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Using Functional Communication Training to Reduce Hand Mouthing Behavior in a Student with Multiple Disabilities 以功能溝通訓練來減低多重障礙學童的含手行為

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篇  名 Using Functional Communication Training to Reduce Hand Mouthing Behavior in a Student with Multiple Disabilities 以功能溝通訓練來減低多重障礙學童的含手行為
作者/編譯者 Jung-Chang Tang、Ming-Chua Wang
刊  名 東臺灣特殊教育學報
出版年/月 2005-11
卷  數
期  數 3713
頁  次 1
出版單位 國立東華大學特殊教育中心
類  別
摘  要 The current study employed a single subject methodology and included three experiments that functionally analyzed one multiple disability student’s hand-mouthing behavior. The investigator videotaped each condition using a videocassette recorder. Behavioral data were recorded and then analyzed by visual inspection. An analogue functional analysis included demand, attention, alone, and play conditions was used in Experiment 1 to detect the function of the student’s hand-mouthing which might be maintained by negative social reinforcement, positive social reinforcement, or sensory reinforcement. An analysis of sensory modalities was conducted in Experiment 2 to further analyze the possible sensory consequences causing the student's hand-mouthing. After preference item assessment, FCT was employed in Experiment 3 to teach the tudent to express his needs by gesture and to treat his mouthing behavior. Results of the present study demonstrated sensory consequence was one determinant of hand-mouthing in this tudent. The specific function of this student’s hand-in-mouth behavior might be maintained by oral- and hand- tactile stimulation. Furthermore, FCT could be successfully taught to increase the student’s communication ability and to decrease his hand-mouthing behavior. 本研究共有三個子研究,採單一受試研究法,以一位有含手行為(hand mouthing)的多重障礙學童為研究對象。使用數位攝影機全程錄下其含手的行為,事後進行觀察、紀錄、以及視覺檢查的分析。研究一、以類似功能分析(analogue functional analysis)從操弄要求、注意、獨處、以及遊戲四種情境,來分析該學童含手的功能是社會負增強、社會正增強、或感官增強所造成的。研究二、進一步地分析造成該學童含手行為的感官型態,研究三、先進行偏愛物的評量,再以功能溝通訓練教導該學童以手勢來表達需求,以此對含手行為進行介入。研究結果顯示:感官的增強是學童反覆含手行為的主要原因之一,而口部或手部的觸覺感官後果可能是該學童含手行為的功能。此外,功能溝通訓練可以增加該學童的溝通能力,並可有效地降低其含手行為的次數。
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