首页|不同方法干预3~6岁轻中度孤独症谱系障碍儿童共同注意的效果

不同方法干预3~6岁轻中度孤独症谱系障碍儿童共同注意的效果

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目的 比较回合操作教学法(DTT)、关键反应训练(PRT)及DTT结合PRT干预3~6岁轻中度孤独症谱系障碍(ASD)儿童共同注意的效果.方法 2023年1月至2024年3月,上海市泰亿格儿童康复中心36~72月龄ASD儿童39例,随机分为DTT组、PRT组和混合组,分别接受DTT、PRT以及DTT结合PRT,共10周.干预前后采用ASD儿童共同注意评估量表进行评定.结果 DTT组脱落2例,PRT组脱落1例,最终纳入36例.干预方法(F=11.225,P<0.001)和干预阶段(F=416.935,P<0.001)主效应均显著,交互效应显著(F=10.501,P<0.001),混合组干预期和迁移期评分最优(P<0.05).结论 DTT和PRT均能提升ASD儿童共同注意,两者结合效果更佳.
Effect of different interventions on joint attention in children aged three to six years with mild to moderate autism spectrum disorder
Objective To compare the effect of discrete trial training(DTT),pivotal response treatment(PRT)and a combination of DTT and PRT on joint attention in children aged three to six years with mild to moderate autism spectrum disor-der(ASD).Methods From January,2023 to March,2024,39 children with ASD aged 36 to 72 months in Tiger Children's Rehabili-tation Center in Shanghai were randomly divided into DTT,PRT and combination groups,who received DTT,PRT and a combination of DTT and PRT,respectively,for ten weeks.They were assessed with Joint Attention As-sessment Scale for children with ASD before and after intervention.Results Two cases in DTT group and one case in PRT group dropped down,resulting in a final sample of 36 cases.The main effects of group(F=11.225,P<0.001)and time(F=416.935,P<0.001)were significant,as well as the interaction(F=10.501,P<0.001),and the combination group was the best during intervention and follow-up(P<0.05).Conclusion Both DTT and PRT may improve joint attention in children with ASD,and the combination of DTT and PRT is the best.

autism spectrum disorderchildrenjoint attentiondiscrete trial trainingpivotal response treatment

杨宇然、王茜、陈翠翠、杜晓新

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上海师范大学天华学院,上海市 201815

华东师范大学,上海市 200062

孤独症谱系障碍 儿童 共同注意 回合操作教学法 关键反应训练

上海市民办高校民师计划项目

Z3100321004

2024

中国康复理论与实践
中国残疾人康复协会,中国医师协会,中国康复研究中心

中国康复理论与实践

CSTPCD北大核心
影响因子:1.354
ISSN:1006-9771
年,卷(期):2024.30(8)