Agreement Between Structured Descriptive Assessments and Functional Analyses Conducted Over a Telehealth System.
Agreement Between Structured Descriptive Assessments and Functional Analyses Conducted Over a Telehealth System.
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通过远程医疗系统进行的结构化描述性评估和功能分析之间的协议。
DOI：
10.1037/bar0000153
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Pennington,Brittany
中科院分区：
文献类型：
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作者：
Martens,BrianK;Baxter,EmilyL;McComas,JenniferJ;Sallade,SamanthaJ;Kester,JohannaS;Caamano,Miguel;Dimian,Adele;Simacek,Jessica;Pennington,Brittany
本研究考察了父母在家中通过远程健康辅导进行的实验性功能分析(FA)是否会产生不同的结果，并将这些结果与父母也通过远程健康在家中进行的结构化描述性评估(SDA)确定的功能进行了比较。4名4至8岁患有智力和发育障碍的男童及其父母参加。所有的评估都是在孩子的家里进行的，他们的父母充当干预代理，远程行为治疗师使用视频会议技术进行指导。家长实施的FAS对研究中的所有4个孩子都产生了不同的结果。总体而言，分析SDA视频中的先行-行为(AB)和行为-结果(BC)关系，只确定了FA确定的一半的功能。对于SDA结果不同的儿童，分析AB关系正确地识别出5个功能中的4个。对BC关系的分析正确地识别了实验FA确定的6个功能中的5个，但夸大了所有儿童的注意力。对通过远程医疗进行功能分析和解释结构化描述性评估的意义进行了讨论。
This study examined whether experimental functional analyses (FAs) conducted by parents at home with coaching via telehealth would produce differentiated results, and compared these results to the functions identified from structured descriptive assessments (SDAs) also conducted by parents at home via telehealth. Four boys between the ages of 4-and 8-years old with intellectual and developmental disabilities and their parents participated. All assessments were conducted in the children’s homes with their parents serving as intervention agents and with coaching from remote behavior therapists using videoconferencing technology. Parent-implemented FAs produced differentiated results for all 4 children in the study. Overall, analyzing antecedent-behavior (AB) and behavior-consequence (BC) relations from the SDA videos identified only half of the functions identified by the FAs. For children whose SDA results were differentiated, analyzing AB relations correctly identified 4 of 5 functions. Analyzing BC relations correctly identified 5 of 6 functions identified by the experimental FA, but overidentified attention for all children. Implications for conducting functional analyses and interpreting structured descriptive assessment via telehealth are discussed.