Chen Xueping,Zhang Qingying,Wu Yi,Wang Hongwu,Rao Wenwang,Li Duo,Ou Yan,Su Shaoyuan,Liu Guimin,Effect of home-based early intensive behavioral intervention using VB-MAPP on verbal ability in children with autism spectrum disorder[J].SICHUAN MENTAL HEALTH,2023,36(5):422-427

Effect of home-based early intensive behavioral intervention using VB-MAPP on verbal ability in children with autism spectrum disorder

DOI：10.11886/scjsws20221229004

English keywords:Autism spectrum disorder VB-MAPP Home-based intervention Early intensive behavioral intervention Verbal ability

Fund projects:2020广东省科技专项资金（项目名称：基于IEP及治疗师督导下的自闭症家庭干预模式探讨，项目编号：20200601）

Author Name	Affiliation	Postcode
Chen Xueping	The Second Affiliated Hospital of Shantou University Medical College， Shantou 515041， China	515041
Zhang Qingying	Department of Public Health and Preventive Medicine， Shantou University Medical College， Shantou 515041， China	515041
Wu Yi^*	The Second Affiliated Hospital of Shantou University Medical College， Shantou 515041， China	515041
Wang Hongwu	The Second Affiliated Hospital of Shantou University Medical College， Shantou 515041， China	515041
Rao Wenwang	Department of Public Health and Preventive Medicine， Shantou University Medical College， Shantou 515041， China	515041
Li Duo	The Second Affiliated Hospital of Shantou University Medical College， Shantou 515041， China	515041
Ou Yan	The Second Affiliated Hospital of Shantou University Medical College， Shantou 515041， China	515041
Su Shaoyuan	The Second Affiliated Hospital of Shantou University Medical College， Shantou 515041， China	515041
Liu Guimin	The Second Affiliated Hospital of Shantou University Medical College， Shantou 515041， China	515041

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English abstract:

Background Home-based intervention occupies a prominent place in the treatment of autism spectrum disorder （ASD） in children， whereas previous studies on the effect of home-based early intensive behavioral intervention on verbal ability of children with ASD are somewhat inadequate.Objective To study the effects of intensive family behavioral of intervention based on Verbal Behavior Milestones Assessment and Placement Program （VB-MAPP） on the language ability of children with ASD， so as to provide references for the development of family intervention strategies for children with ASD.Methods Children aged 2 to 3 years old who attended the Children's Rehabilitation Department of the Second Affiliated Hospital of Shantou University Medical College from September 2020 to December 2021 and met the Diagnostic and Statistical Manual of Mental Disorders， fifth edition （DSM-5） diagnostic criteria for ASD were selected as the study objects. A non-randomized concurrent control trial was conducted to compare a study group （n=24） receiving home-based early intensive behavioral intervention using VB-MAPP with a control group （n=14） receiving training from other special institutions or early childhood education institutions. The intervention lasted for 6 months in both groups. Before and after the intervention， the VB-MAPP milestone assessment was performed in the two groups， and the VB-MAPP milestone score， mand， trac and listener responds were selected as the study indicators. Then the intervention effect was compared between two groups， and the multiple linear regression was performed to screen the related influencing factors.Results After intervention， the total milestone assessment score， mand， tact and listener responds scores of study group were higher than those of control group， with statistical difference （Z=-4.339~-2.195， P<0.05 or 0.01）. Multiple linear regression analysis denoted that the average weekly hours of home-based intervention in the first three months had certain effect on listener responds （β=1.029， P<0.05）.Conclusion Application of home-based early intensive behavior intervention using VB-MAPP may contribute to the improvement of verbal abilities such as mand， tact and listener responds in children with ASD. ［Funded by 2020 Guangdong Provincial Science and Technology Innovation Strategy Special Fund （number， 20200601）］

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