A Home-based Intervention Program for Children with Autism Spectrum Disorder

自閉症類群障礙兒童居家治療介入

黃彥勳(Yen-Hsun Huang) ； 黃春偉(Chun-Wei Huang) ； 蔡叡昀(Jui-Yun Tsai) ； 楊天艾(Tian-Ai Yang) ； 廖羿雯(I-Wen Liao) ； 邱怡倫(Yi-Lun Chiu) ； 曹志瑄(Chih-Hsuan Tsao) ； 吳晏慈(Yen-Tzu Wu)

《北市醫學雜誌》 17卷2期 (2020/06) Pp. 201-218

https://doi.org/10.6200/TCMJ.202006_17(2).0007

摘要

Objective: Improvements of cognition, adaptive behavior, and language development have been found to be associated with early intervention in children with autism spectrum disorder (ASD). However, children with ASD in disadvantaged families are lack of the chance to access to early intervention. Recent studies have shown that family-centered naturalistic developmental behavioral interventions can help children with ASD learning new skills. Nevertheless, little studies have been conducted in ASD children in Taiwan. Method: This study recruited 10 disadvantaged families with children with ASD aged 40-62 months to join the Home-based Autism Service Intervention Program (HASI program). The parents received 12 weekly sessions to integrate developmental and behavioral intervention techniques into daily activities of the children. Results: The results revealed that children with ASD demonstrated improvements in multiple domains of functioning. Furthermore, parents were satisfied with the contents of the HASI program. Conclusion: The program developed in this study can be a preliminary model to effectively provide evidence-based behavioral intervention for children with ASD and their families in Taiwan.

關鍵字

ASD ； early intervention ； family-centered

並列摘要

目的：研究證實提供自閉症類群障礙（簡稱自閉症）兒童早期介入計畫可以改善自閉症兒童的認知、適應行為和語言發展，然而處於弱勢家庭的自閉症兒童卻缺乏早期介入的機會。近年的實證研究支持以家庭為中心的自然發展行為介入模式，能夠有效幫助自閉症兒童學習新的技能。然而此介入模式應用於臺灣自閉症兒童的研究闕如。方法：本研究共招募10位自閉症兒童的弱勢家庭，參與計劃的家長進行12週（每週一次）的自閉症居家服務介入計劃，家長學習將互動技巧融合至兒童的日常活動中。結果：研究分析自閉症兒童與家長在介入前後的差異，結果顯示兒童的整體發展能力均有改善，家長對於介入課程的內容滿意度高。結論：本研究結果可初步提供臺灣自閉症兒童具有實證基礎的居家介入計畫。

並列關鍵字

自閉症障礙類群 ； 早期介入 ； 以家庭為中心