检查离散试验,群体试验和自然环境培训对自闭症个体的影响,使用重复测量
Tami Peterson1, Jessica Dodson1, Alicia Hisey2
1Applied Behavior Analysis, The Oxford Center, Brighton, USA.
Cureus
|March 4, 2024
概括
应用行为分析 (ABA) 结合离散试验培训,大规模试验和自然环境培训,在三个月内显著改善了自闭症个体的目标行为. 在13至16岁的年龄组中,改善最为显著.
科学领域:
- 行为科学 行为科学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 应用行为分析 (ABA) 是自闭症谱系障碍 (ASD) 基于证据的实践的基石.
- 关于将离散试验培训 (DTT) 和大规模试验 (MT) 干预措施在自闭症个体的自然环境中结合的广泛影响的研究有限.
- 本研究通过评估混合ABA模型来解决这一差距.
研究的目的:
- 为自闭症患者评估DTT,MT和自然环境培训 (NET) 联合干预的有效性.
- 用重复测量设计分析总体目标行为的变化.
主要方法:
- 分析了93名自闭症患者 (89名儿童,4名成年人) 的回顾性快照队列.
- 干预涉及混合ABA模型:离散试验培训,大规模试验和自然环境培训.
- 在三个月内,在七个时间点收集数据,使用混合 (在和内) ANOVA.
主要成果:
- 随着时间的推移,观察到目标行为的统计学上显著的整体改善 (F(6,674) =45,447,p<0.001),这表明效应大小.
- 所有21个时间点之间的对对比都具有统计学意义 (p<0.001).
- 在时间和年龄类别之间发现了显著的相互作用效应 (F(24,474) =2.961,p<0.001),也具有很大的效应大小.
结论:
- 混合ABA干预 (DTT,MT,NET) 在三个月内导致自闭症患者的目标行为有统计学显著的改善.
- 在13-16岁的年龄组中观察到最明显的改善.
- 这些发现支持这种结合行为干预模型的有效性,以提高自闭症谱系障碍的结果.
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