Wacker D P, Berg W K, Harding J W, Derby K M, Asmus J M, Healy A
Department of Pediatrics, University of Iowa, Iowa City.
J Dev Behav Pediatr. 1998 Aug;19(4):260-6. doi: 10.1097/00004703-199808000-00004.
We trained parents to conduct functional analyses and functional communication treatment for 28 young children with developmental disabilities who displayed aberrant behavior. Of this sample, 22 parents conducted treatment for at least 3 months and 11 for 1 year. We conducted single-case analyses of the results of assessment and treatment. The functional analysis identified social functions (positive and negative reinforcement) for 86% (24 of 28) of the children. Treatment resulted in a pre/post decrease in aberrant behavior averaging 87% across the range of children, with the greatest decrease occurring at 3 months. Appropriate social responding increased, on average, by 69% across the range of children. Decreases in aberrant behavior were demonstrated in all children, and all except one child displayed increased social behavior during treatment. On a measure of parent-rated treatment acceptability, ranging from 1 (not at all acceptable) to 7 (very acceptable), the average overall acceptability was 6.35.
我们培训家长对28名表现出异常行为的发育障碍幼儿进行功能分析和功能沟通治疗。在这个样本中，22名家长进行了至少3个月的治疗，11名家长进行了1年的治疗。我们对评估和治疗结果进行了单病例分析。功能分析确定86%（28名中的24名）儿童的社交功能（正强化和负强化）。治疗使所有儿童的异常行为平均在治疗前后减少了87%，最大降幅出现在3个月时。在所有儿童中，适当的社交反应平均增加了69%。所有儿童的异常行为均有所减少，除一名儿童外，所有儿童在治疗期间社交行为均有所增加。在一项家长评定的治疗可接受性测量中，范围从1（完全不可接受）到7（非常可接受），总体平均可接受性为6.35。
