RESEARCH IN AUTISM--PARENT INTERVENTION

自闭症研究——家长干预

• 批准号: 2890275
• 负责人: ROBERT L KOEGEL
• 金额: $ 19.47万
• 依托单位: UNIVERSITY OF CALIFORNIA SANTA BARBARA
• 依托单位国家: 美国
• 财政年份: 1977
• 资助国家: 美国
• 起止时间: 1977-09-01 至 2001-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2890275
• 关键词: autism; behavioral /social science research tag; child rearing; clinical research; cognitive behavior therapy; family therapy; human subject; human therapy evaluation; neuropsychological tests; parent offspring interaction; psychological adaptation

This proposal addresses the NIH priority of individualizing the treatment of autism (Bristol, et al., 1996), with particular attention devoted to the empirical measures of child and family characteristics related to prognosis. The literature and the results of our previous funding 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 two 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 specifics of the treatment plan will be dictated by the characteristics of the child and of the family (the Individualized Package or IP condition).

该提案旨在解决个性化的NIH优先事项 自闭症治疗（Bristol等，1996），特别是 注意儿童和家庭的经验措施 与预后有关的特征。文学和 我们以前的资助期的结果支持了该职位 父母培训是一种非常有效的方法 自闭症治疗。它是快速，经济的，并且产生 相对广泛的治疗变化。在我们的研究计划中 工作一直关注确定与特定变量相关的特定变量 进行最佳实践的父母培训并进行改进 旨在解决这些变量的程序。因此，我们的 研究确保了发展的渐进方向 最佳的父母培训治疗套餐 孩子和家庭。 在我们以前的研究中，我们有 通常将一种类型的治疗与另一种类型的治疗进行比较 治疗。回顾我们在这方面的努力，我们现在感觉到我们 拥有大量的数据范围，范围全面 细节丰富；并基于我们的试点研究和初步 调查我们认为，现在对这些数据进行仔细的分析 允许我们指定为目的重要的几个变量 为自闭症儿童开发“个性化”治疗 他们的父母。我们的数据表明，尽管我们一直 发现一种标准类型的治疗总体更有益 比另一种标准类型的治疗，每种治疗 包含针对特定目的非常强大的方面。在 事实，我们的数据表明这些治疗的结合 程序，基于孩子，家庭和目标的个性化 行为特征将比实施一个要优越 所有儿童的治疗类型都一样。 由于孩子和父母的异质性很大 在自闭症领域看到的特征正在变得 大量清楚的是，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和尊重 衡量整体家庭功能。因此，我们建议 仔细比较两个治疗条件。我们的控制状况 将是我们目前的最佳练习父母培训计划（ 自我管理条件，现在称为标准软件包或SP 健康）状况）。我们的实验条件将是 每个家庭的治疗将被“个性化” 治疗计划的细节将由 孩子和家庭的特征（个性化的 包装或IP条件）。