新颖启动模式对孤独症谱系障碍儿童发起要求行为的效果

doi:10.3969/j.issn.1006-9771.2025.02.002

Abstract

Abstract:

Objective To explore the effect of a novel initiation model on initiating behavioral requests in children with autism spectrum disorder (ASD).

Methods From November to December, 2022, 44 children with ASD were selected from Jiaxing Sunlight Rehabilitation Kindergarten, and divided into prelinguistic group (n = 23) and linguistic group (n = 21) according to the language function. The initiation-requested skills, and types and frequency of initiation-requested behaviors were observed under the novel initiation model and the conventional initiation model.

Results Both the groups scored higher in the novel initiation model than in the conventional initiation model for initiation-requested skills (|t| > 2.794, P <0.05) and types of initiation-requested behaviors (|t| > 3.697, P <0.01), and it increased for the frequency of the use of two- and three-behavioral initiation of requests (χ² > 7.986, P <0.05).

Conclusion The novel initiation model can improve initiation request skills in children with ASD.

Key words: autism spectrum disorder, initiation model, initiating behavioral requests

CLC Number:

R749.93

ZHANG Guanzhu, LIU Qiaoyun, LIU Min, ZHANG Yuexin, XU Lian. Effect of a novel initiation model on initiating behavioral requests in children with autism spectrum disorder[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 136-140.

Figures/Tables 5

Table 1

Table 2

Table 3

Comparison of IBR scores between two initiation models in two groups"

语言水平	n	启动模式	$x - ± s$	t值	P值
前语言组	23	常规启动	6.43±3.03	-6.839	< 0.001
		新颖启动	10.70±4.40
语言组	21	常规启动	12.05±6.16	-2.794	0.011
		新颖启动	14.71±6.08

Table 3

Table 4

Comparison of three types of IBR scores between two initiation models in two groups"

语言水平	n	行为	启动模式	$x - ± s$	t值	P值
前语言组	23	眼神	常规启动	1.22±1.65	-5.737	< 0.001
			新颖启动	2.65±1.75
		手势	常规启动	3.78±1.44	-5.721	< 0.001
			新颖启动	4.96±1.26
		发声^a	常规启动	1.43±1.65	-5.150	< 0.001
			新颖启动	3.35±2.53
语言组	21	眼神	常规启动	1.71±1.71	-3.697	0.001
			新颖启动	2.57±2.38
		手势	常规启动	3.24±1.58	-1.251	0.225
			新颖启动	3.62±1.80
		发声^a	常规启动	6.62±4.40	-3.869	0.001
			新颖启动	8.57±4.15

Table 4

Table 5

References 30

[1]	MUHARIB R, WALKER V, DUNN W. Effects of interventions involving tablet-based speech-generating devices for individuals with ASD: a meta-analysis[J]. J Autism Dev Disord, 2024, 54(12): 4496-4514.
[2]	ZHOU H, XU X, YAN W, et al. Prevalence of autism spectrum disorder in China: a nationwide multi-center population-based study among children aged 6 to 12 years[J]. Neurosci Bull, 2020, 36: 961-971. doi: 10.1007/s12264-020-00530-6 pmid: 32607739
[3]	MUNDY P, CHRISTINE D, JESSICA B, et al. A Manual for the Early Social Communication Scales (ESCS)[M]. Coral Gables, FL: University of Miami Psychology Department, 2003.
[4]	COOK A, QUINN E D, ROWLAND C. Exploring expressive communication skills in a cross-sectional sample of individuals with a dual diagnosis of autism spectrum disorder and Down syndrome[J]. Am J Intell Dev Disabil, 2021, 126(2): 97-113.
[5]	WEISBERG H R, JONES E A. Individualizing intervention to teach joint attention, requesting, and social referencing to children with autism[J]. Behav Anal Prac, 2019, 12: 105-123.
[6]	WU D, WOLFF J J, RAVI S, et al. Infants who develop autism show smaller inventories of deictic and symbolic gestures at 12 months of age[J]. Autism Res, 2024, 17(4): 838-851.
[7]	DE VILLIERS RADER N, ZUKOW-GOLDRIN P, ALHANTI T. Show gestures direct attention to word-object relations in typically developing and autistic spectrum disorder children[J]. Lang Sci, 2021, 87: 101414.
[8]	WANG Q, WALL C A, BARNEY E C, et al. Promoting social attention in 3-year-olds with ASD through gaze-contingent eye tracking[J]. Autism Res, 2020, 13(1): 61-73. doi: 10.1002/aur.2199 pmid: 31468735
[9]	KHALULYAN A, BYRD K, TARBOX J, et al. The role of eye contact in young children's judgments of others' visibility: a comparison of preschoolers with and without autism spectrum disorder[J]. J Commun Disord, 2021, 89: 106075.
[10]	PLATE S, YANKOWITZ L, RESORLA L, et al. Infant vocalizing and phenotypic outcomes in autism: evidence from the first 2 years[J]. Child Dev, 2022, 93(2): 468-483.
[11]	YANKOWITZ L D, PETRULLA V, PLATE S, et al. Infants later diagnosed with autism have lower canonical babbling ratios in the first year of life[J]. Mol Autism, 2022, 13(1): 1-16.
[12]	ROJAS C. The evaluation of mand preferences in young learners with autism[D]. Carbondale: Southern Illinois University, 2023.
[13]	YOON C D, TEROL A K, MEADAN H, et al. Gaze behaviors and social communication skills of young autistic children: a scoping review[J]. [ahead of print]. Rev J Autism Dev Disord, 2024. doi: 10.1007/s10803-024-06257-x.
[14]	LIU L, YE Q Y, XING Y, et al. Early gesture development as a predictor of autism spectrum disorder in elevated-likelihood infants of ASD[J]. BMC Psychiatry, 2024, 24(1): 710. doi: 10.1186/s12888-024-06173-5 pmid: 39434050
[15]	POLAK-PASSY Y, BEN-ITZCHAK E, ZACHOR D A. Enhancing social communication behaviors in children with autism: the impact of dog training intervention on verbal and non-verbal behaviors[J]. Front Psychol, 2024, 15: 1496915.
[16]	LATRECHE K, KOJOVIC N, PITTET I, et al. Gesture imitation performance and visual exploration in young children with autism spectrum disorder[J]. [ahead of print]. J Autism Dev Disord, 2024. doi: 10.1007/s10803-024-06595-w.
[17]	MURRAY C M, BARUNI R R, KELLY M P, et al. Increasing novel toy play actions in children with autism spectrum disorder and intellectual disabilities[J]. Int J Play, 2023, 12(2): 155-174.
[18]	刘巧云. 医学教育康复系列:普通话儿童语言能力临床分级评估指导[M]. 南京: 南京师范大学出版社, 2021: 6-19.
	LIU Q Y. Medical Education and Rehabilitation Series: Manual of mandarin evaluation of language fundamentals[M]. Nanjing: Nanjing Normal University Press, 2021: 6-19.
[19]	JESSEL J, INGVARSSON E T. Teaching two children with autism to mand for known and unknown items using contrived motivating operations[J]. Behav Intervent, 2022, 37(1): 139-152.
[20]	BAN Y, MCGILL P. The use of conditioned motivating operations (CMOs) in mand training for children with autism spectrum disorder: a systematic review[J]. Eur J Behav Anal, 2023, 24(1/2): 51-102.
[21]	CENGHER M, BOWMAN M D, SHAWLER L A, et al. A systematic review of mands for information[J]. Behav Intervent, 2022, 37(3): 864-886.
[22]	FRAMPTON S E, DAVIS C R, MELESHKEVICH O, et al. A clinical tutorial on methods to capture and contrive establishing operations to teach mands[J]. Behav Anal Prac, 2024, 17(4): 1270-1282.
[23]	ZAHARIA A, KOJOVIC N, ROJANAWISUT T, et al. Examining the link between social affect and visual exploration of cute stimuli in autistic children[J]. [ahead of print]. J Autism Dev Disord, 2024. doi: 10.1007/s10803-024-06504-1.
[24]	DWYER P, SILLAS A, PRIETO M, et al. Hyper-focus, sticky attention, and springy attention in young autistic children: associations with sensory behaviors and cognitive ability[J]. Autism Res, 2024, 17: 1677-1695. doi: 10.1002/aur.3174 pmid: 38840328
[25]	HAN G T, TOMARKEN A J, GOTHAM K O. Social and nonsocial reward moderate the relation between autism symptoms and loneliness in adults with ASD, depression, and controls[J]. Autism Res, 2019, 12(6): 884-896. doi: 10.1002/aur.2088 pmid: 30825364
[26]	WANG Q, HOI S P, WANG Y, et al. Out of mind, out of sight? Investigating abnormal face scanning in autism spectrum disorder using gaze-contingent paradigm[J]. Dev Sci, 2020, 23(1): e12856.
[27]	DAVIDSON D, HILVERT E, WINNING A M, et al. Recognition of emotions from situational contexts and the impact of a mind reading intervention in children with autism spectrum disorder[J]. Child Psychiatry Hum Dev, 2022, 53(3): 418-429.
[28]	FRYE R E. Social skills deficits in autism spectrum disorder: potential biological origins and progress in developing therapeutic agents[J]. CNS Drugs, 2018, 32(8): 713-734. doi: 10.1007/s40263-018-0556-y pmid: 30105528
[29]	ERTURK B, HANSEN S G, MACHALICEK W, et al. Parent-implemented early social communication intervention for young children with autism spectrum disorder[J]. J Behav Educ, 2021, 30: 641-663.
[30]	MAYE M P. Encouraging toddlers with ASD to request: an exploration of expectant pausing and engagement strategies[D]. Boston: University of Massachusetts Boston, 2018.

组别	n	性别(男/女)/n	月龄/月	词语理解分	词语命名
前语言组	23	20/3	74±12	0(0, 11)	0(0, 0)
语言组	21	17/4	78±9	20(13, 26)	18(11, 32)

玩具	常规启动模式	新颖启动模式
泡泡水	在桌面上向儿童展示吹泡泡	与儿童一起抓泡泡
积木	在桌面上向儿童展示搭积木	与儿童一起将积木推倒
玩具车	在桌面上向儿童展示车开走	将车开到儿童双侧上肢
触觉球	在桌面上向儿童展示滚球	与儿童轮流抛球
投币猪	在桌面上向儿童展示将硬币投入玩具中	研究者向儿童抛出硬币，由儿童将硬币投入玩具中
玩具青蛙	在桌面上向儿童展示青蛙跳	将青蛙跳到儿童身体的不同部位，如手、头、膝盖等

Effect of a novel initiation model on initiating behavioral requests in children with autism spectrum disorder

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 5

References 30

Related Articles 15

Metrics

Comments

Recommended 0

行为类型	前语言组(n = 23)		语言组(n = 21)
行为类型	常规启动	新颖启动	常规启动	新颖启动
单行为	65	35	26	19
双行为	28	42	49	54
三行为	8	42	17	31
无反应	37	19	34	22
χ²值	40.706		7.986
P值	< 0.001		0.046

[1]	SHE Huili, CAI Wenzhu, JIANG Yu, FANG Tingting, ZHANG Wenpei, SHEN Ruting. Electronic picture books for children with autism spectrum disorder based on Creative Problem Solving model: construction and intervention [J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 141-149.
[2]	DUAN Guanting, XIAO Xue, HOU Huisheng, JIANG Yunqiao, LIU Yuge, SHI Wenxia. Relationship between physical activity and mental health in children with autism spectrum disorder: the mediating role of social response [J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 150-157.
[3]	XIANG Songbai, ZHOU Wenhui, WANG Chonggao. Application of robots in rehabilitation of children with autism spectrum disorder from 2004 to 2024: a bibliometrics analysis [J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 158-164.
[4]	YANG Wenrui, CUI Sidong, ZENG Li. Effect of virtual and augmented reality on cognition, emotion and adaptive behavior in children and adolescents with autism spectrum disorder: a systematic review [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(9): 1026-1033.
[5]	HAN Xuling, ZHAO Hang, SUN Mudi, ZHAO Meiping, WANG Yanxia, LIU Min, QU Lu, LIU Qiaoyun. Characteristics of response to joint attention under diverse guiding behaviors in preschoolers with moderate to severe autism spectrum disorder [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(8): 882-887.
[6]	YANG Yuran, WANG Qian, CHEN Cuicui, DU Xiaoxin. Effect of different interventions on joint attention in children aged three to six years with mild to moderate autism spectrum disorder [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(8): 888-893.
[7]	LÜ Qianqian, WANG Mengmeng, WU Yiling, YANG Xiaozhen, MA Lingling, ZHAO Yaping, XIAO Yao, SANG Gao. Effect of neurofeedback training based on early start Denver model on children with autism spectrum disorder: a randomized controlled trial [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(8): 914-921.
[8]	ZHANG Zhe, DONG Xianwen, XU Chengming, HU Wenjing, HE Tingli, CUI Xinxin, XU Hongyan, ZHOU Zhangying, HAN Ya'nan. Electroencephalography applied in autism spectrum disorder research in decade: a bibliometrics analysis [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(6): 693-700.
[9]	ZHONG Xiaoke, WANG Qi, CHANG Siqin, JIANG Changhao. Effect of long-term physical activity on executive function of children with autism spectrum disorder: a systematic review [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 535-542.
[10]	WEI Ning, ZENG Yanling, JIANG Na, ZHANG Qian, YI Xiaozhe, WANG Jianyun, WANG Dengting, ZHANG Yan, PEI Hongbo, HUANG Chaorong. Impact of parental efficacy in doctor-patient communication on rehabilitation outcomes for children with autism spectrum disorder [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 577-585.
[11]	LIU Ping, JI Xiang, WANG Linping, HUANG Fubiao. Effect of therapeutic listening on social interaction function in children with autism spectrum disorder [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(3): 362-367.
[12]	WU Jinlong, REN Zhanbing, YI Zizhen, PENG Li. Characteristics of interbrain synchrony during interactions among individuals with autism spectrum disorder: a scoping review [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 168-175.
[13]	MU Zichen, TANG Qiang, SHI Yunqiu, WANG Yan, ZHU Shuwei, ZHUANG Ya'nan, XU Danshuang, LI Hongyu, LI Baolong, ZHANG Chunyan, YUAN Mengke. Effect of enriched environment combined with acupuncture at head points on behavior in rats with autism spectrum disorder [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 176-182.
[14]	WU Yiming, CHENG Qi, ZHAO Yanchun, LU Haidan. Echolalic speech characteristics of children with moderate to severe autism spectrum disorder aged three to eight [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(11): 1351-1358.
[15]	YANG Tongnian, REN Jie, XIAO Hui, FAN Xiaoyan. Effect of physical activity on sleep function in children with attention deficit hyperactivity disorder and autism spectrum disorder: a systematic review [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(10): 1133-1139.