Self-regulation and executive functioning impairments are common in children with fetal alcohol spectrum disorder. Given the high rates of fetal alcohol spectrum disorder identified amongst children living in the remote Fitzroy Valley region of Western Australia, the Alert Program® was identified as a culturally safe intervention for use in local primary schools. Researchers collaborated with Aboriginal Elders, community members, and staff from a Fitzroy Valley primary school to trial the Alert Program®. Teachers were trained to deliver eight Alert Program® lessons to children in class. Self-regulation and executive functioning were measured using teacher and parent/caregiver questionnaires three times. Data were analyzed using repeated-measures ANOVA. Teacher-led delivery of the Alert Program® was feasible in a region with high fetal alcohol spectrum disorder rates. As measured by teacher and parent/caregiver ratings, this curriculum may improve the self-regulation and executive functioning of children for some outcomes and provide sustained effects for some children. This community partnered pilot research, evaluated a school-based program to reduce the behavioral impact of fetal alcohol spectrum disorder, and informed design of a larger trial across eight Aboriginal community schools.

中文翻译：

---

提高澳大利亚偏远土著社区小学生的自我调节和执行功能技能：Alert Program® 的试点研究

自我调节和执行功能障碍在患有胎儿酒精谱系障碍的儿童中很常见。鉴于在西澳大利亚偏远的菲茨罗伊谷地区的儿童中发现胎儿酒精谱系障碍的比率很高，因此 Alert Program® 被确定为在当地小学使用的文化安全干预措施。研究人员与土著长者、社区成员和 Fitzroy Valley 小学的工作人员合作，试用 Alert Program®。教师接受了培训，可以在课堂上向孩子们讲授八节 Alert Program® 课程。使用教师和家长/照顾者问卷 3 次测量自我调节和执行功能。使用重复测量方差分析来分析数据。在胎儿酒精谱系障碍率高的地区，教师主导的 Alert Program® 交付是可行的。根据教师和家长/看护人的评级衡量，该课程可能会改善儿童的自我调节和执行功能，并为某些儿童提供持续的效果。该社区与试点研究合作，评估了一项以学校为基础的计划，以减少胎儿酒精谱系障碍的行为影响，并为八所土著社区学校的更大试验设计提供信息。