%0杂志文章%@ 1438- 8871% I JMIR出版物%V 19卡塔尔世界杯8强波胆分析% N 7% P e248% T自闭症谱系障碍儿童自我导向远程医疗父母介导干预:社区环境中的潜在影响和利用检查%A Ingersoll,Brooke %A Shannon,Katherine %A Berger,Natalie %A Pickard,Katherine %A Holtz,Bree %+密歇根州立大学，心理学系，316物理路，东兰辛，MI, 48824，美国，1 517 432 8412,ingers19@msu.edu %K自闭症%K父母教育%K远程医疗%D 2017 %7 12.07.2017 %9原始论文%J J医学互联网Res %G英语%X背景:非常需要制定策略，以增加对自闭症谱系障碍(ASD)儿童的循证干预。一种新颖的方法是通过远程医疗培训父母对自闭症谱系障碍患儿使用循证干预措施。试点工作检查了这样一个项目的有效性，ImPACT Online，证明了家长项目参与率高，流失率低，以及在家长学习和孩子社交方面的相关收益。目的:本研究的目的是进行ImPACT Online的公开试验，以更好地了解其传播潜力。方法:我们检查了注册家庭(n=36)与转诊到公开试验的家庭(n=139)在一个转诊点的范围和代表性。然后，我们比较了参加公开试验的所有家庭(n=112)与参加同一项目的两个对照试验之一的家庭(n=50)的人口统计数据。我们还检查了开放试验和对照试验的项目参与度指标、项目参与度与家长干预知识变化之间的关系，以及开放试验参与者的项目评估。结果:总的来说，25.8%(36/139)的家长在他们的孩子的诊断反馈会议上获得了关于该计划的信息，并注册了该计划。 The parents who enrolled in the open (OT) and controlled trials (CT), respectively, were similar in gender (OT: 84.8% (95/112); CT: 88% (44/50), female), marital status (OT: 80.4% (90/112) ; CT: 69.6% (32/46), married), education (OT: 58.0% (65/112); CT: 54.0% (27/50), college degree or higher), and employment status (OT: 58.0% (65/112); CT: 65.3% (32/49), employed outside the home). The child participants were similar in terms of gender (OT: 83.0% (93/112); CT: 76.0% (38/50), male) and race and ethnicity (OT: 38.4% (43/112); CT: 24.0% (12/50), minority). However, the mean chronological age of the child participants in the open trial group was significantly higher (Mean=60.0 months) than in the controlled trial group (Mean=43.0 months), with t160=5.22, P<.001. Parents in the open trial engaged with the program at a significantly lower rate than the controlled trial, F3,81=21.14, P<.001. Program engagement was significantly associated with gains in parent intervention knowledge across both the groups, beta=.41, t=2.43, P=.02. Participants in the open access trial evaluated the program highly, but several barriers were noted. Conclusions: These data suggest that additional strategies may need to be developed to support families in using telehealth-based parent-mediated intervention in community settings. %M 28701294 %R 10.2196/jmir.7484 %U //www.mybigtv.com/2017/7/e248/ %U https://doi.org/10.2196/jmir.7484 %U http://www.ncbi.nlm.nih.gov/pubmed/28701294