Research on effective physical environment for improving behavior problems in home setting

本研究以问卷调查和个案研究为基础，分析了家庭物理环境对行为问题改善的有效性。2004年12月至2005年2月，对K市396个有特殊学校或特殊班子女的家庭进行了问卷调查（1）。242个家庭回答了这项调查（回答率61%）。在成功的活动中，运用静态分析方法，分析了简单活动和困难活动中行为问题的发生、家庭如何进行家庭活动、视觉线索、仪器或辅助工具的使用、物体的放置或定位、如何进行等。对20个家庭进行了问卷调查（2），其中9个家庭属于简单活动组，11个家庭属于困难活动组。通过对实施原因和持续原因的回答进行分析，阐明活动成功的因素。结果表明，有效物理环境的特征是： ...更多信息 社会活动类型、残疾、年龄、家庭成员数与行为问题发生率相关。另一方面，行为问题较多的活动与行为问题的发生有关。根据研究结果，确定有效的环境，为儿童和家庭实施活动是重要的。本研究以8名有行为问题的发展性障碍儿童及其家庭为研究对象，进行个案研究。首先，根据对生活方式、行为问题的发生和家庭成员的需求的评估，选择每个病例的期望行为。第二，对物理环境进行评估，以确定对期望行为（抛光，烹饪或烹饪）的有效支持程序。结果表明，在所有的情况下，行为问题减少，期望行为增加。此外，所有家庭都认为这些支持程序是有效和容易实施的。根据这些结果，有效的改善行为问题的方案进行了讨论。为儿童和家庭提供了有效的物质环境。提出了一个临时计划。少

This research analyzed effective physical environment for improving behavior problems in home setting based on questionnaire survey and case study. Questionnaire survey (1) was implemented for 396 families with children belonged in special schools or special classes in K city during December, 2004 to February, 2005. 242 families responded this survey (response ratio 61%). In successful activities, occurrence of behavior problem, how families to do home activities, use of visual cues, instruments or augmentative tools, placement or location for object, how to do and others, were analyzed in easy activities and difficult activities by means of statics method. Questionnaire survey (2) was implemented for 20 families, which of 9 were among of easy activities group and 11 were difficult activities group. Answers on reason of implement and continuation were analyzed to clarify the factor of successful activities. Results indicated that characteristic of effective physical environment were as … More sociated kinds of activities, disabilities, age, and numbers of family member in activities with less behavior problem. On the other hand, characteristic were associated kinds of activities and occurrence of behavior problem in activities with more behavior problem. Based on the results, to identify effective environment for both of children and family to implement activities was important. And these questionnaire times may be useful for assessment.Case study were implemented for 8 children with developmentally disabilities who exhibited behavior problems and their families in home setting. First, based on the assessment of life style, occurrence of behavior problems and needs of family member, desired behavior were selected in each cases. Second, assessment on physical environment were conducted to identify effective support procedure for desired behavior (polishing, toileting or cooking). Results indicated that in all cases, behavior problem were decreased and desired behavior were increased. Also all families evaluated these support procedures were effective and easy to implement.Based on these results, effective program for improving behavior problems were discussed. Effective physical environment for both of children and families to implement were suggested. A tentative plan were presented. Less