A Case Study of Pivotal Response Treatment to Improve the Effectiveness of Active Questioning in Preschool Children with Autism Spectrum Disorder

YANG Jia-ni; DONG Jing; ZHAN Xiao-yan; WANG Lin

doi:10.3969/j.issn.1672-4933.2025.03.025

您当前的位置：

首页 >

文章列表页 >

A Case Study of Pivotal Response Treatment to Improve the Effectiveness of Active Questioning in Preschool Children with Autism Spectrum Disorder

Case Study | 更新时间：2026-07-11

- A Case Study of Pivotal Response Treatment to Improve the Effectiveness of Active Questioning in Preschool Children with Autism Spectrum Disorder
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 3, Pages: 329-333(2025)
- 作者机构：
  
  1.华南师范大学特殊教育学院广州 510631
  2.中国视障文化资讯服务中心（中国盲文图书馆）北京 100050
  3.深圳市宝安区星光学校深圳 518101
  4.武汉软件工程职业学院国际学院武汉 430205
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.03.025
  CLC： R766
- Received：25 October 2024，
  
  Published：15 May 2025
- 稿件说明：
移动端阅览
杨佳妮,董晶,詹晓燕等.关键反应训练提高学前孤独症儿童主动提问成效的个案研究[J].中国听力语言康复科学杂志,2025,23(03):329-333.

YANG Jia-ni,DONG Jing,ZHAN Xiao-yan,et al.A Case Study of Pivotal Response Treatment to Improve the Effectiveness of Active Questioning in Preschool Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):329-333.
杨佳妮,董晶,詹晓燕等.关键反应训练提高学前孤独症儿童主动提问成效的个案研究[J].中国听力语言康复科学杂志,2025,23(03):329-333. DOI： 10.3969/j.issn.1672-4933.2025.03.025.

YANG Jia-ni,DONG Jing,ZHAN Xiao-yan,et al.A Case Study of Pivotal Response Treatment to Improve the Effectiveness of Active Questioning in Preschool Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):329-333. DOI： 10.3969/j.issn.1672-4933.2025.03.025.

摘要

目的

探讨关键反应训练（pivotal response treatment，PRT）提高孤独症儿童主动提问技能的成效及使用策略。

方法

采用个案研究法，选取1名7岁1个月学前孤独症儿童作为研究对象，以针对物品主动提问“这是什么”为干预内容。研究过程包括基线期、干预期、维持期、第二维持期，干预期共持续2周。

结果

在干预期个案主动提问技能维持正向、稳定发展，正确率逐渐上升；维持期个案在结构化环境下主动提问的正确率保持稳定状态，具有较好的维持效果；第二维持期个案在自然情境下主动提问的正确率虽有所下降，但总体保持稳定状态；家长与教师均肯定关键反应训练干预成效。

结论

关键反应训练对孤独症儿童主动提问技能具有积极的干预成效，对未直接干预的其他领域具有积极的连带促进作用。

Abstract

Objective

To explore the effectiveness of using Pivotal Response Treatment (PRT) to improve the active questioning skills of a child with autism and strategies for its use.

Methods

A case study method was used to select a preschool child with autism who was 7 years and 1 month old

and the intervention consisted of asking "What is this?" with objects. The study process included a baseline period

an intervention period

a maintenance period

and a second maintenance period

and the intervention was expected to last a total of 2 weeks.

Results

In the intervention period

the active questioning skills of the cases maintained a positive and stable development

with a gradual increase in the rate of correctness; the rate of correctness of the active questioning skills of the cases in the structured environment in the maintenance period remained relatively stable

with a good maintenance effect; the rate of correctness of the active questioning skills of the cases in the natural environment in the second maintenance period decreased

but remained stable overall; Parents and teachers confirm the effectiveness of PRT intervention for active questioning skills in children with autism.

Conclusion

PRT was effective in improving the autistic child's active questioning skills;PRT had a positive cascading effects in other areas such as social

communication and cognition

with good immediate

maintenance effects

and good social validity;There is individual variability in the teaching strategies of PRT.

关键词

Keywords

references

American Psychiatric Association . Diagnostic and statistical manual of mental disorders: DSM-5 [M ] . Washington, DC : American Psychiatric Association , 2013 . 50 - 59 .

凤华 , 周婉琪 , 孙文菊 , 等 . 自闭症儿童社会——情绪教育实务工作手册 [M ] . 重庆 : 重庆大学出版社 , 2015 . 179 .

李丹 . 孤独症干预的关键性技能训练法 [M ] . 北京 : 北京大学出版社 , 2014 . 133 - 141 .

Koegel LK , Koegel RL , Harrower JK , et al . Pivotal response intervention I: overview of approach [J ] . JASH , 1999 , 24 ( 3 ): 174 - 185 .

宋春兰 , 姚梅玲 , 段桂琴 , 等 . 关键性技能训练法干预儿童孤独症谱系障碍的效果研究 [J ] . 中国儿童保健杂志 , 2021 , 29 ( 9 ): 942 - 945,950 .

翟越 , 彭韵潼 . 国外孤独症谱系障碍关键反应训练干预研究综述 [J ] . 现代特殊教育 , 2023 ,( 18 ): 72 - 80 .

王敏 , 吴冬连 , 葛新斌 . 关键反应训练对孤独症儿童的干预有效性——基于国外2001-2021年随机对照试验证据的Meta分析 [J ] . 中国特殊教育 , 2023 ,( 1 ): 69 - 81 .

张轩瑜 , 杜学元 . 孤独症儿童关键反应训练的缘起及发展研究 [J ] . 现代特殊教育 , 2021 ,( 16 ): 69 - 76 .

杜向阳 , 赵慧 , 肖慧 , 等 . 关键反应治疗干预孤独症谱系障碍的有效领域与途径 [J ] . 中国儿童保健杂志 , 2018 , 26 ( 3 ): 282 - 285 .

李丹 , 龙嘉 , 张志敏 . 关键反应训练联合干预自闭症儿童沟通技能的研究 [J ] . 现代特殊教育 , 2020 ,( 12 ): 46 - 50 .

段雨薇 . 关键反应训练对学前自闭症谱系障碍儿童游戏能力干预的有效性研究 [D ] . 华东师范大学 , 2020 . 17 .

刘巧云 . 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 . 33 - 60 .

Koegel , Hopkins G , Barnes C . Brief Report:Question -asking and Collateral Language Acquisition in Children with Autism [J ] . Journal of Autism and Developmental Disorders , 2010 , 40 ( 4 ): 509 - 515 .

李可如 . 关键反应训练提升孤独症儿童主动提问能力成效研究 [D ] . 淮北师范大学 , 2022 .

郝怡娜 , 王树林 . 关键反应训练法干预自闭症儿童主动提问技能的个案研究 [J ] . 保定学院学报 , 2020 , 33 ( 1 ): 103 - 110 .

Koegel RL , Bradshaw JL , Ashbaugh K , et al . Improving question-asking initiations in young children with autism using pivotal response treatment [J ] . Journal of autism and developmental response disorders , 2014 . 44 ( 4 ): 816 - 27 .

Views

882

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Exploration and Practice of Group Activity Mode for Children with Autism Spectrum Disorder in the Context of Medical and Educational Integration

Exploring the Developmental Characteristics and Mechanisms of Self-Awareness in Children with Autism Spectrum Disorder

The Effects of the PEERS Program on Social Skills of Preschool Children with Autism Spectrum Disorder and Caregiver Parenting Stress

A Study of the Effect of Group Training on the Intervention of Language Skill Deficits in Children with Autism Spectrum Disorders

Research Progress in the Diagnosis and Treatment of Autism Spectrum Disorder Comorbid with Speech and Language Impairment

Related Author

CAO Ye

LI Xing-dong

HE Sai-jin

LIN Hai-ying

WANG Chao

REN Jie

ZHU Li-guo

GU Li-hui

Related Institution

上海市特殊儿童康复中心

上海交通大学医学院附属上海儿童医学中心

南京医科大学第一附属医院

扬州大学医学院附属扬州妇幼保健院

南京医科大学康复医学院

⁰