使用行为分析干预措施增加自闭症个体的面具佩戴:系统性审查和元分析
Rebekah Cowell1, Athanasios Vostanis2, Peter E Langdon3,4
1Tizard Centre, University of Kent, Cornwallis North East, Canterbury, Kent, CT2 7NF, UK.
Journal of autism and developmental disorders
|September 26, 2023
概括
在COVID-19大流行期间,行为分析程序有效地增加了自闭症个体的面罩佩戴. 分级暴露和强化是常见的,成功的方法,尽管研究质量各不相同.
科学领域:
- 行为分析行为分析.
- 自闭症谱系障碍研究研究
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 由于COVID-19大流行,需要广泛使用口罩.
- 自闭症患者经常面临卫生习惯和医疗设备的挑战.
- 行为分析程序为增加口罩佩戴提供了潜在的解决方案.
研究的目的:
- 系统地审查和元分析行为分析程序的有效性,以增加自闭症患者的面具佩戴.
- 确定共同和有效的干预策略.
- 评估现有研究的质量和局限性.
主要方法:
- 对同行评审和灰色文献进行系统审查和元分析.
- 在六个数据库中搜索使用单个案例实验设计的研究.
- 提取了关于参与者特征,研究设计,干预措施和结果的数据;使用所有对的非重叠和基线修正的TAU计算了效果大小.
主要成果:
- 七项研究符合资格标准;两项被评为强/边缘强质量.
- 所有研究都报告了面具佩戴的积极结果.
- 平均效果大小为0.92 (所有对不重叠) 和0.47 (基线修正TAU).
- 分级暴露和差异/正增强是最有效的程序.
- 干预交付因素没有显著影响结果.
- 在五项研究中,程序被家长和专业人士认为是可以接受的.
结论:
- 行为分析程序显示,在自闭症患者中增加面罩佩戴是有前途的.
- 这些发现与现有的关于医疗设备耐受性和卫生实践的文献一致.
- 限制包括小样本大小,地理度 (美国) 和可变的研究质量.
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