基于家庭的跨技能领域行为干预儿童管依赖

Pub Date : 2023-06-22 DOI:10.1080/07317107.2023.2226125
Caitlin Grace Mann, S. Taylor, Tessa Taylor, Rae Zhang
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引用次数: 0

摘要

延长管饲有多种不良后果。过渡到口服喂养对儿童和家庭的生活质量至关重要。行为分析干预措施对儿科喂养障碍是有效的,但缺乏有关治疗过程和结果的信息。本研究评估了一种以家庭为基础的行为干预对一个19个月大的依赖于管饲的婴儿的影响。随后是一段强化期,由护理人员提供支持,以提高喂养技能。我们在多探头设计中应用了差分增强和体积衰落。结果显示具有临床意义的行为和营养结果,停止管饲,以及家庭所重视的过程。
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Home-Based Behavioural Intervention across Skill Domains for a Child with Tube Dependency
Abstract Prolonged tube feeding has a multitude of negative outcomes. The transition to oral feeding is essential for child and family quality of life. Behaviour-analytic interventions are effective for paediatric feeding disorders, but information is lacking regarding the treatment process and outcomes. This study evaluated a home-based behavioural intervention for a 19-month-old child dependent on tube feeding. An intensive period was followed by caregiver support to advance feeding skills. We applied differential reinforcement and volume fading within a multiple probe design. Results showed clinically significant behavioural and nutritional outcomes, the cessation of tube feeding, and a process valued by the family.
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