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Comparison of Descriptive Assessment and Trial-Based Functional Analysis as the Basis of Treatment in Homes 比较描述性评估和基于试验的功能分析作为家庭治疗的基础
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-02-16 DOI: 10.1177/10883576241230929
Lisa M. Tereshko, Mary Jane Weiss, Justin B. Leaf, Thomas Marsh, George McClure
Effective treatment of challenging behaviors in young children with autism spectrum disorder requires identifying consequences that maintain the behavior under specific environmental circumstances. Assessment strategies help to identify environmental factors setting the occasion for the behaviors to continue to occur. Many studies have used antecedent–behavior–consequence (ABC) data collection strategies, but few have examined its ability to effectively identify the function. Research supports the use of the trial-based functional analysis (TBFA) but few studies examine its effectiveness in the home setting. The current study attempted to answer which assessments might work best in the home setting. Treatment was implemented for each participant based on the results of their assessments. All assessments identified the function of behavior as verified by function-based treatments, but the ABC assessment identified additional functions for three of the participants while the TBFA was more precise. Implications and limitations are reviewed, along with future directions for behavioral assessment in the home.
要有效治疗患有自闭症谱系障碍的幼儿的挑战性行为,就必须找出在特定环境条件下维持这种行为的后果。评估策略有助于识别为行为持续发生创造条件的环境因素。许多研究都使用了前因后果(ABC)数据收集策略,但很少有研究对其有效识别功能的能力进行研究。研究支持使用基于试验的功能分析(TBFA),但很少有研究考察其在家庭环境中的有效性。本研究试图回答在家庭环境中哪种评估方法最有效。根据评估结果对每位参与者实施治疗。所有评估都确定了行为的功能,并通过基于功能的治疗进行了验证,但 ABC 评估为其中三名参与者确定了额外的功能,而 TBFA 评估则更为精确。本文回顾了评估的意义和局限性,以及家庭行为评估的未来发展方向。
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引用次数: 0
Campus-Based Autism Spectrum Disorder Support Programs: Predictors of College Students’ Intentions to Participate 校园自闭症谱系障碍支持计划:大学生参与意愿的预测因素
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-01-06 DOI: 10.1177/10883576231221781
McKenna M. Halverson, Sara E. Lowmaster
Peer mentors play a crucial role in campus-based living and support programs that assist autistic students in their transition to college. However, limited research has examined the characteristics of potential peer mentors and incentives that may be necessary to staff such programs. The present study evaluated the relationship between the characteristics of college students and their intention to participate in an autism spectrum disorder-specific living and support program. Undergraduate students ( N = 210; 83% females, Mage = 18.9 years, SD = 1.2) completed questionnaires assessing personality characteristics, acceptance of individuals with disabilities, and intrinsic and extrinsic motives for potential participation. Results suggest that participants would be highly motivated to participate if course credit toward their major or monetary incentives were offered. In addition, a history of contact with autistic individuals and agreeableness emerged as the most robust predictors of students’ intention to participate. Findings from this study may improve inclusivity on college campuses.
在帮助自闭症学生向大学过渡的校园生活和支持项目中,同伴导师发挥着至关重要的作用。然而,对潜在同伴辅导员的特征以及为此类项目配备人员所需的激励措施的研究却十分有限。本研究评估了大学生的特征与他们参与自闭症谱系障碍生活和支持项目的意愿之间的关系。本科生(N = 210;83% 为女性,年龄 = 18.9 岁,SD = 1.2)填写了调查问卷,评估了个性特征、对残疾人的接受程度以及潜在参与的内在和外在动机。结果表明,如果提供课程学分或金钱奖励,参与者参与的积极性会很高。此外,与自闭症患者的接触史和合群性是预测学生参与意愿的最有力因素。这项研究的结果可能会改善大学校园的包容性。
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引用次数: 0
Mixed Friendships in the Classroom: Perspectives of Neurotypical Children on Their Friends With ASD 课堂上的混合友谊:神经畸形儿童对其患有 ASD 的朋友的看法
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-01-04 DOI: 10.1177/10883576231221760
Anat Kali, Esther Y. Scheiner
This case study of an inclusive classroom examined neurotypical (NT) children’s perspectives on their relationships with their classmates with autism spectrum disorder (ASD). Data were collected through observations and interviews. Findings showed that social relationships between NT children and their classmates with ASD in integrated classrooms presented in two distinct forms, either as friendships or as instrumental partnerships. We also examined four naturally occurring mixed friendships between young children with and without disabilities. In these mixed dyads, several factors influenced the quality of the friendships, including the opportunity to engage in similar activities, the social status of the NT child, and the social skills of both children. Educational implications and suggestions for further research are included.
本案例研究以一个全纳课堂为背景,探讨了神经典型(NT)儿童如何看待他们与患有自闭症谱系障碍(ASD)的同学之间的关系。数据是通过观察和访谈收集的。研究结果表明,在融合班级中,NT 儿童与患有自闭症谱系障碍的同学之间的社会关系有两种不同的表现形式,一种是友谊关系,另一种是工具性伙伴关系。我们还研究了四种残疾儿童与非残疾儿童之间自然形成的混合友谊关系。在这些混合二人组中,有几个因素影响着友谊的质量,包括参与类似活动的机会、NT 儿童的社会地位以及两个孩子的社交技能。本文还包括对教育的影响和进一步研究的建议。
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引用次数: 0
Functional Communication Training Including Discrimination and Tolerance to Denial for Elementary Age Students With Autism 自闭症小学生的功能性沟通训练,包括歧视和容忍否认
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-01-01 DOI: 10.1177/10883576231223154
Sara K. Snyder, Jessica L. Herrod, Erinn E. Whiteside, Kevin M. Ayres
Functional communication training (FCT) provides an efficient means for reducing a variety of challenging behaviors while increasing social communication. After establishing a functional communication response (FCR), interventionists may need to design a program to thin the schedule of reinforcement to provide more durable effects and maintenance in the natural environment. Hanley et al. provided one means for thinning schedules that involved the systematic introduction of extinction (or denial trials) following a process of delaying reinforcement. This study evaluates a classroom application of this thinning process with three elementary age students who engaged in a variety of aggression, self-injury, disruption, and crying. The results indicate positive effects of the FCT program with systematic introduction of denial trials once the participants demonstrated proficiency with the FCR. In addition, data for two participants show prolonged effects post-intervention. Results are discussed in terms of extending Hanley et al. and how these procedures can be used within typical school-based settings.
功能性沟通训练(FCT)是减少各种挑战性行为的有效方法,同时还能增强社交沟通能力。在建立了功能性沟通反应(FCR)后,干预者可能需要设计一个计划来细化强化计划,以便在自然环境中提供更持久的效果和维持。汉利(Hanley)等人提供了一种稀释强化计划的方法,即在延迟强化过程后系统地引入消退(或拒绝试验)。本研究评估了这一减弱过程在课堂上的应用,对象是三名小学生,他们有各种攻击、自伤、捣乱和哭闹行为。结果表明,一旦参与者熟练掌握了 FCR,系统性地引入否定试验后,FCT 计划就会产生积极的效果。此外,两名参与者的数据显示,干预后的效果仍在持续。我们将从扩展汉利等人的研究以及如何在典型的学校环境中使用这些程序的角度对结果进行讨论。
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引用次数: 0
Affiliate Stigma and Parental Stress Among Parents of Children With Autism Spectrum Disorder: The Mediating Role of Shame 自闭症谱系障碍儿童家长的附属耻辱和家长压力:耻辱感的中介作用
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2023-12-31 DOI: 10.1177/10883576231221751
Daiana Maria Rusu, Dejan Stevanović, V. Enea
Parental stress among parents of children with autism spectrum disorder (ASD) is well-documented in the literature. This study investigated the relationship between the phenomenon of affiliate stigma and parental stress among parents of children diagnosed with ASD using the mediation model. This cross-sectional study involved 196 parents aged between 22 and 65 years, with a child diagnosed with ASD, their ages being between 2 and 22 years. The correlations between affiliate stigma, shame, and parental stress were confirmed. Therefore, affiliate stigma was positively associated with shame and parental stress. The results also indicated that the relationship between the phenomenon of affiliate stigma and parental stress is mediated by shame. A practical implication of our findings is that parents of children with ASD participating in stress-reducing interventions should be trained on how to cope with feelings of shame.
自闭症谱系障碍(ASD)患儿家长的压力在文献中有大量记载。本研究采用中介模型调查了自闭症谱系障碍患儿家长的附属成见现象与家长压力之间的关系。这项横断面研究涉及 196 名年龄在 22 岁至 65 岁之间、子女被诊断患有 ASD 的家长,他们的年龄在 2 岁至 22 岁之间。研究证实了附属成见、羞耻感和父母压力之间的相关性。因此,附属成见与羞耻感和父母压力呈正相关。研究结果还表明,附属成见现象与父母压力之间的关系是由羞耻感中介的。我们的研究结果的一个实际意义是,参与减压干预的自闭症儿童家长应接受如何应对羞耻感的培训。
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引用次数: 0
An Exploration of a General Social Outcome Measure 对一般社会成果衡量标准的探索
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2023-12-30 DOI: 10.1177/10883576231221747
Janine P. Stichter, Nargiza Buranova, Melissa Stormont
The General Social Outcome Measure (GSOM) is a performance-based measurement tool designed to assess the change in social skills performance during and after intervention for students with social skills deficits. In the current study, the psychometric properties of the GSOM, including the total score and social communication domains, were examined in adolescents with social skill deficits. Internal consistency alphas were conducted, which showed promising results. Correlational analyses were conducted using the GSOM and the Children’s Communication Checklist-2 (CCC-2), School Social Behavior Scales (SSBS), and the Autism Diagnostic Observation Schedule–Second Edition (ADOS-2). A small but significant correlation was documented between the GSOM and the ADOS-2, with higher GSOM total scores (higher social skills) associated with lower ADOS-2 scores. Additional analyses revealed that individuals with different levels of symptomology according to the ADOS-2 (low, moderate, or high) differed significantly in the GSOM total score. The implications of these findings are discussed with respect to the utility of the GSOM as a progress-monitoring tool for targeted populations with social skill impairments.
一般社交成果测量法(GSOM)是一种基于表现的测量工具,旨在评估社交技能有缺陷的学生在干预期间和干预后社交技能表现的变化。在本研究中,研究人员对社交能力有缺陷的青少年进行了社交能力测评,包括总分和社交沟通领域。研究结果显示了良好的内部一致性。研究人员使用通用社会沟通表和儿童沟通核对表-2(CCC-2)、学校社会行为量表(SSBS)以及自闭症诊断观察表-第二版(ADOS-2)进行了相关分析。GSOM和ADOS-2之间存在微小但重要的相关性,GSOM总分越高(社交能力越强),ADOS-2得分越低。其他分析表明,根据 ADOS-2(低度、中度或高度),不同症状程度的个体在 GSOM 总分上存在显著差异。这些研究结果的意义在于,GSOM 可作为一种进展监测工具,用于有社交技能障碍的目标人群。
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引用次数: 0
The Contribution of Family-Centered Services to Enhanced Quality of Life and Reduced Distress in Families of Children With Disabilities During the COVID-19 Pandemic 2019冠状病毒病大流行期间,以家庭为中心的服务对提高残疾儿童家庭生活质量和减轻痛苦的贡献
4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2023-10-06 DOI: 10.1177/10883576231202700
Ayelet Gur, Tali-Noy Hindi, Lilach Krisi-Kadosh
This study examines family distress and quality of life among families of children with disabilities during the first wave of the COVID-19 pandemic in Israel. It considers the role of family resources, a sense of community, and the services provided by the Israeli family-centered program (IFCP). One hundred eighty-two parents of children with disabilities participated in this study through an online survey. Structural equation modeling showed that extensive family resources, better operation of the IFCP, and a sense of community were associated with a better quality of life. Lack of family resources was associated with family distress. A regression-based path analysis indicated that this association was moderated by components of the IFCP. Family-centered services were associated with a family’s quality of life and experience of distress in times of national crisis. The results highlight the importance of the partnership between parents of children with disabilities and service providers.
本研究调查了以色列第一波COVID-19大流行期间残疾儿童家庭的家庭困境和生活质量。它考虑了家庭资源的作用、社区意识以及以色列以家庭为中心的方案(IFCP)提供的服务。182名残疾儿童的父母通过在线调查参与了本研究。结构方程模型显示,广泛的家庭资源、更好的IFCP运作和社区意识与更好的生活质量有关。缺乏家庭资源与家庭窘迫有关。基于回归的路径分析表明,这种关联被IFCP的组成部分所缓和。以家庭为中心的服务与家庭的生活质量和在国家危机时期的痛苦经历有关。研究结果突出了残疾儿童父母与服务提供者之间伙伴关系的重要性。
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引用次数: 0
A Preliminary Investigation of a Model for Training Public School Practitioners in Positive Behavioral Technologies for Students With Autism Spectrum Disorder 公立学校自闭症谱系障碍学生积极行为技术培训模式的初步研究
4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2023-10-06 DOI: 10.1177/10883576231202697
Lauren Avellone, Taryn Traylor, Susan Palko, Paul Wehman, Valerie Brooke, Whitney Ham, Katherine Lewis, Carol Schall
Students with autism spectrum disorder (ASD) often display serious problem behavior that hinders educational and social progress. Educators in public schools are often untrained in the use of intensive evidence-based positive behavior technologies. This study describes the preliminary investigation of a coaching and consulting model for increasing staff’s ability within public schools to effectively reduce problem behavior in students with ASD. Public school practitioners who were enrolled in the Customized Behavior Application Training (CBAT) program during the 2020–2021 academic school year completed a survey regarding the social validity of the CBAT model and its impact on problem behavior in students with ASD. Initial findings indicate positive receptivity of CBAT as a useful training for helping school staff more confidently and independently address problem behavior in students with ASD in classroom settings.
患有自闭症谱系障碍(ASD)的学生经常表现出严重的问题行为,阻碍了教育和社会的进步。公立学校的教育工作者通常没有接受过使用强化循证积极行为技术的培训。本研究描述了一种指导和咨询模式的初步调查,该模式旨在提高公立学校员工的能力,从而有效地减少自闭症学生的问题行为。在2020-2021学年,参加定制行为应用培训(CBAT)项目的公立学校从业者完成了一项关于CBAT模型的社会效度及其对ASD学生问题行为影响的调查。初步研究结果表明,作为一种有用的培训,CBAT可以帮助学校工作人员更自信、更独立地在课堂上处理ASD学生的问题行为,这是一种积极的接受性培训。
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引用次数: 0
Aggression Is Associated With Social Adaptive Functioning in Children With ASD and Anxiety. 自闭症谱系障碍和焦虑症儿童的攻击性与社会适应功能
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2023-09-01 Epub Date: 2023-04-08 DOI: 10.1177/10883576231165265
Carla B Kalvin, Rebecca Jordan, Sonia Rowley, Anna L Weis, Karim Ibrahim, Denis G Sukhodolsky

Social adaptive functioning is notably compromised and may be further impaired by aggressive behavior in children with autism spectrum disorder (ASD). This study examined the association between aggressive behavior and social adaptive skills in children with ASD and the contribution of aggressive behavior to social adaptive skills in a combined sample of children with and without ASD. Participants consisted of children, ages 8 to 15 years, with ASD (n = 52) and who were typically developing (n = 29). Results indicate that aggressive behavior is negatively associated with social adaptive skills in children with ASD and that it contributes to reduced social adaptive functioning above and beyond ASD diagnosis. Findings underscore the importance of considering the role of aggressive behavior when evaluating and promoting social functioning in children with ASD.

自闭症谱系障碍(ASD)儿童的社会适应功能明显受损,并且可能因攻击性行为而进一步受损。本研究调查了自闭症谱系障碍儿童的攻击性行为与社会适应技能之间的关系,以及攻击性行为对社会适应技能的贡献。参与者包括8至15岁的ASD儿童(n=52)和典型的发育中儿童(n=29)。研究结果表明,攻击性行为与ASD儿童的社会适应技能呈负相关,并导致ASD诊断后的社会适应功能下降。研究结果强调了在评估和促进自闭症谱系障碍儿童的社会功能时,考虑攻击性行为的作用的重要性。
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引用次数: 0
Expectations of Transition-Aged Students With Autism Spectrum Disorder Toward Postsecondary Education 自闭症谱系障碍过渡年龄学生对中学后教育的期望
IF 2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2023-07-25 DOI: 10.1177/10883576231188331
X. Qian, Seunghee Lee, David R. Johnson, Yi-Chen Wu
The purpose of this study was to examine factors associated with expectations regarding postsecondary education of students with autism spectrum disorder between the ages of 16 and 21 years. We conducted logistic regressions using variables at the student, family, and school levels using the National Longitudinal Transition Study 2012. Logistic regression results showed that parental expectations for attending college was the only significant predictor of students’ own educational expectations. Students’ adaptive functioning, autonomy levels, demographic and family variables, parent involvement, and prior roles in Individualized Education Program/transition planning were not significant predictors. Future research needs to examine how schools can develop effective ways to increase both students’ and parents’ expectations toward postsecondary education.
本研究的目的是检验与16至21岁自闭症谱系障碍学生对中学后教育的期望相关的因素。我们使用2012年国家纵向过渡研究,在学生、家庭和学校层面使用变量进行了逻辑回归。Logistic回归结果显示,父母对上大学的期望是学生自身教育期望的唯一显著预测因素。学生的适应功能、自主水平、人口统计和家庭变量、父母参与以及之前在个性化教育计划/过渡计划中的角色不是显著的预测因素。未来的研究需要研究学校如何制定有效的方法来提高学生和家长对中学后教育的期望。
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引用次数: 0
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Focus on Autism and Other Developmental Disabilities
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