Muesbeck Jessica, St John Brittany M, Kant Shannon, Ausderau Karla K
1 University of Wisconsin-Madison, USA.
OTJR (Thorofare N J). 2018 Oct;38(4):254-260. doi: 10.1177/1539449218778558. Epub 2018 Jun 17.
Mealtime is an important family routine commonly affected for families with children with autism spectrum disorders (ASD). Limited research is available regarding strategies families incorporate to support mealtime engagement. The purpose of this study was to explore the frequency and characterize the purpose of Props used during mealtimes with children with ASD. A total of 12 families with a child(ren), N = 14, aged 2 to 7 years, with ASD and mealtime challenges or eating difficulties participated in video-recorded mealtimes in their home. Independent coders analyzed mealtimes for the frequency and purpose of Props (items used to support child participation during mealtime). Props were used by 75% of families ( n = 9); common Props included toys, electronics, and books. Props were used primarily as a self-regulation tool for the child and occasionally as positive reinforcement for specific behaviors. Overall, Props were used to support child engagement in mealtime. Occupational therapists should consider using Props as individualized, accessible, and supportive mealtime interventions for families and children.
用餐时间是一项重要的家庭日常活动，对于患有自闭症谱系障碍（ASD）儿童的家庭来说，这一活动通常会受到影响。关于家庭为支持用餐参与而采用的策略，现有研究有限。本研究的目的是探讨在与患有ASD的儿童用餐期间使用道具的频率，并描述其目的。共有12个有一名或多名2至7岁患有ASD且在用餐时间面临挑战或有进食困难的儿童的家庭，参与了在家中进行的用餐时间视频录制。独立编码人员分析用餐时间，以确定道具（用餐期间用于支持儿童参与的物品）的使用频率和目的。75%的家庭（n = 9）使用了道具；常见的道具包括玩具、电子产品和书籍。道具主要用作儿童的自我调节工具，偶尔也用作特定行为的正强化物。总体而言，道具被用于支持儿童参与用餐时间。职业治疗师应考虑将道具用作针对家庭和儿童的个性化、可及且支持性的用餐时间干预措施。
