Sadeghi Saeid, Pouretemad Hamid Reza, Shalani Bita
Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran.
Center of Excellence in Cognitive Neuropsychology, Shahid Beheshti University, Tehran, Iran.
Int J Dev Disabil. 2021 Mar 8;68(5):744-755. doi: 10.1080/20473869.2021.1895699. eCollection 2022.
Internet-based intervention approach is one novel strategy to train. However, only a few clinical trials have compared internet-based parent training intervention with an equal face-to-face intervention for children with autism spectrum disorder (ASD)-like symptoms. The primary aim of this study was to compare treatment outcomes of an internet-based intervention with a face-to-face intervention for young children with excessive screen-time and ASD-like symptoms. A total of 40 mother-young children with excessive screen-time and ASD-like symptoms dyads were assigned to the Internet-based ( = 20) and to the face-to-face intervention ( = 20). Parents in both groups received intervention that involves 7 sessions (one session per week). Primary outcome measures were the Gilliam autism rating scale - second edition (GARS-2), repetitive behavior scale- revised (RBS-R) and parenting stress index (PSI). The analysis yielded no significant between-group difference for any of the pre- to post-intervention measurements. At post-intervention both intervention conditions revealed significant symptoms changes compared to before the intervention. Also, the parental stress was significant related to the child's autism symptoms and repetitive behaviors severity. Internet-based parent training intervention for young children with excessive screen-time and ASD-like symptoms and their parents is equally beneficial to regular face-to-face parent training intervention. These findings support the potential for using telehealth to provide research-based parent training interventions to any family that has access to the Internet.
基于互联网的干预方法是一种新颖的训练策略。然而,只有少数临床试验将基于互联网的家长培训干预与针对患有自闭症谱系障碍(ASD)样症状儿童的同等面对面干预进行了比较。本研究的主要目的是比较基于互联网的干预与面对面干预对有过多屏幕使用时间和ASD样症状幼儿的治疗效果。共有40对有过多屏幕使用时间和ASD样症状的母婴被分配到基于互联网的干预组(n = 20)和面对面干预组(n = 20)。两组的家长都接受了包括7次课程(每周一次)的干预。主要结局指标是《吉尔姆自闭症评定量表第二版》(GARS-2)、《重复行为量表修订版》(RBS-R)和《育儿压力指数》(PSI)。分析结果显示,干预前后的任何测量指标在组间均无显著差异。干预后,与干预前相比,两种干预条件均显示出显著的症状变化。此外,父母压力与孩子的自闭症症状和重复行为严重程度显著相关。基于互联网的家长培训干预对有过多屏幕使用时间和ASD样症状的幼儿及其父母与常规面对面家长培训干预同样有益。这些发现支持了利用远程医疗为任何有互联网接入的家庭提供基于研究的家长培训干预的潜力。