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家长远程会诊以增加进食量:针对一名患有回避性限制性食物摄入障碍和自闭症谱系障碍儿童的各类食物示范

Parent Teleconsultation to Increase Bites Consumed: A Demonstration Across Foods for a Child With ARFID and ASD.

作者信息

Bloomfield Bradley S, Fischer Aaron J, Dove Meredith, Clark Racheal R, Fife Melissa

机构信息

Monash University, 19 Ancora Imparo Way, Clayton, VIC 3800 Australia.

University of Utah, Salt Lake City, UT USA.

出版信息

Behav Anal Pract. 2021 Jul 15;14(4):913-926. doi: 10.1007/s40617-021-00586-4. eCollection 2021 Dec.

Abstract

Children with autism spectrum disorder (ASD) experience feeding dysfunction at a substantially higher proportion than their neurotypical peers. Feeding concerns can provide considerable challenges for parents, and as such, helping parents of children with ASD provide effective mealtime interventions for interfering behavior is critical, especially if parents have individual circumstances that affect their ability to effectively implement these feeding interventions. This study contributes to the parent-implemented feeding-intervention literature by demonstrating that a parent with ASD can implement a pediatric feeding intervention in the home with their child with ASD, despite contributing mental health factors. To address family needs, we developed a socially valid and individualized intervention, which we delivered over telehealth. The intervention resulted in an increase in the consumption of previously nonpreferred foods, while the caregiver maintained adequate levels of procedural fidelity. Practical considerations and implications are discussed.

摘要

患有自闭症谱系障碍(ASD)的儿童出现喂养功能障碍的比例远高于发育正常的同龄人。喂养问题会给家长带来巨大挑战,因此,帮助患有ASD儿童的家长针对干扰行为实施有效的进餐干预至关重要,尤其是当家长存在影响其有效实施这些喂养干预能力的个人情况时。本研究通过证明患有ASD的家长尽管存在心理健康因素,但仍能在家中对患有ASD的孩子实施儿科喂养干预,为家长实施的喂养干预文献做出了贡献。为满足家庭需求,我们开发了一种具有社会效度且个性化的干预措施,并通过远程医疗进行实施。该干预措施使之前不受欢迎的食物摄入量增加,同时照顾者保持了足够的程序保真度。文中还讨论了实际考虑因素和影响。

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