"不仅仅是脱鞋":一种混合方法研究自闭症服务系统中文化适应实践的研究
Ana D Dueñas1, Laura R Gómez2, Melanie R Martin Loya3
1Department of Special Education, University of Washington, 1410 NE Campus Pkwy, Seattle, WA, 98195, USA. aduena@uw.edu.
Journal of autism and developmental disorders
|November 18, 2025
概括
应用行为分析 (ABA) 对边缘化社区自闭症儿童的文化适应实践显示适度实施. 障碍包括缺乏支持,培训和资源,需要政策改革.
科学领域:
- 行为科学 行为科学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 应用行为分析 (ABA) 是一种广泛用于自闭症儿童的干预方法.
- 历史上被边缘化的社区在获得和接受文化相关服务方面经常面临差异.
- 在ABA的文化适应对于公平有效的支持至关重要.
研究的目的:
- 检查来自边缘化社区的自闭症儿童的ABA服务中的文化适应实践.
- 评估从业人员的知识,实施和与文化适应相关的障碍.
- 确定在文化响应性ABA服务提供方面需要改进的领域.
主要方法:
- 混合方法方法使用一个解释性的序列设计 (QUANT → QUAL).
- 在519名ABA从业者中对文化适应的知识和实施进行了调查.
- 与12名从业者进行了后续访谈,以深入探讨障碍.
主要成果:
- 在六个领域中适度自我报告的知识和文化适应的实施.
- 确定了关键障碍:个人态度,组织/系统因素和资源限制.
- 具体的挑战包括不充分的支持,有限的专业发展,翻译问题和保险限制.
结论:
- 显著需要进行政策改革和加强对ABA的文化适应培训.
- 组织对文化维持的承诺对于公平的服务提供至关重要.
- 解决已识别的障碍可以改善被边缘化的自闭症儿童和家庭的结果.
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