18
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2016 / 12
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pp. 255 - 294
正向行為支持方案對改善自閉症成人於身心障礙機構內行為問題之成效研究
Using Positive Behavior Support Program to Improve Behavior Problems for an Autistic Adult within Disability Institution
作者
李建興 Jian-Sing Li *
(星星兒社會福利基金會教保員 Educare Giver, Kaohsiung Autism Foundation)
王美娟 Mei-Juan Wang
(星星兒社會福利基金會教保員 Educare Giver, Kaohsiung Autism Foundation)
李建興 Jian-Sing Li *
星星兒社會福利基金會教保員 Educare Giver, Kaohsiung Autism Foundation
王美娟 Mei-Juan Wang
星星兒社會福利基金會教保員 Educare Giver, Kaohsiung Autism Foundation
中文摘要

本研究以一名自閉症成人為研究對象,研究目的旨在探討以功能性評量為基礎設計正向行為支持方案,對於該名於身心障礙機構內之自閉症成人,私自拿取他人飲料飲用行為問題之改善成效。研究方法採單一受試實驗設計A-B-A-B之倒返設計,研究為期14週,依序為基線期、處理期一、倒返期及處理期二,研究對象的表現以目視與C統計進行分析。研究過程之功能性評量包括收集相關人士意見及進行行為問題之直接觀察,以假設研究對象行為問題之功能性,並依其行為問題之功能性擬訂前事控制、行為教導及行為反應三種行為問題介入策略,並對研究相關老師進行半結構訪談,以取得研究之社會效度。歸納並驗證量化及質性資料之結果,本研究結論如下:一、正向行為支持方案,對減少自閉症成人行為問題有顯著之成效。二、正向行為支持方案,對自閉症成人增加課程活動參與時間有顯著之成效。三、正向行為支持方案,對參與研究相關人員具社會效度。研究結論證實正向行為支持方案對改善自閉症成人之行為問題具顯著效果。此外,研究者提出相關建議,供未來教學與研究參考。

英文摘要

In this study, the participants was an autistic adults, and the purposes was to explore the effective for this autistic adults within disability institution with behavior problems of pick and drink others drinks without permit to perform positive behavioral support program based on the functional assessment was designed. This study methods utilize single-subject experimental design of the A-B-A-B reversal designs to assign the experiment procedure, study period was 14-week, subject orders was the baseline, intervention I, reversal and intervention II, visual analysis and C-statistic were used to analyze the effects of this intervention program. For functional assessment of the research process, the researcher relied on informant methods and observation methods to assume the functional of behavioral problem of the participant , and according to the functional formulation development of three intervention strategies for behavioral problems include: antecedent control, teaching of new behaviors, consequences management. And conducted semi-structured interviews with the relevant teachers in order to obtain the social validity of the research. After combining and verifying the result of quantitative and qualitative information, the conclusions of this study were as follows: 1.The positive behavior support program was significant effect to reduce the autistic adult ’s behavior problems. 2.The positive behavioral support program was significant effect to increase the time of autistic adult ’s participate in curriculum. 3.The positive behavior support program with social validity for member of participants of study. Study conclusions prove positive behavior support program was significant effect to improve behavior problems for an autistic adult. According to the result, the researcher proposed recommendations for teaching and future research.

中文關鍵字

正向行為支持; 功能性評量; 自閉症; 行為問題

英文關鍵字

autism; behavior problems; functional assessment; positive behavioral support