Abstract：
OBJECTIVE: Naturalistic developmental behavioral interventions for children with autism spectrum disorder show evidence for effectiveness for specific social communication targets such as joint attention or engagement. However, combining evidence from different studies and comparing intervention effects across those studies have not been feasible due to lack of a standardized outcome measure of broader social communication skills that can be applied uniformly across trials. This investigation examined the usefulness of the Brief Observation of Social Communication Change (BOSCC) as a common outcome measure of general social communication skills based on secondary analyses of data obtained from previously conducted randomized controlled trials of 3 intervention models, Early Social Intervention (ESI), Early Start Denver Model (ESDM) and Joint Attention Symbolic Play Engagement and Regulation (JASPER).
METHODS: The subset of datasets from the 3 randomized controlled trials was created to examine differences in the BOSCC scores between intervention and control groups over the course of the interventions.
RESULTS: Based on 582 videos from 207 caregiver-child dyads, the BOSCC noted significant differences between intervention vs control groups in broad social communication skills within 2 of the 3 intervention models, which were longer in duration and focused on a broad range of developmental skills.
CONCLUSIONS: The BOSCC offers the potential to take a uniform measurement approach across different intervention models to capture the effect of intervention on general social communication skills but may not pick up the effects of some brief interventions targeting proximal outcomes.
BACKGROUND: Comparing Parent-Implemented Interventions for Toddlers With Autism Spectrum Disorders; https://www.
RESULTS: gov/; NCT00760812. Intensive Intervention for Toddlers With Autism (EARLY STEPS); https://www.
RESULTS: gov/; NCT00698997. Social and Communication Outcomes for Young Children With Autism; https://www.
RESULTS: gov/; NCT00953095.
METHODS: The subset of datasets from the 3 randomized controlled trials was created to examine differences in the BOSCC scores between intervention and control groups over the course of the interventions.
RESULTS: Based on 582 videos from 207 caregiver-child dyads, the BOSCC noted significant differences between intervention vs control groups in broad social communication skills within 2 of the 3 intervention models, which were longer in duration and focused on a broad range of developmental skills.
CONCLUSIONS: The BOSCC offers the potential to take a uniform measurement approach across different intervention models to capture the effect of intervention on general social communication skills but may not pick up the effects of some brief interventions targeting proximal outcomes.
BACKGROUND: Comparing Parent-Implemented Interventions for Toddlers With Autism Spectrum Disorders; https://www.
RESULTS: gov/; NCT00760812. Intensive Intervention for Toddlers With Autism (EARLY STEPS); https://www.
RESULTS: gov/; NCT00698997. Social and Communication Outcomes for Young Children With Autism; https://www.
RESULTS: gov/; NCT00953095.
摘要：
目标：针对自闭症谱系障碍（ASD）儿童的自然主义发展行为干预（NDBI）显示了对特定社交沟通目标（如共同关注或参与）有效的证据。然而,由于缺乏可在试验中统一应用的更广泛的社会沟通技巧的标准化结局衡量标准,因此将来自不同研究的证据结合起来并比较这些研究的干预效果是不可行的.这项调查基于对先前进行的三种干预模型的随机对照试验（RCT）获得的数据的二次分析，研究了社会沟通变化的简要观察（BOSCC）作为一般社会沟通技巧的常见结果量度的有用性。早期社会干预(ESI)早期开始丹佛模型（ESDM）和联合注意象征性游戏参与和调节（JASPER）。
方法：创建来自三个随机对照试验的数据集子集，以检查干预组和对照组在干预过程中的BOSCC评分差异。
结果：基于来自207个照顾者-儿童二元组的582个视频，BOSCC注意到干预措施与干预措施之间的显着差异对照组在三种干预模式中的两种中具有广泛的社会交往能力，这些干预模式持续时间更长，并且专注于广泛的发展技能。
结论：BOSCC有可能在不同的干预模型中采取统一的测量方法来捕捉干预对一般社会沟通技能的影响，但可能无法获得一些针对近端结局的简短干预的影响。
方法：创建来自三个随机对照试验的数据集子集，以检查干预组和对照组在干预过程中的BOSCC评分差异。
结果：基于来自207个照顾者-儿童二元组的582个视频，BOSCC注意到干预措施与干预措施之间的显着差异对照组在三种干预模式中的两种中具有广泛的社会交往能力，这些干预模式持续时间更长，并且专注于广泛的发展技能。
结论：BOSCC有可能在不同的干预模型中采取统一的测量方法来捕捉干预对一般社会沟通技能的影响，但可能无法获得一些针对近端结局的简短干预的影响。
