在早期干预中对护理人员实施忠实性估计的依赖性越来越大:一个可概化和决策研究
Lauren H Hampton1, Micheal P Sandbank2, Jerrica Butler1
1The University of Texas at Austin, USA.
Autism : the international journal of research and practice
|October 9, 2025
概括
在自然发展行为干预 (NDBI) 中测量护理者策略的使用至关重要. 这是NDBI忠诚度 (NDBI-Fi) 工具.
科学领域:
- 发展心理学 发展心理学
- 行为科学 行为科学
- 临床研究方法 临床研究方法
背景情况:
- 护理人员实施策略是自然发展行为干预 (NDBI) 中儿童结果的关键调解者.
- 自然发展性行为干预-忠诚度 (NDBI-Fi) 评级方案用于衡量照顾者战略的实施.
- 了解NDBI-Fi的可靠性对于干预研究结果的概括性和可比性至关重要.
研究的目的:
- 评估NDBI-Fi措施的可靠性,以评估NDBI策略的护理人员实施.
- 确定如何提高NDBI-Fi得分的可靠性,以准确地表示日常互动.
主要方法:
- 评估了20名护理人员的NDBI-Fi分数,分别在两个场合和两个例程 (游戏和小吃) 中进行了评估.
- 每个常规观察都被两个独立的评分员评分.
- 分析了数据,以评估得分的可靠性,并确定错误差异的来源.
主要成果:
- 一个NDBI-Fi得分显示可靠性低 (g = 0.43).
- 在两个观察,两个例程和两个评分器中平均得分显著提高了可靠性 (g = 0.77).
- 观察的场合及其相互作用对误差差异 (81.6%) 贡献最大.
结论:
- NDBI-Fi测量需要在不同的程序中进行多次观察,以确保可靠和可概括的得分.
- 增加观察数量可以提高对反映典型的亲子互动的得分的信心.
- 研究结果指导研究人员和临床医生优化护理人员干预忠实性的测量策略.
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