Use of technology in facilitating remote caregiver training for token systems

Use of technology in facilitating remote caregiver training for token systems
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DOI:
10.1080/20473869.2020.1827210
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发表时间:
2020-09-27
影响因子:
2.1
通讯作者:
Blanco, Sam
Blanco, Sam
中科院分区:
医学4区
文献类型:
--
作者:
Davis, Cheryl;Hendon, Faith;Blanco, Sam

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自闭症的患病率持续上升,然而,通过传统的面对面方法接受治疗或护理人员培训的能力仍然是许多家庭的排除因素。研究表明,通过提高干预、实施和技能推广的成功率,父母培训对照顾者和儿童都有好处。本研究评估了在日常非首选活动中使用代币经济的远程护理人员培训技术的效果。通过三个阶段,在两个参与者中实施了多基线设计。另外还进行了调查和访谈来评估社会效度。结果显示,照顾者获得了必要的技能,以实施固定间隔的强化与令牌系统,参与者报告说,体验到更积极的互动与儿童。这项研究的局限性包括没有收集到关于儿童行为的数据,也没有对他们进行代币经济使用方面的培训。无关的变量可能会影响结果,比如计划外的家庭事件。研究结果表明,远程护理人员培训可以增加护理人员与儿童之间的理想互动,改善具有社会意义的行为,并扩展所有家庭通常无法获得的资源。
The prevalence of autism continues to rise, yet the ability to receive treatment or caregiver training through traditional in-person methods continues to be a precluding factor for many families. Studies have shown that parent training provides benefits to caregivers and children through increased success of interventions, implementation, and generalization of skills. This study evaluated the effect of using technology for remote caregiver training of a token economy for use during routine non-preferred activities. A multiple-baseline design was implemented across two participants, through three phases. Additional surveys and interviews were conducted to evaluate social validity. Results revealed that caregivers acquired necessary skills to implement the fixed interval schedule of reinforcement with token system and participants reported experiencing greater positive interactions with the children. Limitations of this study included no data were collected on the children's behavior, nor were they trained on token economy use. Extraneous variables may have affected the results, such as unplanned household events. Results suggest that remote caregiver training can increase desirable interactions between caregiver and child, improve socially significant behaviors, and extend resources not typically available to all families.