아스퍼거 장애학생의 사회적 의사소통 중재에 대한 메타분석과 단일대상연구 효과 크기 적절성 검토
A Meta-Analysis of Social Communication Interventions for Students with Asperger Syndromes and Comparison of Effect Size for Single-Subject Research
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참고문헌
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초록
이 연구에서는 학령기 아스퍼거 증후군 학생 대상의 사회적 의사소통 중재 연구에 대한 메타분석을 실시하였다. 또한 단일대상연구에 대한 5가지 효과 크기(PND, PEM, ECL, PAND, NAP)를 산출하고 상관관계를 통해 적절한 효과 크기를 알아보았다. 선정 및 제외 기준을 통해 수집된 문헌은 집단 연구 9편과 단일대상연구 14편으로 총 23편이었다. 선정된 연구에 참여한 대상자의 수는 총 303명이며 그 중 남자가 271명, 여자가 32명으로 나타났다. 단일대상연구 14편에 대해 107개의 PND가 산출되었고 35명이 연구에 참여한 것으로 나타났다. 학령기 AS를 대상으로 한 사회적 의사소통 중재의 전반적인 효과는 연구 및 중재 변인에 따라 다양하게 나타났다. 중재효과 크기가 매우 효과적인 것으로 나타난 변인은 초등 고학년 대상, AS만을 대상, 특수학급에서 중재, 15-20회기 시행, 교사에 의한 중재, 상황간중다기초선 설계를 적용, 마음 읽기 또는 사회적 행동 학습 전략의 지도로 나타났다. 단일대상연구에 대한 효과 크기 PAND와 NAP간에 매우 높은 상관관계가 나타났고 ECL을 제외한 PND, PEM, PAND, NAP간에 높은 상관관계가 나타났다. 연구결과에 근거하여 AS의 관련 사회적 의사소통 지도에 대한 연구 방향과 교육적 시사점이 논의되었다.
Abstract
The purpose of this study was to investigate the outcomes of social communication interventions for school-age students with Asperger syndrome and to investigate appropriate method for summarizing intervention outcomes for single-subject research. Five effect sizes(PND, PEM, ECL, PADN, NAP) were calculated for articles and correlations were calculated to determine the degree of relationship five effect sizes metrics. 23 articles were selected by the criteria for this synthesis and were analyzed across subjects', settings, and intervention characteristics and effect sizes were calculated by PND of the non-regression model. 14 articles were single subject research studies and 9 articles were group experimental studies. A total of 303 subjects were included, of whom 271 were boys and 32 were girls. The analyses of 14 single-subject research studies resulted in 107 PND scores. Results varied widely across subjects', settings, and intervention variables. Variables that lead to the most effective intervention by PND were upper-grade elementary subjects, AS subjects, special classroom settings, 15-20 sessions of interventions, interventions by teachers, multiple baseline design across settings, mind reading intervention, social behavioral learning strategy. There were significant very high correlation between the PAND and the NAP effect sizes, and was high correlation between metrics(PND, PEM, PAND, NAP) except ECL. Based on the result, the implication for education for children with Asperger syndrome was discussed, and future study issues were recommended.
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