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研究生: 范姜葵
FAN JIANG, Kuei
論文名稱: 個別化設計發展3D列印輔具於高中自閉症學生食物製備課程方案之功能表現與滿意度評估
The Functional Performance and Satisfaction Evaluation of Individualized Design and Development of 3D Printing Aids on the Food Preparation Curriculum Plan for Students with ASD in the high school
指導教授: 佘永吉
Sher, Yung-Ji
口試委員: 洪榮昭
Hong, Jon-Chao
陳振昇
Chen, Chen-Sheng
佘永吉
Sher, Yung-Ji
口試日期: 2023/12/21
學位類別: 碩士
Master
系所名稱: 復健諮商研究所
Graduate Institute of Rehabilitation Counseling
論文出版年: 2024
畢業學年度: 112
語文別: 中文
論文頁數: 116
中文關鍵詞: 自閉症3D列印技術輔具刀具握柄食材切割
英文關鍵詞: Autism, 3D printing technology, Aids, knife handles, food cutting
研究方法: 實驗設計法個案研究法
DOI URL: http://doi.org/10.6345/NTNU202400062
論文種類: 學術論文
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  • 自閉症學生除了在溝通、社會互動能力有困難,亦存在運動缺損問題。精細動作及粗大動作表現,皆有落後同年齡者的情況,亦有可能影響其日常生活工具之操作。根據統計顯示,高中階段之自閉症學生,選讀餐飲服務科的人數為大宗。餐飲服務科之學習內容,即包含切割食材,研究者亦發現,部分自閉症學生在操作刀具上,有動作不流暢的情形。然而,目前較少有研究,針對自閉症學生需求,發展相關輔具,以確認個別化設計輔具,對於自閉症學生切割食材表現之影響。其中3D列印技術之特性,即能在較低的成本下,發展個別化設計輔具。故本研究欲使用3D列印技術,針對高中自閉症學生之需求,發展個別化設計發展刀具握柄。研究方法則採單一個案研究法之交替介入實驗設計,建立3D列印技術個別化設計刀具握柄之發展流程,並確認自閉症學生切割食材之功能表現與滿意度為何,其中功能表現,係指學生切菜速度及切菜品質之表現。實驗約耗時2個月,3D列印刀具握柄歷經5次的調整,而實驗結果表示:
    一、3D列印列印技術能應用於發展個別化設計刀具握柄。
    二、自閉症學生使用3D列印刀具握柄能提升其切菜速度。
    三、評估切菜品質時,受試者出現天花板效應,故較難評斷自閉症學生使用3D列印刀具握柄對於切菜品質的影響。研究者推測為實驗設計中之輔助線設計影響所致。
    四、自閉症學生對於使用3D列印刀具握柄的滿意度,於各項度皆為「極滿意」,具正向態度。
    本研究針對研究對象、研究工具、研究設計,以及3D列印刀具之設計提出建議,供未來相關研究者作為參考。期待3D列印技術能更廣泛應用於不同身心障礙者之輔具發展。

    Autistic students not only face difficulties in communication and social interaction but also experience motor skill deficits. Both fine and gross motor skills tend to lag behind their peers, potentially impacting their use of everyday tools. According to statistics, a significant number of high school students with autism study in Department of Food and Beverage Services. Their curriculum includes tasks such as cutting food, and researcher have observed that some autistic students exhibit unsmooth movements when using knives. However, there is currently limited research addressing the specific needs of autistic students and developing related assistive tools to assess the impact of individualized design aids on their performance in cutting food. The characteristics of 3D printing technology, which enable the development of personalized assistive tools at a lower cost. Therefore, the research aims to use 3D printing technology to develop individualized designs for knife handles tailored to the needs of high school autistic students. The research methodology adopts a single-case experimental design with alternating interventions, establishing a development process for 3D-printed individualized knife handles. The study also confirmed the functional performance and satisfaction of autistic students in using the 3D-printed knife. the performance metrics including cutting speed and cutting quality. The experiment took approximately two months, involving five adjustments to the 3D-printed knife handles, and the results of the study indicate:
    1. 3D printing technology is successfully applied to develop personalized knife handles.
    2.Autistic students using 3D-printed knife handles show improved cutting speed.
    3.Evaluating cutting quality proves challenging due to a ceiling effect, potentially influenced by the design of auxiliary lines in the experiment.
    4.Autistic students express high satisfaction and a positive attitude toward using 3D-printed knife handles.
    This study provides recommendations for the research subjects, research tools, research design, and the design of 3D-printed knives, serving as a reference for future researchers. We hope that 3D printing technology can be more widely applied in the development of assistive devices for individuals with various disabilities.

    第一章 緒論 1 第一節 研究動機 1 
 第二節 研究目的與問題 5 
 第三節 名詞釋義 7 第二章 文獻探討 9 第一節 自閉症學生特質與學習需求 9 
 第二節 食物製備課程與相關研究 15 
 第三節 3D 列印之應用 21 
 第四節 輔具使用者滿意度評量 27 第三章 研究方法 33 第一節 研究架構與設計 33 
 第二節 研究對象 43 
 第三節 研究工具 45 
 第四節 研究實施程序 49 
 第五節 資料處理 53 第四章 結果與討論 57 第一節 3D 列印刀具握柄之個別化設計發展流程 57 
 第二節 自閉症學生使用 3D 列印刀具握柄之切菜速度表現 69 第三節 自閉症學生使用 3D 列印刀具握柄之切菜品質表現 77 
 第四節 自閉症學生使用 3D 列印刀具握柄之滿意度 83 
 第五節 綜合討論 85 第五章 結論與建議89 第一節 研究結論89 
 第二節 研究限制 91 
 第三節 研究建議 93 參考文獻 97 
中文部分 97 英文部分 99 附錄 105 附件一 105 
附件二 106 
 附件三107 
 附件四 110 
 附件五 116

    李依恬、李郁琦、邱勇翰、吳晏慈(2017)系統性文獻回顧:學齡期自閉症類群障礙兒童的動作障礙及其與社交溝通缺損之相關性。台灣:臺灣物理治療學會,42:3,211-227。

    沈育芳、謝明佑、陳怡文(2019):3D 成型技術之介紹與應用。科儀新知,90-98。

    周詩潔、蔡文哲、丘彥南、陳麗秋(2017):學齡期自閉症兒童的動作困難和情緒行為問題對其適應性行為表現的影響。物理治療, 42,191-192。

    林翠英(2019):自閉症學生之有效教學策略。特殊教育發展期刊,1-10。

    洪琉萍、曾明基(2015):移行類輔助科技滿意度調查與使用現況之研究-以高雄市特教資源中心借用者為例。教育學誌,34,121-183。
         
    張正芬(2000):自閉症兒童問題行為功能之探討。國立臺灣師範大學特殊教育學系,特殊教育中心特殊教育研究學刊,18,127-150。

    身心障礙及資賦優異學生鑑定辦法(2013):中華民國民國 102 年 09 月 02 日臺教學(四)字第1020125519B號令發布。

    教育部(2021):十二年國民基本教育高級中等學校集中式特殊教育班服務群課程綱要。教育部國民及學前教育署。

    教育部(2022): 110年度特殊教育統計年報。教育部特殊教育通報網。

    章秉純、徐如維(2017):簡述「自閉症類群障礙症」之診斷、臨床特徵與病因學研究。臨床醫學月刊,79,158-162。

    勞動部(2019):技術士技能檢定食物製備職類單一級術科測試應檢參考資料。勞動部勞動力發展署。

    鈕文英、吳育益(2019):單一個案研究法:設計與實施。心理出版社。

    黃宜君(2014):轉助科技棄用現象探討與結果研究介紹。特殊教育季刊,27-36。

    楊榮森(2019):3D 列印科技的原理與應用。台灣醫學,23,41-47。

    楊蕢芬(2012):自閉症學生之教育。心理出版社。

    蔡佩君、陳怡如、高宗妙(2019):運用 3D 列印製作餐盤輔具。北市醫學雜誌,16,313-320。

    衛生福利部(2015):與自閉症特質同行。衛生福利部委託國立臺灣大學醫學院附設醫院精神醫學部。

    鄭玉汶(2010):亞斯柏格症學生焦慮情緒的成因與介入。南屏特殊教育,79。

    賴士鋐(2020):動態手部矯具應用於慢性腦中風患者手部恢復之效應(未出版碩士論文)。中山醫學大學。

    Chen, C.-F.(2016):高齡者導向之休閒娛樂輔具研究與設計。福祉科技與服務管理學刊,4(1)。

    林靖文、佘永吉、簡睦容、陳振昇(2021):3D 列印握筆器個別化設計發展對一位大專院校脊髓性肌肉萎縮症學生書寫功能表現之研究。特殊教育季刊,(161),13-32。

    Alba, R.-S., Margarita, V., Joaquín, L. S.-B., Verónica, G.-I., & Néstor, J. J.-B. (2019). Effect on hand kinematics when using assistive devices during activities of daily living. PeerJ, 7, e7806-e7806. https://doi.org/10.7717/peerj.7806

    Ansari, S., Hosseinkhanzadeh, A. A., AdibSaber, F., Shojaei, M., & Daneshfar, A. (2021). The effects of aquatic versus kata techniques training on static and dynamic balance in children with autism spectrum disorder. Journal of Autism & Developmental Disorders, 51(9), 3180-3186. https://doi.org/10.1007/s10803-020-04785-w

    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Pub.

    Arias, V. A., Hurst, A., & Perr, A. (2020). Designing a remote framework to create custom assistive technologies. The 22nd International ACM SIGACCESS Conference on Computers and Accessibility, Virtual Event, Greece. https://doi.org/10.1145/3373625.3418022

    Ashikin Mohd, N., Juriza, I., & Norazlin Kamal, N. (2021). Motor development in children with autism spectrum disorder. Frontiers in Pediatrics, 9. https://doi.org/10.3389/fped.2021.598276

    AutismSpeaks. (2012). Employment think tank report (Internet). http://www.autismspeaks.org/sites/default/files/as_think_tank_exec_summary_web1.pdf

    Bellini, S. (2004). Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19(2), 78-86. https://0-www.proquest.com.opac.lib.ntnu.edu.tw/scholarly-journals/social-skill-deficits-anxiety-high-functioning/docview/205057377/se-2?accountid=14228

    Colucci, M., Tofani, M., Trioschi, D., Guarino, D., Berardi, A., & Galeoto, G. (2021). Reliability and validity of the Italian version of Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 (QUEST-IT 2.0) with users of mobility assistive device. Disability and Rehabilitation: Assistive Technology, 16(3), 251-254.  

    Colvenkar, S., Kunusoth, R., Prakash, R., Alwala, A. M., Kumar, S. A., & Sabavat, A. K. (2022). Individually modeled 3D printed toothbrush and interproximal brush handle with name for patients with limited manual dexterity. Cureus, 14(7).

    Cook, A. M., & Polgar, J. M. (2014). Assistive technologies-e-book: Principles and practice. Elsevier Health Sciences.
         
    Degerli, Y. I., Dogu, F., & Oksuz, C. (2022). Manufacturing an assistive device with 3D printing technology – a case report. Assistive Technology, 34(1), 121-125. https://doi.org/10.1080/10400435.2020.1791278

    Demers, L., Weiss-Lambrou, R., & Ska, B. (2000). Item analysis of the Quebec User Evaluation of Satisfaction with assistive technology (QUEST). Assistive Technology, 12(2), 96-105. https://doi.org/10.1080/10400435.2000.10132015  
      
    Demers, L., Weiss-Lambrou, R., & Ska, B. (2002). The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 20): An overview of recent progress. Technology and Disability, 14. https://doi.org/10.13072/midss.298

    Gherardini, F., Mascia, M. T., Bettelli, V., & Leali, F. (2018). A co-design method for the additive manufacturing of customised assistive devices for hand pathologies. Journal of Integrated Design & Process Science, 22(1), 21-37. https://doi.org/10.3233/jid-2018-0002  

    Giarelli, E., Ruttenberg, J., & Segal, A. (2013). Bridges and barriers to successful transitioning as perceived by adolescents and young adults with asperger syndrome . Journal of Pediatric Nursing, 28(6), 563-574. https://doi.org/10.1016/j.pedn.2012.12.010

    Gibson, I., Rosen, D. W., Stucker, B., Khorasani, M., Rosen, D., Stucker, B., & Khorasani, M. (2021). Additive manufacturing technologies (Vol. 17). Springer.
         
    Hongbing, W., Weiyang, H., Hui, L., Guiyue, C., & Jinyu, R. (2021). 3D printing technology and its application in the medical field. International Core Journal of Engineering(12), 475. https://doi.org/10.6919/ICJE.202112_7(12).0065

    Indri, W., Sudarsini, S., & Eka Pramono, A. (2018). The effect of practical life activity towards the improvement of an autistic child’s fine motor skill. Jurnal Penelitian dan Pengembangan Pendidikan Luar Biasa, 5(1), 67-71. https://0-search.ebscohost.com.opac.lib.ntnu.edu.tw/login.aspx?direct=true&AuthType=cookie,ip,shib&db=edsdoj&AN=edsdoj.1cabd344f2ba4ea394d39b7c2d2ee0f3&lang=zh-tw&site=eds-live  

    Janson, R., Burkhart, K., Firchau, C., Hicks, K., Pittman, M., Yopps, M., Hatfield, S., & Garabrant, A. (2020). Three-dimensional printed assistive devices for addressing occupational performance issues of the hand: A case report. Journal of Hand Therapy, 33(2), 164-169. https://doi.org/10.1016/j.jht.2020.03.025    

    Joseph, M., Constant, R., Rickloff, M., Mezzio, A., & Valdes, K. (2018). A survey of client experiences with orthotics using the QUEST 2.0. Journal of Hand Therapy, 31(4), 538-543. e531.
    Joshi, J. R. R., & Patel, R. P. (2012). ROLE OF BIODEGRADABLE POLYMERS IN DRUG DELIVERY.   
     
    Jutai, J., & Day, H. (2002). Psychosocial impact of assistive devices scale (PIADS). Technology and Disability, 14(3), 107-111.

    Kermavnar, T., Shannon, A., & O'Sullivan, L. W. (2021). The application of additive manufacturing / 3D printing in ergonomic aspects of product design: A systematic review. Applied Ergonomics, 97, 103528. https://doi.org/https://doi.org/10.1016/j.apergo.2021.103528

    Kern, J. K., Geier, D. A., Adams, J. B., Troutman, M. R., Davis, G. A., King, P. G., & Geier, M. R. (2013). Handgrip strength in autism spectrum disorder compared with controls [Author abstract Report]. Journal of Strength and Conditioning Research, 27(8), 2277. https://0-search.ebscohost.com.opac.lib.ntnu.edu.tw/login.aspx?direct=true&AuthType=cookie,ip,shib&db=edsgao&AN=edsgcl.342174533&lang=zh-tw&site=eds-live     

    Khetan, A. (2015). Design of an Ergonomic Knife Handle.

    Khosravani, M. R., & Reinicke, T. (2020). On the environmental impacts of 3D printing technology. Applied Materials Today, 20, 100689. https://doi.org/https://doi.org/10.1016/j.apmt.2020.100689    

    Kuzminskaite, E., Begeer, S., Hoekstra, R. A., & Grove, R. (2020). Short report: Social communication difficulties and restricted repetitive behaviors as predictors of anxiety in adults with autism spectrum disorder. Autism, 24(7), 1917-1923. https://doi.org/10.1177/1362361320934218    

    Lee, K. H., Kim, D. K., Cha, Y. H., Kwon, J. Y., Kim, D. H., & Kim, S. J. (2018). Personalized assistive device manufactured by 3D modelling and printing techniques. Disability and Rehabilitation: Assistive Technology.

    Leaf, J. B., Cihon, J. H., Ferguson, J. L., Milne, C. M., Leaf, R., & McEachin, J. (2021). Advances in our understanding of behavioral intervention: 1980 to 2020 for individuals diagnosed with autism spectrum disorder. Journal of Autism and Developmental Disorders, 51(12), 4395-4410. https://doi.org/10.1007/s10803-020-04481-9   
      
    Lee, K. H., Kim, D. K., Cha, Y. H., Kwon, J. Y., Kim, D. H., & Kim, S. J. (2019). Personalized assistive device manufactured by 3D modelling and printing techniques. Disabil Rehabil Assist Technol, 14(5), 526-531. https://doi.org/10.1080/17483107.2018.1494217     

    Liu, T., Capistran, J., & ElGarhy, S. (2021). Fine and gross motor competence in children with autism spectrum disorder. Physical Educator, 78(3), 227-241. https://doi.org/10.18666/TPE-2021-V78-I3-9644  

    MacDonald, E., & Wicker, R. (2016). Multiprocess 3D printing for increasing component functionality. Science, 353(6307), aaf2093. https://doi.org/doi:10.1126/science.aaf2093      

    Maharaj, C., Ragoo, K., Sirjoosingh, V., Sahadeo, S., Lall, D., & Chowdary, B. V. (2019). Design and performance evaluation of 3D printed writing and typing assistive devices: A pragmatic single participant study. Technology & Disability, 31(1/2), 51-61. https://doi.org/10.3233/TAD-180221      

    Mao, H.-F., Chen, W.-Y., Yao, G., Huang, S.-L., Lin, C.-C., & Huang, W.-N. W. (2010). Cross-cultural adaptation and validation of the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0): the development of the Taiwanese version. Clinical Rehabilitation, 24(5), 412-421.   

    Matthews, N. L., Rotheram-Fuller, E., Orr, B. C., Warriner, K., DeCarlo, M., Kogan, J., & Smith, C. J. (2020). An examination of the social relationships of high school students with autism in general education settings using peer nomination methods. School Mental Health, 12(1), 88.    

    World Health Organization. (2001). IFC: International Classification of Functioning, Disability and Health.   

    Pennington, R. (2022). Applied behavior analysis in the classroom: Applied behavior analysis: A valuable partner in special education. Teaching Exceptional Children, 54(4), 315-317. https://doi.org/10.1177/00400599221079130     

    Richler, J., Bishop, S., Kleinke, J., & Lord, C. (2007). Restricted and repetitive behaviors in young children with autism spectrum disorder. Journal of Autism & Developmental Disorders, 37(1), 73-85. https://doi.org/10.1007/s10803-006-0332-6   

    Sansosti, F. J., Merchant, D., Koch, L. C., Rumrill, P., & Herrera, A. (2017). Providing supportive transition services to individuals with Autism Spectrum Disorder: Considerations for vocational rehabilitation professionals. Journal of Vocational Rehabilitation, 47(2), 207-222. https://doi.org/10.3233/JVR-170896    

    Sarabzadeh, M., Azari, B. B., & Helalizadeh, M. (2019). The effect of six weeks of Tai Chi Chuan training on the motor skills of children with Autism Spectrum Disorder . Journal of Bodywork and Movement Therapies, 23(2), 284-290. https://doi.org/10.1016/j.jbmt.2019.01.007

    Scherer, M. (2005). Living in the State of Stuck: How Assistive Technology Impacts the Lives of People with Disabilities.   
     
    Shahrubudin, N., Lee, T. C., & Ramlan, R. (2019). An overview on 3D printing technology: Technological, materials, and applications. Procedia Manufacturing, 35, 1286-1296. https://doi.org/https://doi.org/10.1016/j.promfg.2019.06.089  

    Steensel, F., Bögels, S., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child & Family Psychology Review, 14(3), 302-317. https://doi.org/10.1007/s10567-011-0097-0    
      
    Stone, Richard & Janusz, Olivia & Schnieders, Thomas. (2018). Ergonomic analysis of modern day kitchen knives. Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 62. 10.1177/1541931218621306.  

    Stone, R. T., Janusz, O., & Schnieders, T. M. (2019). Ergonomic analysis of an affordance tool for modern kitchen knives. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 63(1), 1209-1212. https://doi.org/10.1177/1071181319631019

    Sudha, M. S., Maninderjit, K., Isabel, K. P., Timothy, D. G., Kerry, L. M., & Anjana, N. B. (2015). The effects of rhythm and robotic interventions on the imitation/praxis, interpersonal synchrony, and motor performance of children with Autism Spectrum Disorder (ASD): A pilot randomized controlled trial. Autism Research and Treatment, 2015. https://doi.org/10.1155/2015/736516    

    Sugawara, A. T., Ramos, V. D., Alfieri, F. M., & Battistella, L. R. (2018). Abandonment of assistive products: assessing abandonment levels and factors that impact on it. Disability and Rehabilitation: Assistive Technology, 13(7), 716-723.   

    Travers, B. G., Bigler, E. D., Duffield, T. C., Prigge, M. D. B., Froehlich, A. L., Lange, N., Alexander, A. L., & Lainhart, J. E. (2017). Longitudinal development of manual motor ability in autism spectrum disorder from childhood to mid-adulthood relates to adaptive daily living skills. Developmental Science, 20(4), n/a-N.PAG. https://doi.org/10.1111/desc.12401

    Travers, B. G., Lee, L., Klans, N., Engeldinger, A., Taylor, D., Ausderau, K., Skaletski, E. C., & Brown, J. (2022). Associations among daily living skills, motor, and sensory difficulties in autistic and nonautistic children. The American journal of occupational therapy : official publication of the American Occupational Therapy Association, 76(2). https://doi.org/10.5014/ajot.2022.045955

    Umair, M., & Kim, W. S. (2015). An online 3D printing portal for general and medical fields. 2015 International Conference on Computational Intelligence and Communication Networks (CICN), Jabalpur, India, 2015, pp. 278-282, doi: 10.1109/CICN.2015.62.

    Vaishya, R., Patralekh, M. K., Vaish, A., Agarwal, A. K., & Vijay, V. (2018). Publication trends and knowledge mapping in 3D printing in orthopaedics. Journal of Clinical Orthopaedics and Trauma, 9(3), 194-201. https://doi.org/10.1016/j.jcot.2018.07.006   

    Van den Eynde, M., & Van Puyvelde, P. (2018). 3D printing of poly(lactic acid). In M. L. Di Lorenzo & R. Androsch (Eds.), Industrial Applications of Poly(lactic acid) (pp.139-158). Springer International Publishing. https://doi.org/10.1007/12_2017_28    
     
    Wang, Z., Magnon, G. C., White, S. P., Greene, R. K., Vaillancourt, D. E., & Mosconi, M. W. (2015). Individuals with autism spectrum disorder show abnormalities during initial and subsequent phases of precision gripping. Journal of Neurophysiology, 113(7), 1989-2001.   

    Wong, T. M., Jin, J., Lau, T. W., Fang, C., Yan, C. H., Yeung, K., To, M., & Leung, F. (2017). The use of three-dimensional printing technology in orthopaedic surgery: A review. Journal of Orthopaedic Surgery, 25(1), 2309499016684077. https://doi.org/10.1177/2309499016684077

    Zabala, J. S. (2002). A brief introduction to the SETT framework. Retrieved October, 11, 2004.

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