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자폐 범주성 장애 영유아의 모방 증진 관련 국외 중재연구 분석

Analysis of Foreign Intervention Studies on Imitation in Young children with Autism Spectrum Disorder

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초록

본 연구에서는 자폐 범주성 장애 영유아가 어려움을 보이는 모방 증진 관련 중재연구를 분석하여 모방 중재의 방향 및 과제에 대한 시사점을 모색하고자 하였다. 이를 위해 논문 선정 기준에 따라 2022년까지 국외에 발표된 총 31편의 모방 증진 관련 중재연구를 선정하였고, 개괄적인 분석 및 중재의 구체적인 내용을 분석하였다. 연구 결과는 다음과 같다. 첫째, 자폐 범주성 장애 영유아의 모방 증진 관련 중재연구는 주로 단일대상연구를 사용하여 37개월 이상의 유아를 대상으로 연구자 혹은 부모가 가정에서 실시한 연구가 많았다. 둘째, 자폐 범주성 장애 영유아의 모방 능력을 증진하기 위해서 사물모방, 동작모방, 몸짓모방, 얼굴모방, 음성모방 등 다양한 모방 영역을 대상으로 중재가 이루어졌으며, 교수 전략으로는 강화, 촉진, 비디오 모델링 등 증거 기반의 실제가 폭넓게 활용되었고, 교수 맥락은 놀이 기반 삽입을 활용한 연구가 가장 많은 것을 알 수 있었다. 본 연구의 결과를 기반으로 자폐 범주성 장애 영유아의 모방 증진을 위한 중재연구에 대한 시사점과 후속연구의 방향에 대하여 논의하였다.

Abstract

This study was to analyze the intervention on imitation in young children with Autism Spectrum Disorder (ASD) who exhibit difficulties in imitation, and to explore the direction and tasks of further studies. A total of 31 studies were selected until the year 2022 according to the selection criteria and their general analysis and specific intervention contents were examined. The results of the study are as follows. First, imitation intervention studies mainly used single subject research and most of the studies were conducted by researchers or parents in their homes with children over 37 months of age. Second, interventions were conducted targeting various range of imitation domains such as object imitation, action imitation, gesture imitation, face imitation and voice imitation to enhance the imitation ability of young children with ASD. Evidence-based practices such as reinforcement, prompting, and video modeling were widely used as teaching strategies and teaching contexts were mainly a play-based embedded learning opportunities. Based on the findings of this study, the implications and directions for further studies on imitation intervention for young children with ASD were discussed.

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