자폐성장애 아동의 식행동 중재에 대한 문헌연구
A Literature Review on the Interventions of Eating Behaviors of Children with Autism Spectrum Disorders
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초록
연구목적: 본 연구는 자폐성장애 아동의 식행동 중재에 관한 선행연구를 분석하고, 이를 토대로 자폐성장애 아동의 건강한 식생활을 위한 중재 개발 및 향후 과제에 주는 시사점을 살펴보는 것을 목적으로 하였다. 연구방법: 본 연구의 분석을 위해 2011년부터 2020년 8월까지 출판된 총 34편(국내 4편, 국외 30편)의 논문을 선정하였으며, 선정된 논문의 전반적 연구 동향과 식행동 중재 프로그램의 특성을 고찰하였다. 연구결과: 국외연구에 비해 국내연구는 편수가 상대적으로 적었고, 일부 식행동 문제에 중점을 둔 중재 연구가 이루어지고 있었다. 대부분의 연구는 중재 효과를 평가하기 위해 단일대상연구를 주로 사용하였으며, 관찰을 통해 목표행동의 변화를 측정하였다. 식행동 중재 요소로는 강화와 촉진이 가장 빈번하게 사용되었으나, 대부분의 연구에서 다양한 중재 요소가 복합적으로 사용되었다. 중재는 주로 치료사 및 행동분석전문가에 의해 이루어졌으며 가정과 치료실에서 실시되었다. 결론: 본 연구의 분석결과를 바탕으로 ASD 아동의 식행동 중재 관련 교육적 실제와 후속 연구에 주는 시사점이 논의되었다.
Abstract
Purpose: This study reviewed the literatures on interventions of eating behaviors of children with autism spectrum disorders, and to provide implications for future research. Method: 34 studies published between 2011 and 2020 were included for the review, of which 4 were Korean studies and 30 international studies. The studies were analyzed in terms of research trend and intervention characteristics. Results: The number of Korean studies was relatively small and the studies put an emphasis on interventions for the limited type of atypical eating behaviors compared to the international studies. The majority of studies used single-case research designs and collected observation data to evaluate intervention outcomes. Although the most frequently used intervention components were reinforcement and prompting, a number of studies employed different intervention components together. Overall, intervention was implemented by therapists and behavior analysts in the home and clinic settings. Conclusion: Based on the findings, practical implications and directions for future research were discussed.
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