سامانه مدیریت نشریات علمی دانشگاه شهید بهشتی

شیری, اسماعیل, پوراعتماد, حمیدرضا, فتح آبادی, جلیل, نریمانی, محمد. (1397). اثربخشی برنامه خانواده محور مدیریت رفتارهای اضافه اٌتیسم. , 15(2), 267-282.
اسماعیل شیری; حمیدرضا پوراعتماد; جلیل فتح آبادی; محمد نریمانی. "اثربخشی برنامه خانواده محور مدیریت رفتارهای اضافه اٌتیسم". , 15, 2, 1397, 267-282.
شیری, اسماعیل, پوراعتماد, حمیدرضا, فتح آبادی, جلیل, نریمانی, محمد. (1397). 'اثربخشی برنامه خانواده محور مدیریت رفتارهای اضافه اٌتیسم', , 15(2), pp. 267-282.
شیری, اسماعیل, پوراعتماد, حمیدرضا, فتح آبادی, جلیل, نریمانی, محمد. اثربخشی برنامه خانواده محور مدیریت رفتارهای اضافه اٌتیسم. , 1397; 15(2): 267-282.

اثربخشی برنامه خانواده محور مدیریت رفتارهای اضافه اٌتیسم

خانواده پژوهی
مقاله 6، دوره 15، شماره 2، خرداد 1397، صفحه 267-282    اصل مقاله (407.75 K)
نوع مقاله: علمی - پژوهشی
نویسندگان
اسماعیل شیری* 1؛ حمیدرضا پوراعتماد2؛ جلیل فتح آبادی2؛ محمد نریمانی3
1دانشگاه شهید بهشتی
2شهید بهشتی
3محقق اردبیلی
چکیده
مداخلات والدمحور، روشی مؤثر برای درمان کودکان دارای اوتیسم محسوب می‌شوند. بیشتر این مداخلات متمرکز بر نقائص ارتباطی ـ اجتماعی هستند و کمتر به رفتارهای اضافه پرداخته‌اند. برای رفع این نیاز برنامه خانواده‌محور مدیریت رفتارهای اضافه اوتیسم تهیه شد. هدف این مطالعه بررسی اثربخشی این برنامه روی سه تن از والدین کودکان دارای اوتیسم است. این مطالعه از نوع طرح‌های تک‌آزمودنی است که روی سه کودک دو تا سه‌ساله دارای اختلال اوتیسم انجام شده است. این والدین 10 جلسه انفرادی مداخله را دریافت کردند. ارزیابی‌ها در 9 مرحله (سه ارزیابی خط پایه، پنج ارزیابی در مدت درمان و یک ارزیابی پیگیری) انجام شد. ابزار مورد استفاده در پژوهش حاضر پرسشنامه تجدیدنظرشده رفتارهای تکراری، چک‌لیست رفتار ناهنجار و سیاهه ارزیابی درمان اوتیسم بود. جهت تجزیه و تحلیل داده‌ها از روش تحلیل بصری و اندازه اثر استفاده شد. نتایج مطالعه نشان داد رفتارهای اضافه چون رفتار کلیشه‌ای (82/0d=)، رفتار خودجرحی (100/0d=)، رفتار وسواسی (85/0d=)، رفتار آیینی (69%d=)، رفتار یکنواختی (100/0d=)، رفتار محدود (83/0d=)، بی‌قراری (79/0d=)، پژواک‌گویی (84%d=) و بیش‌فعالی (26/0d=) کاهش یافت. هم‌زمان، کمبودهای رفتاری (چون گفتار، ارتباط، معاشرت) بهبود یافت، بدون آنکه هیچ مداخله‌ای روی کمبودهای رفتارهای اجرا شده باشد. نتایج این مطالعه از اثربخشی برنامه خانواده‌محور مدیریت رفتارهای اضافه اوتیسم حمایت می‌کند. پیشنهاد می‌شود این برنامه به عنوان یکی از درمان‌های زودهنگام رفتارهای اضافه، حتی مقدم بر مداخلات کمبودهای رفتاری مورد استفاده قرار گیرد تا فواید برنامه‌های خانواده‌محور، حاصل شود.  
کلیدواژه‌ها
برنامه خانواده محور؛ رفتارهای اضافه؛ اختلال اٌتیسم
عنوان مقاله [English]
Evaluation effectiveness of the family-based program of the management on Behavioral Excesses with children autism
نویسندگان [English]
esmaeil shiri1؛ hamidreza Pouretemad2؛ Jalil fathabadi2؛ Mohammad narimani3
1shahid beheshti
2department of psychology and education, Shahid Beheshti University, Tehran, Iran
3mohaghegh ardebili
چکیده [English]
Parent-mediated interventions are considered an effective way to treat children with autism Most of these interventions focus on the social-communicative deficits of these children, and less study is focused on Behavioral Excesses. To overcome this need, a Family-Based Intervention for the management of Behavioral Excesses was developed. The purpose of this study is to evaluate the effectiveness of this program on a group of parents of children with autism. This study was a single-subject design. Three children with autism disorder were selected using the convenience sampling method. Parents of all three children received 10 individual sessions of the Family Based program for the management of behavioral excessive in autism.
Evaluations were Completed in 9 stages (3 baseline evaluations, 5 evaluations during treatment and 1 follow up evaluation). The instrument used in this study was the Repetitive Behavior Scale- Revise, Autism treatment evaluation checklist and The Aberrant Behavior Checklist. Visual analysis and effect size were used to analyze the data. The results of the study showed that Behavioral Excesses (such as Stereotyped, Self-Injurious, Compulsive, Ritualistic, Sameness, Restricted behaviors) have decreased and adaptive behaviors (such as Speech/ communication, Sociability, Sensory/cognitive awareness, Health/physical/behavior (have increased. Also, the effect size showed that this training program is effective on the improvement of Behavioral Excesses on autistic children. The results of this study support the effectiveness of the family-based program for the management of Behavioral Excesses in autism. It is recommended that this program be used as an early intervention for the treatment of autism disorder and with the aim of transferring treatment of autism from centered-based to family-based.
کلیدواژه‌ها [English]
Parent-mediated interventions
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