Background

Parent mediated intervention programs for children with Autism Spectrum Disorders (ASD) assume great importance in resource-poor communities in Low and Middle-Income Countries. However, very few evidence-based, manualized, and replicable programs have been documented in such settings.

Methods

Project ImPACT (Ingersoll & Dvortcsak, 2010)- a parent-mediated Naturalistic Developmental Behavioral Intervention (NDBI) for young children with ASD shown to improve social communication, engagement and play was adapted and subsequently implemented at a child development center in an urban setting in India to meet the needs of the community. A quasi-experimental pre-post study design was utilized, with questionnaires about family satisfaction, parent-perceived social-communication skills of children, and parental stress used to gather information. Video-recordings of parent-child interaction were coded to assess parent fidelity. Caregivers of 57 children enrolled in the Intervention, with complete data for feasibility and acceptability of the intervention as well as parent-perceived outcomes available for 39 (n = 39).

Results

Results showed that urban Indian parents found the intervention feasible and acceptable, were able to demonstrate the strategies taught and perceived improvement in their children’s social communication skills. In addition, parent stress levels decreased after completion of the intervention.

Conclusion

Findings suggest that brief parent-mediated intervention interventions like Project ImPACT can be successfully implemented in low-resource, culturally diverse settings, thereby opening avenues for replication and expansion of much-needed services in this region.

中文翻译：

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全球化项目ImPACT：针对印度背景的自闭症家长干预社交交流干预的可行性，可接受性和初步结果

背景

在中低收入国家资源贫乏的社区中，针对自闭症谱系障碍（ASD）儿童的父母介导的干预计划非常重要。但是，在这种情况下，很少有基于证据的，手动的和可复制的程序记录在案。

方法

ImPACT项目（Ingersoll和Dvortcsak，2010年）是一项由父母介导的针对ASD幼儿的自然发展行为干预（NDBI）项目，该项目被证明可以改善社交沟通，参与度和娱乐性，随后在位于城市的儿童发展中心进行了实施。印度可以满足社会的需求。利用准实验的事前研究设计，使用有关家庭满意度，父母对孩子的社交感知技能以及父母压力的信息问卷。亲子互动的视频记录被编码以评估父母的忠诚度。参与干预的57名儿童的保姆，其中有39名可获得干预措施的可行性和可接受性的完整数据，以及父母认为的结果（n = 39）。

结果

结果表明，印度城市父母认为干预是可行和可以接受的，能够证明所教的策略以及他们孩子社交能力的提高。此外，干预完成后父母压力水平下降。

结论

研究结果表明，可以在资源贫乏，文化多元的环境中成功实施简短的由父母介导的干预措施，例如ImPACT项目，从而为该地区的急需服务的复制和扩展开辟了道路。