UNASSIGNED:对患有全球发育迟缓(GDD)的儿童进行早期识别和干预可以显着改善其预后,并降低将来发展为智力残疾的可能性。本研究旨在探讨父母实施的GDD早期干预计划(PIEIP)的临床有效性。为今后该干预策略的推广应用提供研究依据。
UNASSIGNED:在2019年9月至2020年8月期间,从每个研究中心选择3至6个月被诊断为GDD的儿童作为实验组和对照组。对于实验组,PIEIP干预是针对亲子对进行的.进行了中期和末期评估,分别,在12个月和24个月大的时候,完成了育儿压力调查。
UNASSIGNED:试验组儿童平均年龄为4.56±1.08个月(n=153),对照组为4.50±1.04个月(n=153)。通过独立t检验对两组间进展差异进行比较分析,经过实验干预,运动的发育商(DQ),个人社会,和语言,以及格里菲斯智力发展量表-中国人(GDS-C)的一般商(GQ),实验组患儿进步高于对照组(P<0.05)。此外,功能失调相互作用的平均标准分数显着下降,实验组在学期测试中的困难儿童和父母压力的总水平(全部P<0.001)。
UNASSIGNED:PIEIP干预可以显着改善GDD儿童的发育结局和预后,尤其是在运动领域,个人社会,和语言。
UNASSIGNED: Early identification and intervention for children with global developmental delay (GDD) can significantly improve their prognosis and reduce the possibility of developing intellectual disability in the future. This study aimed to explore the clinical effectiveness of a parent-implemented early intervention program (PIEIP) for GDD, providing a research basis for the extended application of this intervention strategy in the future.
UNASSIGNED: During the period between September 2019 and August 2020, children aged 3 to 6 months diagnosed with GDD were selected from each research center as the experimental group and the control group. For the experimental group, the PIEIP intervention was conducted for the parent-child pair. Mid-term and end-stage assessments were performed, respectively, at 12 and 24 months of age, and parenting stress surveys were completed.
UNASSIGNED: The average age of the enrolled children was 4.56 ± 1.08 months for the experimental group (n = 153) and 4.50 ± 1.04 months for the control group (n = 153). The comparative analysis of the variation in the progress between the two groups by independent t-test showed that, after the experimental intervention, the developmental quotient (DQ) of locomotor, personal-social, and language, as well as the general quotient (GQ) of the Griffiths Mental Development Scale-Chinese (GDS-C), the children in the experimental group demonstrated higher progress than those in the control group (P < 0.05). Furthermore, there was a significant decrease in the mean standard score of dysfunctional interaction, difficult children and the total level of parental stress in the term test for the experimental groups (P < 0.001 for all).
UNASSIGNED: PIEIP intervention can significantly improve the developmental outcome and prognosis of children with GDD, especially in the areas of locomotor, personal-social, and language.