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Examination of the Effectiveness and Acceptability of a Play-Based Sibling Intervention for Children with Autism: A Single-Case Research Design
Education and Treatment of Children ( IF 1.096 ) Pub Date : 2021-08-16 , DOI: 10.1007/s43494-021-00043-5
Lindsay B Glugatch 1 , Wendy Machalicek 1
Affiliation  

Complementary and reciprocal interactions are a defining feature of sibling relationships for young children. However, the social and communication difficulties of children with autism spectrum disorder (ASD) can make reciprocal play more difficult and play between siblings can be less rewarding. Sibling play can serve an important role in intervention and family cohesiveness, but there is no consistent method for involving siblings in intervention benefitting the sibling dyad. This study evaluated a novel treatment package including training siblings on play strategies to increase positive sibling play in combination with a sibling support group to offer social support for the neurotypical sibling (NT). The effects of the treatment package on NT sibling play and fidelity of implementation of naturalistic play strategies was examined using a concurrent multiple-baseline design across six dyads, five of whom completed the intervention. After behavior skills training, all NT siblings increased the number of strategies they used, and increased the frequency of initiations towards their sibling with ASD. In addition, the percentage of reciprocal play between siblings increased. Generalization probes and follow-up probes demonstrated above-baseline levels of performance across most dyads, indicating that the skills learned generalized across other toys and were maintained over time. Only three of the sibling support group sessions were completed due to the COVID-19 pandemic. Although the effectiveness of the sibling support group cannot be determined, social validity questionnaires suggest siblings and parents valued and liked the support group.



中文翻译:

对自闭症儿童基于游戏的兄弟姐妹干预的有效性和可接受性的检验:单案例研究设计

互补和互惠的互动是幼儿兄弟姐妹关系的一个决定性特征。然而,自闭症谱系障碍 (ASD) 儿童的社交和沟通困难可能使互惠游戏更加困难,兄弟姐妹之间的游戏也可能缺乏回报。兄弟姐妹游戏可以在干预和家庭凝聚力方面发挥重要作用,但没有一致的方法让兄弟姐妹参与干预以使兄弟姐妹受益。本研究评估了一种新的治疗方案,包括训练兄弟姐妹游戏策略以增加积极的兄弟姐妹游戏,并结合兄弟姐妹支持小组为神经典型兄弟姐妹 (NT) 提供社会支持。治疗方案对 NT 兄弟姐妹游戏的影响和自然游戏策略实施的保真度通过六个对子的并发多基线设计进行了检查,其中五个完成了干预。在行为技能训练后,所有 NT 兄弟姐妹都增加了他们使用的策略数量,并增加了对患有 ASD 兄弟姐妹的启蒙频率。此外,兄弟姐妹之间互惠游戏的百分比增加了。泛化调查和后续调查显示,大多数二元组的表现都高于基线水平,这表明所学到的技能可以在其他玩具中泛化,并随着时间的推移而得以保持。由于 COVID-19 大流行,仅完成了三个兄弟姐妹支持小组会议。尽管无法确定兄弟姐妹互助小组的有效性,

更新日期:2021-08-19
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