Department of Psychiatry, Indiana University School of Medicine, 355 W. 16th St., Suite 4800, Indianapolis, IN, 46202, USA.
Department of Neuropsychology, Mayo Clinic, Rochester, MN, USA.
J Autism Dev Disord. 2018 Nov;48(11):3846-3857. doi: 10.1007/s10803-018-3651-5.
Individuals with intellectual and developmental disabilities (IDD) are at a high risk for engaging in self-injurious behavior (SIB). Prognosis is poor when SIB emerges early. Limited research exists on interventions teaching parents how to manage their young child's SIB. This investigation assessed the feasibility of adapting an applied behavior analytic parent training program with 11 parents of children 1-5 years of age with IDD and SIB. Quantitative and observational measures were used to assess outcomes; semi-structured interviews assessed caregiver satisfaction. Outcomes yielded preliminary data suggesting the adapted curriculum was feasible and acceptable to parents. Initial efficacy outcomes yielded decreases in SIB and observed negative parent-child interactions on pre- and post-measures. Qualitative data provided areas for further curriculum refinement.
具有智力和发育障碍（IDD）的个体有很高的自伤行为（SIB）风险。当 SIB 早期出现时，预后较差。关于教授父母如何管理其幼儿 SIB 的干预措施的研究有限。本研究评估了对具有 IDD 和 SIB 的 1-5 岁儿童的 11 名父母进行应用行为分析家长培训计划改编的可行性。使用定量和观察措施来评估结果;半结构化访谈评估了照顾者的满意度。结果初步数据表明，改编后的课程对父母来说是可行和可接受的。最初的疗效结果显示 SIB 减少，并且在预测量和后测量中观察到负面的亲子互动。定性数据为进一步的课程改进提供了领域。
