| Objective(s):This study explores the impact between children with autism spectrum disorder(ASD)and their parentsand compares the training effect of the "family-play"mode with conventional rehabilitation training,observes and evaluates the behavior improvement of children,and discusses the effectivenessandfeasibility.Provide reliable and effective intervention methods for families,reduce family burden and parents’ psychological pressure.Methods:In this study,63 children with autism who visited our department from May2018 to May 2019 were selected as subjects and randomly divided into experimental group(31 cases)and control group(32 cases).The control group used conventional rehabilitation training,including ABAandTEACCH.The treatment was administered for 30 minutes twice a day,4 times a week,for 8 weeks.The experimental group adopts the "family-play" mode to train the enrolled parents that based on the BSR intervention model,and the training course is designed by combining "CST" and RIT.Adopting the basic game principle of "Follow-Participate-Imitate-Wait-Respond-Follow"to conduct rehabilitation training in the family.The treatment was 2 hours daily,4 times a week,for 8 weeks.Family questionnaires and social behavior assessments were conducted in both groups of patients before and after intervention,including ABC,CARS,and M-CHAT.Results:1.There was no significant difference in the total scores of ABC and CARS and thetotal number of positive items of M-CHAT before intervention between the two groups(P>0.05).2.After 8 weeks of intervention,the total scores of ABC and CARS,and the total number of M-CHAT positive items in the two groups of patients were significantly different before and after intervention(P<0.01).3.After 8 weeks of intervention,the interaction and life self-care items in the ABC scale of the experimental group were better than the control group,and the difference was significant(P<0.05).The total score of the CARS scale is better than the control group.Among them,interpersonal relationship,imitation,relationship with non-living objects,adaptation to environmental changes,anxiety response and non-verbal communication are better than the control group,the difference is statistically significant(P<0.05).The number of non-core items of M-CHAT is better than the control group,and the difference is significant(P<0.05).4.After 8 weeks of intervention,the language and physical movement scores in the ABC scale of the control group were better than the experimental group,and the difference was significant(P<0.05).In the CARS scale,visual response,close sensory response,language communication,activity changes,and intellectual function were superior to the experimental group,and the difference was significant(P<0.05).5.After a follow-up of 4 weeks,there was no significant difference between the total score of the ABC scale and the scores of each sub-item in the experimental group compared with the end of the training(P>0.05).Conclusion(s):1.Both the "family-play" mode and routine rehabilitation training have significantly improved the prosocial behavior and peer communication behavior of autistic children.Compared withroutine rehabilitation training,the "family-play" mode can significantly improve the children’s social communication ability,life self-care ability,and environmental adaptability.However,routine rehabilitation training is better than the "family-play" mode in promoting children’s language and cognitive functions,controlling activity levels,and increasing children’s risk awareness.2.Our research shows that parental companionship has a significant effect on relieving children’s anxiety,which is related to the "family-play" mode that pays more attention to the role of family in training,and emphasizes the effective companionship of parents and nurturing care.Therefore,the health status of the parents will directly affect the training effect.While this model helps children,it also emphasizes giving parents some professional support.3.It is safe and effective to use the "family-play" mode to conduct home rehabilitation training for autistic children.However,the "family-play" mode has certain requirements on parents’ educational level and execution ability.In the actual application process,it should be combined with professional rehabilitation training to jointly promote the development of children’s social behavior. |
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