评估治疗小儿喂养障碍的两种物理引导程序。

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Emily Kate Rubio, Meara X. H. McMahon, Valerie M. Volkert
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引用次数: 0

摘要

患有小儿喂养障碍的儿童可能会拒绝摄入足够种类和/或数量的食物,以维持预期的生长。他们可以进食,但可能会主动或被动地拒绝,导致逃避或避免进食。行为干预措施,如正强化和逃避消减,可以增加进食量。但有时这些干预措施并不足够,尤其是在治疗被动拒食时。在这种情况下,可以使用物理引导的方法来促使孩子张开嘴进食。研究表明,张嘴提示是有效的,而且被认为是可接受的。本研究复制了现有的物理引导程序--手指提示法,并将其有效性和可接受性与勺子提示法进行了比较。本研究将被动拒绝作为一个因变量进行定义和测量,并评估了不同利益相关者和不同时间的社会有效性,从而扩展了研究范围。两种提示方法对治疗拒食都很有效,而护理人员认为手指提示方法更受欢迎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of two physical guidance procedures in the treatment of pediatric feeding disorder

Children with pediatric feeding disorder may refuse to consume an adequate variety and/or volume of food to maintain expected growth. They can consume food but may actively or passively refuse, resulting in escape or avoidance of eating. Behavioral interventions like positive reinforcement with escape extinction can increase consumption. However, sometimes these interventions are insufficient, especially in treating passive refusal. In these cases, physical guidance may be used to prompt an open mouth to deposit food. Research indicates open-mouth prompts are effective and rated as acceptable. This study replicated an existing physical guidance procedure, the finger prompt, and compared its efficacy and acceptability with that of a spoon prompt. This study extended research by defining and measuring passive refusal as a dependent variable and assessing social validity among different stakeholders and times. Both prompts were effective in treating food refusal, and caregivers rated the finger prompt as more preferred.

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来源期刊
Journal of applied behavior analysis
Journal of applied behavior analysis PSYCHOLOGY, CLINICAL-
CiteScore
5.80
自引率
20.70%
发文量
61
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