자기관리 훈련이 아스퍼거 증후군 학생의 식사 행동에 미치는 영향
The Effects of Self-Management Training on Eating Behavior of a Student with Asperger Syndrome
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
이 연구는 아스퍼거 증후군 학생에게 자기관리를 훈련시켜서 통합학급의 점심시간에 보이는 부적절한 식사 행동과 편식 행동을 중재하였다. 실험설계 방법은 ABAB 반전설계이며 중재 종료 2주 후에 유지 자료를 수집하였다. 자기관리 수행 방법은 우선 자기점검표를 만들고, 목표행동과 기록 방법 인식 훈련을 하고 이후 통합학급의 점심시간에 목표 행동을 실습하고 특수학급에 와서 식사 중 행동을 기록·평가하고 강화를 받는 것으로 이루어진다. 연구 결과, 아스퍼거 증후군 학생의 부적절한 식사 행동이 감소하였고 세 가지 반찬의 섭취 비율의 차이가 줄어서 편식 행동이 개선되었다. 중재 효과는 2주 후에도 유지되었으며 학부모와 통합학급 교사로부터 사회적 타당성이 높은 중재임을 확인할 수 있었다. 이러한 연구 결과를 토대로 통합교육 환경에서 아스퍼거 증후군 학생의 식사 행동을 중재하는 것과 관련한 시사점을 논의하였다.
Abstract
This study investigated effects of self-management training on eating problem behavior and food selectivity of student with Asperger syndrome. Reversal design was applied and maintenance data were collected. The subject was one elementary student with Asperger syndrome who exhibited mealtime problems in inclusive class. Before self-management training, the self-recording sheets were made and recording methods were taught to the subject with Asperger syndrome. Self-management training was consisted of focusing behavior practice in inclusive class and self-recording and reinforcing in resource room. The results of this study showed that the self-management training was effective to decrease the eating problem behaviors and to improve various food consumption behaviors. The intervention effects were maintained and a high degree of social validity showed in posttreatment satisfaction questionnaires. Implications of eating behavior treatment for student with Asperger syndrome in inclusive class were discussed and the future study issues were recommended.
참고문헌 (30)
- 김하종, "국내 유아특수교육 분야의 실험 사례연구 분석", 언어치료연구, 14(2), pp.67~87 (2005), 한국언어치료학회
- Adelinis, J. D., "Treatment of multiply controlled destructive behavior with food reinforcement", Journal of Applied Behavior Analysis, 34(1), pp.97~100 (2001)
- Bowers, L., "An Audit of referrals of children with autistic spectrum disorder to the dietic service", Journal of Human Nutrition and Dietetics, 15(2), pp.141~144 (2002)
- Brown, J. F., "A parent-training programme for chronic food refusal : A case study", British Journal of Learning Disabilities, 30(3), pp.118~121 (2002)
- Burklow, K. A., "Classifying complex pediatric feeding disorders", Journal of Pediatric Gastroenterology and Nutrition, 27(2), pp.143~147 (1998)
- Cornish, E., "A balanced approach towards healthy eating in autism", Journal of Human Nutrition and Dietetics, 11(6), pp.501~509 (1998)
- Cornish, E., "Gluten and casein free diets in autism : A study of the effects on food choice and nutrition", Journal of Human Nutrition and Dietetics, 15(4), pp.261~269 (2002)
- DeLeon, I. G., "Choices between positive and negative reinforcement during treatment for escape-maintained behavior", Journal of Applied Behavior Analysis, 34(4), pp.521~525 (2001)
- Dewrang, P., "Parental retrospective assessment of development and behavior in Asperger syndrome during the first 2 years of life", Research in Autism Spectrum Disorders, 4(3), pp.461~473 (2010)
- Fisher, W. W., "Enhancing the effects of extinction on attention-maintained behavior through noncontingent delivery of attention or stimuli identified via a competing stimulus assessment", Journal of Applied Behavior Analysis, 37(2), pp.171~184 (2004)
- Gutentag, S., "Shaping oral feeding in a gastronomy tube-dependent child in natural settings", Behaviour Modification, 24(3), pp.395~410 (2000)
- Harper, C. B., "Recess is time-in : using peers to improve social skills of children with autism", Journal of Autism and Developmental Disorders, 38(5), pp.815~826 (2008)
- Heflin, L. J., "자폐 범주성 장애 아동 교육의 실제" (2008), 시그마프레스
- Kahng, S. W., "Use of a multicomponent treatment for food refusal", Journal of Applied Behaviour Analysis, 34(1), pp.93~96 (2001)
- Koegel, R. L., "Pivotal response treatments for autism: communication, social, and academic development" (2006), Paul H. Brookes
- Kodak, T., "Assessment and behavioral treatment of feeding and sleeping disorders in children with autism spectrum disorders", Child and Adolescent of Psychiatric Clinics of North America, 17(4), pp.887~905 (2008)
- Lalli, J. S., "Competition between positive and negative reinforcement in the treatment of escape behavior", Journal of Applied Behavior Analysis, 32(3), pp.285~296 (1999)
- Ledford, J. R., "Feeding problems in children with autism spectrum disorders : A review", Focus on Autism and Other Developmental Disabilities, 21(3), pp.153~166 (2006)
- Mueller, M. M., "Training parents to implement paediatric feeding protocols", Journal of Applied Behaviour Analysis, 36(4), pp.545~562 (2003)
- Nadon, G., "Mealtime problems in children with autism spectrum disorder and their typically developing siblings : A comparison study", Autism, 15(1), pp.98~113 (2011)
- Piazza, C. C., "The effects of magnitude and quality of reinforcement on choice responding during play activities", Journal of Applied Behaviour Analysis, 35(3), pp.259~270 (2002)
- Piazza, C. C., "Feeding disorders and behavior: What have we learned?", Developmental Disabilities Research Reviews, 14(2), pp.174~181 (2008)
- Provost B., "Mealtime behaviors of preschool children : Comparison of children with autism spectrum disorder and children with typical development", Physical and Occupational Therapy in Pediatrics, 30(3), pp.220~233 (2010)
- Sira, B. K., "Using peer modeling and differential reinforcement in the treatment of food selectivity", Education and Treatment of Children, 35(1), pp.91~100 (2012)
- Terpstra, J., "Can I play? Classroom-based interventions for teaching play skills to children with autism", Focus on Autism and Other Developmental Disabilities, 17(2), pp.119~126 (2002)
- Vollmer, T. R., "Noncontingent escape as treatment for self-injurious behavior maintained by negative reinforcement", Journal of Applied Behavior Analysis, 28(1), pp.15~26 (1995)
- Werle, M. A., "Treating chronic food refusal in young children : Home based parent training", Journal of Applied Behaviour Analysis, 26(4), pp.421~433 (1993)
- Whiteley, P., "Developmental behavioral and somatic factors in pervasive developmental disorders : Preliminary analysis. Child : Care", Health and Development, 30(1), pp.5~11 (2004)
- Williams, G., "Autism and associated medical and familial factors : A case control study", Journal of Developmental and Physical Disabilities, 15(4), pp.335~349 (2003)
- Zirpoli, T. J., "통합교육을 위한 행동관리의 실제" (2008), 시그마프레스