语言障碍和挑战性行为增强性手势支持的触觉训练:在意大利社区环境中的案例研究
Laura Turriziani1, Rosa Vartellini1, Maria Grazia Barcello1
1Anmic Riabilitazione, San Giovanni in Fiore, 87055 Calabria, Italy.
Journal of clinical medicine
|November 27, 2024
概括
增强式手势支持干预改善了语言技能,并减少了语言障碍儿童的挑战性行为. 这种方法对基于社区的沟通和行为干预有希望.
科学领域:
- 发展心理学 发展心理学
- 应用行为分析应用行为分析
- 语音语言病理学 语音语言病理学
背景情况:
- 使用手势的增强型和替代性沟通 (AAC) 在社区环境中没有得到充分的研究.
- 对于超出少数特定条件的神经发育障碍的AAC存在有限的研究.
研究的目的:
- 探索与增强手势支持的触觉训练的可行性和初步有效性.
- 在社区环境中评估这种对语言障碍和具有挑战性的行为儿童的干预措施.
主要方法:
- 使用了口头行为里程碑评估和安置计划 (VB-MAPP) 和格里菲斯精神发展尺度-III (GMDS-III) 进行基线评估.
- 进行了24次触觉训练与增强手势支持后标准治疗.
- 通过独立观察员收集数据来测量语言和行为结果.
主要成果:
- 触觉训练显著改善了VB-MAPP得分,包括口头操作,沟通独立性和互主体性.
- GMDS-III评分显示了社会,沟通和认知技能的增长.
- 具有挑战性的行为减少了70%以上,接近解决方案.
结论:
- 根据发育年龄量身定制的个性化干预措施至关重要.
- 需要进一步的研究来验证神经发育障碍的有效性,并确定结果预测因素.
- 探索这些策略的概括是必不可少的.
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