A study on the Effect of Education Training on Parents With Autism Based on Denver Model：A randomized controlled trial

Use The demographic questionnaire,Trait Coping Style Questionnaire,Illness Cognition Questionnaire-Parent version,Depression Anxiety Stress Scales,Guilt about Parenting Scale and Beach Center Family Quality of Life Scale. Statistical analyses were performed using SPSS 26.0. For the test group and for the According to the general data of the parents in the group, the frequency and percentage were used for statistical description. Comparison of the scores of TCSQ, ICQ-P, DASS-21, GAPS and BCFQOL between the two groups in general data and before intervention: Chi-square test or Fisher's exact method were used for comparison of general data. Two independent samples t-test was used for normal or approximate normal scores, and two independent samples were used for skewness distribution Mann-Whitney U-rank sum test. The scores of TCSQ, ICQ-P, DASS-21, GAPS and BCFQOL in the two groups before and after the intervention were in accordance with normal or approximate normal distribution by paired t-test, and the differences of TCSQ, ICQ-P, DASS-21, GAPS and BCFQOL in the two groups before and after the intervention were in accordance with the skewed distribution by non-parametric test. The differences of TCSQ, ICQ-P, DASS-21, GAPS and BCFQOL in the two groups before and after the intervention were in accordance with the skewed distribution by Wilcoxon rank sum test. A p-value &lt;0.05 was considered to indicate statistical significance.In this study, ESDM-based education and training for parents of autistic children can improve parents' positive coping styles and disease cognition, improve parents' parenting guilt, relieve depression, anxiety and stress, and improve the quality of life of families with autistic children.本研究采用人口学问卷（demographic questionnaire）、特质应对方式问卷（Trait Coping Style Questionnaire）、疾病认知问卷（家长版）（Illness Cognition Questionnaire-Parent version）、抑郁焦虑压力量表（Depression Anxiety Stress Scales）、育儿愧疚量表（Guilt about Parenting Scale）及比奇中心家庭生活质量量表（Beach Center Family Quality of Life Scale）开展数据收集。所有统计分析均通过SPSS 26.0软件完成。针对两组家长的一般人口学资料，采用频数与百分比进行统计描述。 比较两组的一般资料及干预前的TCSQ、ICQ-P、DASS-21、GAPS与BCFQOL得分：一般资料比较采用卡方检验或Fisher确切概率法；对于符合正态或近似正态分布的得分，采用两独立样本t检验；对于偏态分布得分，则采用两独立样本Mann-Whitney U秩和检验。 针对两组干预前后的TCSQ、ICQ-P、DASS-21、GAPS与BCFQOL得分，若符合正态或近似正态分布，则采用配对t检验分析组内差异；若为偏态分布，则采用Wilcoxon秩和检验（非参数检验）分析组内差异。以p值<0.05作为差异具有统计学意义的判定标准。 本研究结果显示，针对自闭症儿童家长开展基于ESDM的教育培训，可改善家长的积极应对方式与疾病认知水平，缓解家长的育儿愧疚感，减轻抑郁、焦虑及压力症状，并提升自闭症儿童家庭的生活质量。