研究生: |
丁于珊 Ding, Yu-Shan |
---|---|
論文名稱: |
以ImPACT課程應用家長三級介入模式提升臺灣自閉症幼兒家長之社會性溝通研究 Applying Three Tier Model of Parent Education with ImPACT Curriculum to Improve Social Communication of Taiwanese Parents with Young Children with Autism Spectrum Disorder |
指導教授: |
王慧婷
Wang, Hui-Ting |
學位類別: |
碩士 Master |
系所名稱: |
特殊教育學系 Department of Special Education |
論文出版年: | 2020 |
畢業學年度: | 109 |
語文別: | 中文 |
論文頁數: | 118 |
中文關鍵詞: | 自閉症幼兒 、家長三級介入 、家長社會性溝通技巧 、單一受試變更情境設計 、ImPACT |
英文關鍵詞: | parent-implemented three tier intervention, parental social communication skills |
DOI URL: | http://doi.org/10.6345/NTNU202001723 |
論文種類: | 學術論文 |
相關次數: | 點閱:340 下載:25 |
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本研究旨在探討應用ImPACT家長三級介入模式對自閉症幼兒家長社會性溝通技巧的成效。以單一受試變更情境為研究設計,以初級自學、次級家長團體和第三級一對一教練形式,探究所有參與家長均能學會社會性溝通技巧之外,檢視三級模式是否能達到減少需要次級、第三級介入的家長人數。並且,在資源與需求適配的情形下,試圖解決家長介入的困境。全數10位參與家長,全程參與共9位。家長介入反應比率定義為親子居家互動影片5分鐘,以30秒部分時距紀錄四項技巧的平均90%以上,據此標準初級達介入反應通過3位,通過率30%;次級達介入反應5位,通過率50%;第三級達介入反應1位,通過率10%。尚有1位因疫情考量退出。研究結果顯示初級家長滿意時間彈性的自學方式;次級家長團體時間配合家長在周末進行課程,同時提供托育服務;第三級配合家長家庭作息時間,以及提供個別化回饋。透過三級不同密集度和個別化程度設計,各級通過家長均滿意此種學習方式,能解決文獻所述家長介入瓶頸。由本研究結果觀之,基於不同家庭有不同學習需求和條件,家長介入的確需要不同個別化和彈性程度設計,以滿足前述學習需求,依據研究結果提出建議及展望,以供未來家長介入研究及教學參考。
Parent-implemented intervention is one of the evidence-based practices for students with autism spectrum disorders(ASD). Reflecting from the literature on stepped care and response to intervention models, a three-tier intervention model was applied to parent education with the curriculum ImPACT A single-subject changing conditions design was used to examine the implication of a three- tier intervention model in a diverse group of families (n=10) participating in a parent training program. The three tiers consisted of (a) Tier 1: self-administered learning, (b) Tier 2: group training , and (c) Tier3: one-on-one individualized coaching. Following each phase, parental skills during parent-child interactions at home were observed with parent-child interaction video clips which determine parents’ response to the intervention(s) by the average of 30 seconds partial-interval recording of four skills. Parents who met specified response-to-intervention criteria discontinued treatment and attach one-month follow up, while those that did not meet criteria continued to the next tier. Of the nine participants (90%) who completed treatment, all responded to intervention. Results suggest that the Tier 1 intervention was effective for three (30%) parent-child dyads.
Five dyads (50%) responded to Tier 2 intervention and one dyad (11%) required Tier 3 intervention to meet response-to-intervention criteria. One dyad dropped out because of the concern of COVID-19. Discussion focuses on the application of a tiered model of intervention to increase efficiency by minimizing the need for more costly time-intensive interventions for parents who may not require them and also discussed the utilization of western program in Taiwan. According to the results, three-tier parent training model can content the different needs of learning of diverse families. More studies are needed in the future.
中文文獻
程景琳、涂妙如、陳虹仰、張鑑如(2016)。學齡前嬰幼兒之社會情緒能力-與嬰幼兒語言能力及父母教養之關聯。當代教育研究,24(3),1-27。
英文文獻
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Drew, A., Baird, G., Baron-Cohen, S., Cox, A., Slonims, V., Wheelwright, S., Swettenham, J., Berry, B., & Charman, T. (2002). A pilot randomised control trial of a parent training intervention for pre-school children with autism. European child & adolescent psychiatry, 11(6), 266-272.
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Hsieh, H. H., Wilder, D. A., & Abellon, O. E. (2011). The effects of training on caregiver implementation of incidental teaching. Journal of Applied Behavior Analysis, 44(1), 199-203.
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Ingersoll, & Schreibman. (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: Effects on language, pretend play, and joint attention. Journal of autism and developmental disorders, 36(4), 487-505.
Ingersoll, Shannon, Berger, Pickard, & Holtz. (2017). Self-Directed Telehealth Parent-Mediated Intervention for Children With Autism Spectrum Disorder: Examination of the Potential Reach and Utilization in Community Settings. J Med Internet Res, 19(7), e248. https://doi.org/10.2196/jmir.7484
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Ingersoll, B., & Wainer, A. (2013). Initial efficacy of Project ImPACT: A parent-mediated social communication intervention for young children with ASD. Journal of autism and developmental disorders, 43(12), 2943-2952.
Ingersoll, B., Wainer, A. L., Berger, N. I., Pickard, K. E., & Bonter, N. (2016). Comparison of a self-directed and therapist-assisted telehealth parent-mediated intervention for children with ASD: A pilot RCT. Journal of autism and developmental disorders, 46(7), 2275-2284.
Ingersoll, B. R. (2010). Teaching social communication: A comparison of naturalistic behavioral and development, social pragmatic approaches for children with autism spectrum disorders. Journal of Positive Behavior Interventions, 12(1), 33-43.
Kaiser, A. P., & Hancock, T. B. (2003). Teaching parents new skills to support their young children's development. Infants & Young Children, 16(1), 9-21.
Kaiser, A. P., Hancock, T. B., & Nietfeld, J. P. (2000). The effects of parent-implemented enhanced milieu teaching on the social communication of children who have autism. Early Education and Development, 11(4), 423-446.
Kasari, C., Freeman, S., & Paparella, T. (2006). Joint attention and symbolic play in young children with autism: A randomized controlled intervention study. Journal of Child Psychology and Psychiatry, 47(6), 611-620.
Kasari, C., Gulsrud, A., Paparella, T., Hellemann, G., & Berry, K. (2015). Randomized comparative efficacy study of parent-mediated interventions for toddlers with autism. Journal of consulting and clinical psychology, 83(3), 554-563.
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