对临床医生对远程医疗的感知障碍的混合方法检查提供了应用行为分析
Anamiguel Pomales-Ramos1, Hannah Tokish1, Mya Howard1
1Michigan State Autism Lab, Psychology Department, College of Social Science, Michigan State University, East Lansing, MI, United States.
Frontiers in psychology
|August 7, 2023
概括
临床医生面临的挑战是为自闭症儿童提供远程医疗应用行为分析 (ABA) 服务,特别是客户特定的行为和参与. 需要有针对性的战略来改善远程医疗的采用和儿科护理的有效性.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 行为科学是一种行为科学.
- 实现远程医疗卫生的实施
背景情况:
- 随着COVID-19的流行,人们需要快速采用远程医疗来提供应用行为分析 (ABA) 等基本服务.
- 了解远程医疗 ABA 的障碍对于服务的可持续性和适应性至关重要.
- 之前的研究还没有充分探讨与已识别的障碍相结合的实施结果.
研究的目的:
- 确定ABA临床医生在为自闭症儿童和家庭提供远程医疗服务时遇到的障碍.
- 检查与远程医疗实施结果 (可接受性,适当性,可行性) 和采用意图有关的这些障碍.
- 为有效的远程医疗 ABA 服务提供提供策略提供信息.
主要方法:
- 融合混合方法设计.
- 对388名ABA临床医生进行的调查涉及到远程医疗服务提供障碍.
- 主要组件分析和定性数据的主题分析.
主要成果:
- 临床医生发现直接服务比评估或通过远程医疗的家长介绍的干预更困难.
- 这些障碍集中在技术,管理任务和客户特点上.
- 客户的特点,如逃跑,具有挑战性的行为和前言沟通,是最重要的障碍.
- 较少的与客户相关的障碍预测了实施结果.
结论:
- 远程医疗提供的ABA带来了独特的挑战,特别是在特定儿童特征和参与方面.
- 解决技术,管理和客户特定障碍对于成功实施远程医疗至关重要.
- 需要有针对性的战略来提高远程医疗ABA服务在日常护理中的可行性和有效性.
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