图片交换沟通系统积极行为支持对自闭症谱系障碍小学生问题行为的影响

Eun Seon Han, Eun Kyung Kim
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引用次数: 0

摘要

摘要本研究旨在探讨图片交换沟通系统(PECS)的正向行为支持干预对自闭症谱系障碍小学生问题行为的影响。本研究选取1例自闭症谱系障碍患儿,采用多重治疗设计实施个体化PBS及功能评估。PECS干预包括设定事件和前事事件、替代行为、后果。在学习和休息时间,在一个特殊的教室里观察基线和干预。在最后一次干预后两周观察剩余效果。社会效度由50名特殊教育教师和大学特殊教育学生组成。本研究的结果如下:第一,使用PECS的PBS干预效果使获取功能行为明显减少,逃避功能行为减少较少。其次,即使在干预结束后,使用PECS的PBS干预效果仍保持不变。第三,本研究的社会效度高于平均水平,为将此干预应用于公共教育提供了机会。本研究的意义在于:第一,利用PECS的PBS干预可以减少严重自闭症小学生的问题行为,并将其作为一种交流方式。第二,运用PECS进行PBS干预,对感觉刺激存在问题的小学生进行有效干预与不有效干预的差异有统计学意义。
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Effects of Positive Behavior Support Using Picture Exchange Communication System on Problem Behaviors of the Elementary School Student with Autism Spectrum Disorder
The purpose of this study was to investigate the effects of positive behavior support(PBS) intervention using Picture Exchange Communication System(PECS) on problem behaviors of the elementary school student with autism spectrum disorder. For the study, a child with autism spectrum disorder was selected and individualized PBS with functional assessment were implemented using multiple treatment design. PECS intervention was conducted with setting events and antecedent events, alternative behaviors, consequences. The baseline and intervention were observed in a special class room during study and break time. Remaining effects were observed two weeks after last intervention. Social validity were measured by 50 people, who work as a special education teacher or special education students at university. The results of this study is as follows. First, the effect of PBS intervention using PECS makes strong decrease of acquisition function behavior and little decrease of evasion function behavior. Second, the effect of PBS intervention using PECS was maintained even after intervention ended. Third, social validity of this research was over average level, makes chance to apply this intervention on public education. The significance of this study is as follows. First, PBS intervention using PECS can be applied reducing problem behavior of an non-verbal elementary school student with severe autism used as a kind of communications. Second, PBS intervention using PECS made significant differences between effective and less effective intervention applied at an elementary school student with autism spectrum disorder who have problem at sensory stimulus.
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