가정에서 어머니가 실행한 중심축 반응 훈련이 자폐 범주성 장애 영유아의 공동관심 행동에 미치는 영향 = The Effects of Mother-Mediated Pivotal Response Training at Home on Joint Attention of Young Children with Autism Spectrum Disorders

다국어 초록 (Multilingual Abstract)

The purpose of this study was to examine the effectiveness of a mother-mediated intervention strategy incorporating PRT on joint attention of young children with autism spectrum disorders at home. Intervention was conducted with multiple probe baseline design across subjects. Three young children and their mothers were participated in this study. During the intervention period, mothers were provided with PRT program and were assigned to the young children with autism spectrum disorders during free play time at home. And also, mothers were provided with feedback during feedback period. The intervention was successfully implemented by the mothers and the 3 children were increased their joint attention and generalized these skills to new person. In addition, these skills were maintained after the program was terminated.
Theses results support that parent-educated PRT strategy is effective method for young children with autism spectrum disorders who have problem on joint attention, and teaching joint attention skills leads to improvement in a variety of related skills. These results have implications for the treatment deliberated at home, natural environments by parent. It was discussed in relation to the existing literature and the need for future study.

국문 초록 (Abstract)

본 연구는 가정에서 어머니가 실행한 중심축 반응 훈련이 자폐 범주성 장애 아동의 공동관심 행동에 미치는 영향을 알아보기 위한 목적으로 실시되었다. 이를 위하여 공동관심 행동을 잘 보이지 않는 40개월 이하의 자폐 범주성 장애 아동들과 어머니들이 연구에 참여하였으며, 연구자는 어머니들에게 중심축 반응 훈련에 관한 부모교육을 실시하였다. 실험은 대상자 간 중다간헐기초선 설계를 사용하여, 기초선, 부모교육, 피드백, 일반화, 유지의 순서로 진행하였다. 그 결과 어머니가 가정에서 실행한 중심축 반응 훈련 후에, 연구에 참여한 아동 3명의 공동관심 행동이 향상하였으며, 연구에 참여한 아동 3명의 공동관심 행동이 다른 대상에게 일반화 되었다. 또한 향상된 공동관심 행동이 중재가 종료된 이후에도 유지되었다. 본 연구는 중심축 반응 훈련이 자폐 범주성 장애 아동의 공동관심 행동 향상에 효과적인 중재로 제시될 수 있다는 점에서 의의가 있으며, 특히 아동들에게 가장 자연적인 환경인 가정에서 전문가가 아닌 어머니에 의해 활용될 수 있는 중재 방안을 제시했다는 점에서 의의가 있다.

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