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Task Interspersal Implementation Practices with Individuals with Autism Spectrum Disorder

机译:与自闭症谱系障碍患者的任务穿插实施实践

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摘要

Task interspersal is a teaching method frequently used with individuals with autism spectrum disorder (ASD). Although many different procedural variations of task interspersal have been reported in the literature, it is unclear how providers serving individuals with ASD implement task interspersal. The present study surveyed direct care providers to examine which variations of task interspersal they use most frequently, as well as how they choose a particular variation. Results revealed that many different procedural variations are used across providers. Provider discipline background appeared to be associated with differences in selection of specific procedural variations. Findings inform areas for further research as well as consideration of topics for discussion during training and/or supervision with employees and trainees. (1) Providers report frequently interspersing tasks of similar difficulty, despite research supporting the practice of interspersing tasks of varying difficulty. Service providers might consider primarily implementing maintenance among acquisition tasks when using task interspersal. (2) Due to potential problems associated with using the same reinforcement schedules/reinforcers for both tasks (e.g., satiation), providers and supervising BCBAs are encouraged to consider whether using different reinforcement schedules/reinforcers will enhance acquisition outcomes. (3) When selecting a procedural variation, providers reported relying on clinical judgment or guidelines from their organizations more frequently than directly contacting the current literature. It is important that organizations and supervisors provide clear guidelines and recommendations based on the most recent scientific literature and update these as new research is published. (4) Individualization of procedures based on specific client characteristics was found to be inconsistent. Supervisors are encouraged to discuss individualization practices for cases in which consistency of treatment across providers is preferred or necessary for maintenance of skills.
机译:任务散布是一种经常用于自闭症谱系障碍(ASD)个体的教学方法。尽管文献中已经报道了任务散布的许多不同的程序变体,但尚不清楚服务于ASD个体的提供者如何实施任务散布。本研究对直接护理提供者进行了调查,以调查他们最频繁使用的任务散布方式是哪种,以及他们如何选择特定的方式。结果表明,提供商之间使用了许多不同的程序变体。提供者的学科背景似乎与特定程序变体的选择差异有关。调查结果为需要进一步研究的领域以及在培训期间和/或与员工和受训者进行监督时讨论的主题提供了参考。 (1)尽管研究支持不同难度的穿插任务的实践,但是提供者经常报告相似难度的穿插任务。服务提供者在使用任务散布时可能会考虑主要在获取任务之间实施维护。 (2)由于在两个任务上都使用相同的加固时间表/加固器会带来潜在的问题(例如饱足感),因此鼓励提供者和监督BCBA考虑使用不同的加固时间表/加固器是否会增强获取结果。 (3)选择程序变异时,提供者报告说,比起直接联系当前文献,他们更依赖于组织的临床判断或指南。重要的是,组织和主管人员应根据最新的科学文献提供明确的指南和建议,并在发表新研究时对其进行更新。 (4)发现基于特定客户特征的程序个性化不一致。鼓励主管讨论针对个性化做法,以确保在提供者之间保持一致的治疗方法是首选或必须的,以保持技能。

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