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自闭症谱系障碍儿童对面部遮挡物的耐受性。

Tolerance of face coverings for children with autism spectrum disorder.

机构信息

University of Nebraska Medical Center's Munroe-Meyer Institute.

Marquette University.

出版信息

J Appl Behav Anal. 2021 Apr;54(2):600-617. doi: 10.1002/jaba.833. Epub 2021 Mar 26.

Abstract

Healthcare professionals and government officials have advised the use of personal protective equipment, such as face masks and face shields, to assist with limiting the spread of the SARS-CoV-2 (COVID-19). Due to the prevalence of challenging behavior associated with other medical routines, the present study evaluated a treatment package composed of graduated exposure, prompts, reinforcement, and escape extinction on tolerance of wearing a face covering for up to 5 min for 12 children with ASD in a systematic replication of Cox et al. (2017) and Sivaraman et al. (2020). We also extended previous research by measuring generalization of face covering type (i.e., face shield) and the efficacy of a treatment extension for tolerating a face covering for up to 15 min during the participants' trial-based instruction and play periods.

摘要

医疗保健专业人员和政府官员建议使用个人防护设备,如口罩和面罩,以帮助限制 SARS-CoV-2(COVID-19)的传播。由于与其他医疗常规相关的挑战性行为普遍存在,本研究评估了一套治疗方案,该方案由逐步暴露、提示、强化和逃避灭绝组成,用于提高 12 名自闭症儿童对戴面罩的容忍度,时间长达 5 分钟,这是对 Cox 等人(2017 年)和 Sivaraman 等人(2020 年)研究的系统复制。我们还通过测量面罩类型(即面罩)的泛化和延长治疗时间(即容忍面罩长达 15 分钟)来延长之前的研究,以测量参与者基于试验的指导和游戏期间的治疗效果。

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