상호작용식 메트로놈(Interactive Metronome; IM) 훈련이 자폐 스펙트럼 장애아동의 주의집중력에 미치는 영향 : 단일대상연구
The Effect of Interactive Metronome Training on Attention to Autism Spectrum Disorder Children: Single Case Study
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목적 : 본 연구는 상호작용식 메트로놈(interactive metronome, 이하 IM)훈련이 자폐 스펙트럼 아동의 주의집중력에 미치는 영향을 알아보고자 한다. 연구방법 : 본 연구는 주의집중력에 어려움이 있는 자폐 스펙트럼 장애아동 1명을 대상으로 ABA' 설계를 통한 단일대상연구이다. 회기 별 구성은 기초선(A) 3회기, 중재기(B) 14회기, 기초선 2(A') 3회로로 총 20회기 실시하였다. 중재기(B)동안에는 IM 훈련을 하였으며, 기초선(A), 중재기(B), 기초선 2(A') 기간 모두 종속변인으로 부주의 행동과 주의집중 행동을 측정하였다. 결과 : 기초선과 비교하여 IM 훈련 중재기에 대상자의 부주의 행동은 감소하였고, 주의 집중 행동은 증가하였다. 기초선 2 기간에도 중재 효과는 유지되었다. 결론 : 본 연구는 IM 훈련이 주의력 결핍 증상이 있는 자폐 스펙트럼 아동의 주의집중력에 긍정적인 영향을 미치는 것으로 확인되었고, 자폐 스펙트럼 장애아동의 중재로써 IM 훈련의 임상적 근거를 마련하였다는데 의의가 있다.
Abstract
Objective: The purpose of this study is to investigate the effect of interactive metronome (IM) training on attention among children on the autistic spectrum. Methods: This is a single case study, using ABA design, of one child with autism spectrum disorder (ASD) who had attentional difficulties. A total of 20 sessions were conducted: 3 baseline sessions (A), 14 intervention sessions (B), and 3 follow-up baseline sessions (A'). During the intervention period (B), IM training was performed. Inattention and attention activities were measured as the dependent variables in all three phases (A, B, and A'). Results: Compared to baseline, the subject's inattention decreased in the IM training mediation period, and the performance of activities requiring attention also improved. The intervention effect was maintained even during the follow-up baseline period. Conclusion: The results of this study suggest that IM training positively influences attention among children with ASD with attention deficit symptoms. Further, it provides the clinical basis of IM training as an intervention for children with ASD
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