自闭症儿童关键反应治疗的社会效度：以自闭症成人为视角

Schuck R K, Dwyer P, Baiden K M P, et al. Social validity of pivotal response treatment for young autistic children: Perspectives of autistic adults[J]. Journal of Autism and Developmental Disorders, 2022: 1-19.

Abstract

The social validity of autism behavioral intervention has been questioned. Naturalistic Developmental Behavioral Interventions (NDBIs) attempt to address some concerns, but it is unclear whether autistic people consider NDBIs socially valid. Social validity of an NDBI, Pivotal Response Treatment (PRT), was investigated through autistic adults commenting on videos of autistic children receiving PRT. Qualitative coding of responses generated three themes: respect for individuals; assessment of intervention implementation; and socioemotional considerations. Although video brevity limits the scope of the present study’s conclusions, participants highlighted PRT components that appeared socially valid (e.g., reinforcing attempts, following the child’s lead) and aspects appearing invalid (e.g., overemphasis on spoken language). Therefore, adjustments appear necessary for PRT to be fully acceptable to the autistic community.

自闭症行为干预的社会有效性一直受到质疑。 自然发展行为干预(NDBIS)试图解决一些问题，但尚不清楚自闭症患者是否认为NDBI具有社会有效性。 通过自闭症成人对自闭症儿童接受关键反应治疗视频的评论，对NDBI的社会效度进行了调査。 定性编码反应产生三个主题:尊重个人；干预措施实施评估；以及社会情感方面的考虑。 尽管视频的简短性限制了本研究结论的范围，但参与者强调了PRT在社会上有效的部分(例如，加强尝试，跟随孩子的领导)和无效的方面(例如，过度强调口语)。因此，有必要对PRT进行调整，使其完全为自闭症群体所接受。