与改变实践相关的挑战:在ABA环境中实施自然发展行为干预措施的障碍
Katherine Pickard1,2, Nailah Islam2, Naomi Green2
1Department of Pediatrics, Division of Autism and Related Disabilities, Emory School of Medicine, 1920 Briarcliff Road, Atlanta, GA 30329 USA.
应用行为分析 (ABA) 提供者积极地看待自然发展性行为干预 (NDBI),但面临着从离散试验培训 (DTT) 过渡的挑战. 需要更多的培训和系统支持,以将NDBI整合到自闭症儿童的ABA环境中.
科学领域:
- 自闭症谱系障碍研究研究
- 发展心理学 发展心理学
- 行为科学 行为科学
背景情况:
- 自然发展行为干预 (NDBI) 对于自闭症儿童的早期社交沟通是有效的.
- 应用行为分析 (ABA) 服务通常使用结构化,由成年人领导的方法,如离散试验培训 (DTT).
- 将ABA转换为包括NDBI需要取消DTT的实施,这给实施带来了挑战.
研究的目的:
- 探索 ABA 提供商在 ABA 环境中使用 NDBI 的观点.
- 在ABA实践中确定影响DTT到NDBI过渡的因素.
- 了解将NDBI整合到ABA临床环境中的障碍和促进者.
主要方法:
- 与18名ABA前线和监督临床医生进行了半结构化采访.
- 使用快速定性方法与标准内容分析.
- 分析数据以确定与NDBI和DTT集成相关的主题.
主要成果:
- ABA临床医生通常对NDBI持积极看法.
- 关键主题包括NDBI与DTT的易用性和有效性,利益相关者的看法和临床决策.
- 障碍包括不学习DTT,有限的NDBI培训,混合态度和系统的ABA服务交付问题.
结论:
- 对于成功实施NDBI,ABA临床医生的观点至关重要.
- 需要有针对性的战略来有效地将NDBI整合到ABA临床环境中.
- 解决与培训和系统问题相关的障碍对于在ABA中广泛采用NDBI至关重要.
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