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探索发育迟缓儿童社区康复服务项目的成效与挑战:一项基于台湾早期干预服务提供者视角的定性研究

Exploring the Effectiveness and Challenges of Community Rehabilitation Service Programs for Children with Developmental Delays: A Qualitative Study from the Perspective of Early Intervention Service Providers in Taiwan.

作者信息

Sun Shu-Jou, Wang Wei-Lin, Huang Wei-Lun, Ho Wei-Sho

机构信息

Department of Special Education, National Tsing Hua University, No. 521, Nanda Rd., East District, Hsinchu City 300193, Taiwan.

Eden Social Welfare Foundation, No. 5, Ln. 7, Sanshu Rd., Sanxia District, New Taipei City 237012, Taiwan.

出版信息

Children (Basel). 2024 Aug 16;11(8):999. doi: 10.3390/children11080999.

DOI:10.3390/children11080999
PMID:39201934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11352725/
Abstract

This qualitative study aimed to investigate the effectiveness of community rehabilitation programs for children with developmental delays from the perspective of early intervention service providers in Taiwan. Adopting a single-case experimental design (ABM design), this study examined the immediate and sustained effects of interventions on individualized goals during baseline, intervention, and maintenance phases. Additionally, data from interviews with parents, special education teachers, and other participants were collected to understand the challenges and improvement strategies of community rehabilitation programs. Results revealed that community rehabilitation programs for children with developmental delays exhibited both immediate and sustained effectiveness. Challenges faced by parents and professionals differed, with parents having less contact and communication with administrative systems, while professionals experienced more pronounced implementation difficulties during interventions. Moreover, strategies for improving community rehabilitation programs for children with developmental delays should vary for parents and professionals to address inconsistencies in attitudes and strategies among parents and administrative obstacles encountered by professionals.

摘要

这项定性研究旨在从台湾早期干预服务提供者的角度,调查社区康复计划对发育迟缓儿童的有效性。本研究采用单案例实验设计(ABM设计),考察了在基线期、干预期和维持期干预对个体化目标的即时和持续影响。此外,还收集了来自家长、特殊教育教师和其他参与者的访谈数据,以了解社区康复计划面临的挑战和改进策略。结果显示,针对发育迟缓儿童的社区康复计划具有即时和持续的有效性。家长和专业人员面临的挑战有所不同,家长与行政系统的接触和沟通较少,而专业人员在干预过程中遇到的实施困难更为明显。此外,针对发育迟缓儿童的社区康复计划的改进策略,应因家长和专业人员而异,以解决家长态度和策略不一致以及专业人员遇到的行政障碍问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/e0a580f31c17/children-11-00999-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/613f71be97e5/children-11-00999-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/b3444d70661b/children-11-00999-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/b5d6babf7a7c/children-11-00999-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/e0a580f31c17/children-11-00999-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/613f71be97e5/children-11-00999-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/b3444d70661b/children-11-00999-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/b5d6babf7a7c/children-11-00999-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/046f/11352725/e0a580f31c17/children-11-00999-g004.jpg

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本文引用的文献

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A Review on Early Intervention Systems.早期干预系统综述
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A Systematic Review of Family-Mediated Social Communication Interventions for Young Children with Autism.对自闭症幼儿家庭介导的社会沟通干预的系统评价
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Effectiveness of community-based early intervention based on pivotal response treatment.基于关键反应疗法的社区早期干预的有效性。
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