使用教学包帮助自闭症成人与医疗人员沟通。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Jacqueline Wood, Charles Dukes, Kelly B Kearney
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引用次数: 0

摘要

患有自闭症谱系障碍(ASD)的成年人在其一生中经常会遇到身体和心理健康方面的并发挑战。与此同时,他们在获得适当护理方面经常面临许多障碍。改善沟通和理解的策略有助于减少其中的一些障碍。本研究考察了一套教学材料的效果,其中包括附有指导说明的视频模块、自闭症医疗适应工具(AHAT)和行为技能培训(BST),以教会自闭症成人与医疗服务提供者沟通他们的独特需求并提出适应要求。三名参与者独立完成了一个自我指导视频模块,该模块演示了如何完成指导笔记和自闭症医疗适应工具,以确定适当的适应措施并为医生预约做准备。完成后,参与者将学习如何通过 BST 口头表达自己的需求和调整。结果表明,在引入教学包后,参与者的沟通技能得到了提高,并在新的提供者身上得到了推广,而且在教学包被移除后,沟通技能仍得以保持。事实证明,这种干预是一种有效的、具有社会有效性的方法,可以改善自闭症成人在医疗环境中的沟通能力。本文还讨论了未来研究的意义和建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Using an Instructional Package to Support Adults with Autism in Communicating with a Medical Provider.

Adults with autism spectrum disorder (ASD) often experience co-occurring physical and mental health challenges throughout their lives. At the same time, they frequently face many barriers to accessing proper care. Strategies to improve communication and understanding can help to mitigate some of these barriers. This study examined the effects of an instructional package, including a video module accompanied by guided notes, the Autism Healthcare Accommodations Tool (AHAT), and behavior skills training (BST) to teach adults with autism to communicate their unique needs and request accommodations to a medical provider. Three participants independently completed a self-guided video module that modeled how to complete the guided notes and AHAT to identify appropriate accommodations and prepare for a doctor's appointment. Once finished, participants were taught to verbalize their needs and accommodations through BST. Results showed that participants' communication skills increased after introducing the instructional package, generalized to a novel provider and maintained once the instructional package was removed. This intervention proved to be an effective and socially valid method to improve communication for adults with autism in medical settings. Implications and suggestions for future research are discussed.

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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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