针对智力和发育障碍个体的医疗保健与卫生文献的范围综述
A Scoping Review of the Healthcare and Hygiene Literature for Individuals with Intellectual and Developmental Disabilities.
作者信息
Jennings Adrienne M, Mery Jacqueline N, Quiroz Leslie S, Vladescu Jason C
机构信息
Department of Applied Behavior Analysis, Caldwell University, 120 Bloomfield Avenue, Caldwell, NJ 07006 USA.
Kennedy Krieger Institute, Baltimore, USA.
出版信息
Adv Neurodev Disord. 2022;6(3):237-252. doi: 10.1007/s41252-022-00249-7. Epub 2022 Mar 14.
OBJECTIVES
Previous reviews highlight the similarities in teaching healthcare and hygiene routines to individuals with and without intellectual and developmental disabilities. Additionally, similar interventions are used when interfering behaviors occur. Although these routines are topographically distinct, there are enough similarities to suggest effective procedures for one routine may be used to inform another. This scooping review aims to identify effective teaching and intervention procedures for healthcare and hygiene routines specifically for individuals with intellectual and developmental disabilities. We also evaluated the extent to which functional analyses were conducted; a dimension not included in previous reviews.
METHODS
Eligible articles targeted compliance or tolerance within the context of a defined healthcare or hygiene routine as a dependent variable and used an experimental design with a demonstration of experimental control. Articles were identified through PsycINFO, PubMed, and Academic Search Premier databases. Additionally, a hand search of five related journals was conducted. Data were collected on dependent variables, functional analyses, baseline contingencies, teaching procedures, and additional experimental components.
RESULTS
A total of 52 articles met inclusion criteria. Most experiments produced positive outcomes. The findings show all experiments involved a treatment package with multiple components. The most common teaching procedures were graduated exposure and DRA. A lack of functional analyses and social validity was noted.
CONCLUSIONS
Component analyses are needed to identify the most effective and efficient procedures. Pyramidal training to teach medical professionals how to provide preventative pyramidal training should be explored.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s41252-022-00249-7.
目的
以往的综述强调了在向有和没有智力及发育障碍的个体传授医疗保健和卫生习惯方面的相似之处。此外，当出现干扰行为时会采用类似的干预措施。尽管这些习惯在形式上有所不同，但有足够的相似之处表明，一种习惯的有效程序可能会为另一种习惯提供参考。这项全面综述旨在确定专门针对智力和发育障碍个体的医疗保健和卫生习惯的有效教学和干预程序。我们还评估了进行功能分析的程度；这是以往综述中未涉及的一个方面。
方法
符合条件的文章将在特定医疗保健或卫生习惯背景下的依从性或耐受性作为因变量，并采用具有实验控制证明的实验设计。通过PsycINFO、PubMed和学术搜索高级版数据库识别文章。此外，还对五本相关期刊进行了手工检索。收集了关于因变量、功能分析、基线条件、教学程序和其他实验组成部分的数据。
结果
共有52篇文章符合纳入标准。大多数实验产生了积极结果。研究结果表明，所有实验都涉及一个包含多个组成部分的治疗方案。最常见的教学程序是逐步暴露和区别性强化替代行为。注意到缺乏功能分析和社会效度。
结论
需要进行成分分析以确定最有效和高效的程序。应探索开展金字塔式培训，教导医学专业人员如何提供预防性金字塔式培训。
补充信息
在线版本包含可在10.1007/s41252-022-00249-7获取的补充材料。
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