RESEARCH IN AUTISM--PARENT INTERVENTION

自闭症研究——家长干预

• 批准号: 2033619
• 负责人: LAURA E SCHREIBMAN
• 金额: $ 21.37万
• 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/2033619
• 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).

文献和我们之前的研究结果 支持家长培训是极其有效的立场 自闭症的治疗方法。 它快速、经济且 产生相对广泛的治疗变化。 在我们的研究过程中 我们的工作重点是确定具体的 与最佳实践家长培训和发展相关的变量 改进的程序旨在解决这些变量。 因此， 我们的研究确定了发展的进步方向 最适合儿童的家长培训治疗方案 为了孩子和家庭。 在我们之前的研究中，我们通常有 将一种治疗方法与另一种治疗方法进行比较。 寻找 回顾我们在这一领域的努力，我们现在感到我们已经取得了实质性进展 数据语料库范围全面且细节丰富；和 根据我们的试点研究和初步调查，我们认为 对这些数据的仔细分析现在使我们能够指定几个 对于发展“个性化”很重要的变量 自闭症儿童及其父母的治疗。 我们的数据表明，尽管我们不断发现一种 标准类型的治疗总体上比其他治疗更有益 标准类型的治疗，每个单独的治疗包含多个方面 对于特定目的来说非常强大。 事实上，我们的数据表明 这些治疗程序的组合，基于个体化 在儿童、家庭和目标行为特征上会远远优越 而不是对所有儿童实施一种治疗，就好像他们 都是一样的。 由于存在大量的异质性 在自闭症领域看到的儿童和父母的特征是 越来越清楚的是，个体化治疗将极大地发挥作用。 优于标准封装。 我们假设这种类型 治疗将显着改善自闭症的治疗， 尊重儿童行为的直接衡量标准和 衡量家庭整体功能的指标。 因此，我们建议仔细比较两种治疗条件。 我们的 控制条件将是我们目前家长培训的最佳实践 包（自我管理条件，现在称为标准 包装或 SP 状况）。 我们的实验条件将是 哪种治疗将针对每个家庭进行“个体化” 治疗计划的具体规定将由患者的特征决定 孩子和家庭（个性化套餐或 IP 健康）状况）。