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OA北大核心CSTPCD
Effect of different interventions on joint attention in children aged three to six years with mild to moderate autism spectrum disorder
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.
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.
杨宇然;王茜;陈翠翠;杜晓新
上海师范大学天华学院,上海市 201815华东师范大学,上海市 200062
临床医学
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
autism spectrum disorderchildrenjoint attentiondiscrete trial trainingpivotal response treatment
《中国康复理论与实践》 2024 (008)
888-893 / 6
上海市民办高校民师计划项目(No.Z3100321004) Community Teacher Program of Private Universities in Shanghai(No.Z3100321004)
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