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Abstrak :
Latar belakang Kemampuan meminta (mand) dan menyebut (tact) adalah kemampuan yang perlu ditingkatkan pada awal terapi verbal behavior pada anak autisme. Metode telehealth oleh orangtua dapat memberikan terapi dini. Tujuan penelitian untuk melihat efektivitas pelatihan yang dilakukan orangtua terhadap peningkatan kemampuan komunikasi awal anak GSA dalam meminta (mand) dan menyebut (tact). Metode Uji klinis acak terkontrol terhadap anak autisme berusia 2-5 tahun. Penilaian kemampuan anak menggunakan instrumen verbal behavior milestones assessment and placement program. Orangtua kelompok perlakuan mendapat modul video pelatihan dan bimbingan dari terapis, sebelum memulai terapi selama 3 bulan pada anak. Penilaian kemampuan ulang dilakukan pada kedua kelompok di akhir periode. Hasil Terdapat 40 subyek yang masuk ke dalam level 1 VBMAPP. Skor VB MAPP sesudah pemberian intervensi meningkat dari 13,83 menjadi 24,43. Peningkatan median skor mand 1 menjadi 2 dan median skor tact 1 menjadi 3 (p<0,001). Perbandingan peningkatan median skor mand antara kedua kelompok menunjukkan hasil bermakna (p=0,003). Kenaikan proporsi skor mand dan tact tampak lebih tinggi pada kelompok perlakuan. Simpulan Pelatihan mand dan tact oleh orangtua pada anak autisme dengan menggunakan metode telehealth efektif dalam meningkatkan kemampuan anak meminta, dan bermakna secara klinis dalam meningkatkan kemampuan anak menyebut. Metode telehealth dapat diterima oleh orangtua. ......Background Mand and tact is a skill in verbal behavior therapy that needs to be improved initially. The telehealth method are helpful for those in rural area. This study aim was to assess effectiveness of telehealth mand and tact training by parents on increasing the child’s mand and tact skill. Methods A randomized controlled clinical trial of 2-5 years old children with ASD. Assessment of children's milestones using verbal behavior milestones assessment and placement program. Parents in the intervention group received video modelling and guidance from a therapist before giving therapy for 3 months. Re-assessment was done in both groups at the end of the period. Results A total of 40 subjects with ASD in level 1 VBMAPP meet criteria. A significant increase in the VB MAPP score after the intervention, namely 13.83 to 24.43. Mand median score increased from 1 to 2, and the tact, 1 to 3 with p<0.001. Comparison of the increase in the median mand score between the two groups showed significant results (p = 0.003). The increase in the proportion of mand and tact scores was higher in intervention group. Conclusion Telehealth mand and tact training by parents for children with ASD effective in improving mand, and clinically meaningful in improving tact. The telehealth method can be accepted by parents.

Abstrak :
This book examines current and emerging techniques for the dynamic and evolving field of autism assessment. It provides a detailed, research-based discussion of the latest innovations in assessment from a practical perspective accumulated from decades of autism assessment and treatment training and experience in both educational and clinical settings. The book provides personal insights into the engaging and intriguing autism population and case studies of children who have captured the hearts and minds of clinicians nationwide. As the rates of autism have grown more than 10-fold during the past decade, researchers have questioned whether unclear diagnostic guidelines may be to blame for the high numbers of recently diagnosed children. Rather, the authors argue, tighter agreed upon methods for diagnosis of autism have allowed for more accurate identification of children who indeed require supportive treatments and therapies. This unique volume provides readers with clarity about best-practice assessment approaches from sequential and pragmatic perspectives as well as an understanding of critical issues and hurdles in ascertaining the appropriate diagnosis. In addition, myriad potential comorbid conditions or differential diagnoses are addressed. This book is a must-have resource for clinicians and practitioners as well as researchers and graduate students in the fields of child and school psychology, behavioral therapy, social work, psychiatry, pediatrics, forensic psychology, and educational and healthcare policy"--Publisher's description.