Beecroft P C
Clin Nurs Res. 1993 May;2(2):188-211. doi: 10.1177/105477389300200208.
The purpose of this study was to test a social skills and cognitive restructuring intervention designed for adolescents undergoing hemodialysis. A single-case experimental design with multiple baselines across subjects was used. Cognitive restructuring and assertive skills training were incorporated into eight weekly instructional modules. A convenience sample of 6 adolescents entered the program; 3 subjects completed the program. Data were analyzed using visual analysis. Although no striking changes could be seen between pre- and post-intervention phases for self-efficacy and self-report of assertive behaviors, there was a trend toward growth in overall social skills for 2 subjects. Another subject made some obvious increases in all areas of self-efficacy in comparison to other subjects. This study points out the merit of identifying depression as a factor in cognitive impairment and the exercise of personal efficacy.
本研究的目的是测试一种为接受血液透析的青少年设计的社交技能和认知重构干预措施。采用了跨受试者多基线的单病例实验设计。认知重构和自信技能训练被纳入八个每周的教学模块中。一个由6名青少年组成的便利样本进入了该项目；3名受试者完成了该项目。使用视觉分析对数据进行了分析。尽管在干预前和干预后阶段，自我效能感和自信行为的自我报告没有明显变化，但有2名受试者的整体社交技能有增长趋势。与其他受试者相比，另一名受试者在自我效能感的所有方面都有明显提高。本研究指出了将抑郁识别为认知障碍和个人效能发挥中的一个因素的优点。
