosis; psychotherapy; training

The literature and the results of our previous finding periods have supported the position that parent training is an extremely effective approach to the treatment of autism. It is fast, economical, and produces relatively broad treatment changes. During our research program our work has been concerned with identifying specific variables related to the best-practice parent training and developing an improved program designed to address these variables. Accordingly, our research has assured a progressive direction in the development of a parent training treatment delivery package that is optimal for the child and for the family. In our previous research we have typically compared one type of treatment to another type of treatment. Looking back at our efforts in this area we now feel we have a substantial corpus of data both comprehensive in scope and rich in detail; and based on our pilot studies and preliminary investigations we believe that careful analyses of these data now allow us to specify several variables important for the purpose of developing "individualized" treatments for children with autism and their parents. Our data indicate that although we have consistently found one standard type of treatment to be more beneficial overall than another standard type of treatment, each individual treatment contains aspects that are very powerful for specific purposes. In fact, our data suggest that a combination of these treatment procedures, individualized based on child, family and target behavior characteristics will be far superior than implementing one type of treatment for all children as if they were all the same. Because of the large amount of heterogeneity in child and parent characteristics seen in the area of autism it is becoming abundantly clear that individualized treatment will be greatly superior to a standard package. We hypothesize that this type of treatment will significantly improve the treatment of autism, with respect to both direct measures of child behavior and with respect to measures of overall family functioning. We thus propose to carefully compare tow treatment conditions. Our control condition will be our current best-practice parent training package (the Self-Management condition, now called the Standard Package or SP condition). Our experimental condition will be one in which treatment will be "individualized" for each family in that the specifies of the treatment plan will be dictated by the characteristics of the child and of the family (the Individualized Package or IP condition).

我们以前发现时期的文献和结果 支持父母培训非常有效的立场 自闭症治疗的方法。 它是快速，经济的，并且 产生相对广泛的治疗变化。 在我们的研究中 计划我们的工作一直关注确定特定的 变量与最佳实践的父母培训相关并开发 改进的程序旨在解决这些变量。 因此， 我们的研究确保了发展的渐进方向 父母培训治疗套餐，最适合 孩子和家庭。 在我们以前的研究中，我们通常 将一种类型的治疗与另一种治疗方法进行了比较。 看 回到我们在这一领域的努力，我们现在感到我们有很大的 数据语料库的范围全面，而且详细详细；和 根据我们的试点研究和初步调查 这些数据的仔细分析现在使我们可以指定几个 变量对于开发“个性化”的目的很重要 自闭症儿童及其父母的治疗。 我们的数据表明，尽管我们一直找到一个 标准类型的治疗类型比另一种治疗总体上更有益 标准类型的治疗，每种治疗都包含方面 对于特定目的而言，它们非常强大。 实际上，我们的数据暗示 这些治疗程序的组合，基于个性化的 关于儿童，家庭和目标行为特征将是优越的 而不是为所有儿童实施一种类型的治疗 都是一样的。 由于大量异质性 在自闭症领域看到的儿童和父母特征是 非常清楚地表明，个性化的治疗将是极大的 优于标准软件包。 我们假设这种类型的 治疗将显着改善自闭症的治疗 尊重儿童行为的直接措施以及 总体家庭功能的度量。 因此，我们建议仔细比较拖曳治疗条件。 我们的 控制条件将是我们目前最佳实践的父母培训 软件包（自我管理条件，现在称为标准 包装或SP条件）。 我们的实验状况将是 每个家庭将“个性化”哪种治疗 指定治疗计划将由 家庭和家庭的孩子（个性化的包装或IP 健康）状况）。