RESUMO
BACKGROUND: Poor eye contact and joint attention are early signs of autism spectrum disorder (ASD) and important prerequisites for developing other socio-communicative skills. Teaching parents evidence-based techniques to improve these skills can impact the overall functioning of children with ASD. We aimed to analyse the impact of conducting a group parent-training intervention with video modelling to improve the intelligent quotient (IQ), social and communication functioning and to minimise symptoms in children with ASD and intellectual disability (ID). METHODS: Study design: A multicentre, single-blinded, randomised clinical pilot trial of parent training using video modelling was conducted. SAMPLE: Sixty-seven parents of children with ASD, aged between 3 and 6 years and with IQs between 50 and 70, were randomised: 34 to the intervention group and 33 to the control group. Intervention program: The intervention group received parent training over 22 sessions, and the control group received the standard community treatment. INSTRUMENTS: Pre-evaluation and post-evaluation (week 28), the following were used: Autism Diagnostic Interview, Vineland Adaptive Behaviour Scale I, Snijders-Oomen Nonverbal Intelligence Test, Autism Behaviour Checklist and Hamilton Depression Rating Scale. DATA ANALYSIS: Intention to treat and complier-average causal effect (CACE) were used to estimate the effects of the intervention. RESULTS: There was a statistically significant improvement in the Vineland standardized communication scores in CACE (Cohen's d = 0.260). There was a non-statistically significant decrease in autism symptomatology (Autism Behaviour Checklist total scores) and a significant increase in the non-verbal IQ in the intervention group. After the false discovery rate correction was applied, IQ remained statistically significant under both paradigms. The effect size for this adjusted outcome under the intention-to-treat paradigm was close to 0.4, and when considering adherence (CACE), the effect sizes were more robust (IQ's Cohen's d = 0.433). CONCLUSIONS: Parent training delivered by video modelling can be a useful technique for improving the care given to children with ASD and ID, particularly in countries that lack specialists.
Assuntos
Transtorno do Espectro Autista/terapia , Educação não Profissionalizante , Deficiência Intelectual/terapia , Avaliação de Resultados em Cuidados de Saúde , Pais , Adulto , Criança , Pré-Escolar , Educação não Profissionalizante/métodos , Feminino , Humanos , Masculino , Projetos Piloto , Método Simples-Cego , Gravação em VídeoRESUMO
O objetivo do trabalho foi avaliar as características produtivas e nutricionais do capim- xaraés inoculado com bactérias diazotróficas associativas, em primeiro cultivo em Latossolo Vermelho do Cerrado. O experimento foi realizado em casa de vegetação. O delineamento experimental foi inteiramente ao acaso, constituído por fatorial 6x3: três estirpes de bactérias diazotróficas associativas (MTAz8, MTH2 e Y2), uma combinação das estirpes MTAz8 e MTH2, adubação nitrogenada e testemunha absoluta, e três cortes (30, 60 e 90 dias), em cinco repetições. A inoculação foi feita por meio da inserção de uma alíquota de 5mL de caldo bacteriano contendo 108 células mL-1 no solo próximo ao sistema radicular. As variáveis avaliadas foram: massa seca da parte aérea, porcentagem de proteína bruta, acúmulo e concentração de nitrogênio na parte aérea e determinação do número de bactérias diazotróficas do solo. No tratamento adubado com nitrogênio, a produção de massa seca aumentou ao longo dos cortes. Entre as estirpes de bactérias associativas, a Y2 apresentou maior acúmulo de nitrogênio e maior população de bactérias no meio de cultura LGI. As características nutricionais do capim-xaraés decaíram à medida que foram realizados os cortes.(AU)
The aim of this study was to evaluate yield and nutritional characteristics of Xaraés grass inoculated with diazotrophic associative bacteria in the first cultivation in the Cerrado Oxisol. The experiment was conducted in the greenhouse. The experimental design was completely randomized factorial 6x3 consisting of: three strains of diazotrophic associative bacteria (MTAz8, MTH2 and Y2), a combination of strains MTAz8 and MTH2, nitrogen fertilization and absolute control, and three cuts (30, 60 and 90 days) in five replicates. The inoculation was performed by inserting an aliquot of 5ml of the bacterial broth containing 10 8 cells ml-1 in the soil near the root zone of each plant. The variables evaluated were: dry weight of shoot, crude protein, accumulation and nitrogen concentration in the shoot and determining the number of nitrogen-fixing bacteria in the soil. The fertilized soil dry matter production increased over the cuts. Among the strains Y2 showed higher accumulation of nitrogen and largest population of bacteria in the middle of the LGI culture. The nutritional characteristics of Xaraés grass declined as the cuts were made.(AU)
Assuntos
Brachiaria/crescimento & desenvolvimento , Pastagens/análise , Fixação de NitrogênioRESUMO
O objetivo do trabalho foi avaliar as características produtivas e nutricionais do capim- xaraés inoculado com bactérias diazotróficas associativas, em primeiro cultivo em Latossolo Vermelho do Cerrado. O experimento foi realizado em casa de vegetação. O delineamento experimental foi inteiramente ao acaso, constituído por fatorial 6x3: três estirpes de bactérias diazotróficas associativas (MTAz8, MTH2 e Y2), uma combinação das estirpes MTAz8 e MTH2, adubação nitrogenada e testemunha absoluta, e três cortes (30, 60 e 90 dias), em cinco repetições. A inoculação foi feita por meio da inserção de uma alíquota de 5mL de caldo bacteriano contendo 108 células mL-1 no solo próximo ao sistema radicular. As variáveis avaliadas foram: massa seca da parte aérea, porcentagem de proteína bruta, acúmulo e concentração de nitrogênio na parte aérea e determinação do número de bactérias diazotróficas do solo. No tratamento adubado com nitrogênio, a produção de massa seca aumentou ao longo dos cortes. Entre as estirpes de bactérias associativas, a Y2 apresentou maior acúmulo de nitrogênio e maior população de bactérias no meio de cultura LGI. As características nutricionais do capim-xaraés decaíram à medida que foram realizados os cortes.(AU)
The aim of this study was to evaluate yield and nutritional characteristics of Xaraés grass inoculated with diazotrophic associative bacteria in the first cultivation in the Cerrado Oxisol. The experiment was conducted in the greenhouse. The experimental design was completely randomized factorial 6x3 consisting of: three strains of diazotrophic associative bacteria (MTAz8, MTH2 and Y2), a combination of strains MTAz8 and MTH2, nitrogen fertilization and absolute control, and three cuts (30, 60 and 90 days) in five replicates. The inoculation was performed by inserting an aliquot of 5ml of the bacterial broth containing 10 8 cells ml-1 in the soil near the root zone of each plant. The variables evaluated were: dry weight of shoot, crude protein, accumulation and nitrogen concentration in the shoot and determining the number of nitrogen-fixing bacteria in the soil. The fertilized soil dry matter production increased over the cuts. Among the strains Y2 showed higher accumulation of nitrogen and largest population of bacteria in the middle of the LGI culture. The nutritional characteristics of Xaraés grass declined as the cuts were made.(AU)