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Effects of Dongshi movement intervention on social engagement in young children with autism spectrum disorder
Autism spectrum disorder
Dance movement therapy
Dongshi movement intervention
|Issue Date: ||2019-08-07 16:32:44 (UTC+8)|
|Abstract: ||研究目的：共享式參與（joint engagement, JE）為自閉症類群障礙症（autism spectrum disorder, ASD）幼兒的核心缺陷之一，就相互主體性的發展脈絡來探究JE缺陷的心理病理機制，一般發展幼兒最先出現人-人遊戲，以身體互動來建立雙方的情感連結，並逐漸在遊戲中加入玩具而發展出JE。故本研究旨在以動勢擷取介入透過身體互動與ASD幼兒進入情感諧調，使其產生與人互動及分享的內在動機，增加自然發展出JE的機會。|
研究方法：本研究以3名2歲至4歲的中低功能ASD幼兒為對象，採單一受試實驗設計之多基準線跨受試設計與多探試設計，分為基線期、介入期及追蹤期三個階段。以結構身體活動評估基線期表現，介入期則進行每週2次、每次40分鐘、共17至19次介入，針對身形力度、韻律密度、感覺強度之身體動勢三面向進行擷取介入，在各階段皆以親子自由遊戲評估家長類化與維持效果。由獨立評分員觀看影片針對各項療效指標編碼，療效指標包括投入與人的互動與協調一致的共享式參與（coordinated joint engagement, CJE）合計時間、眼神注視時間、自發溝通動作及語音合計次數，並以身體動勢量表評估動勢改變歷程。
Purpose: Joint engagement (JE) is one of the core deficits in young children with autism spectrum disorder (ASD). In typical development of intersubjectivity, person-person game occurs first when caregiver interacts with their baby before 6 months. Affect connection between infant and caregiver is developed mainly through body interaction. Then, JE occurs when the toys are added to the games during caregiver-infant interaction after 6 months. The purpose of this study was to explore the effects of Dongshi movement intervention, which established affect attunement with young children with ASD through body interaction to increase their motivation to interact and share interests with others, so to develop JE naturally.
Methods: Three young children aged 2-4 years with middle-to-low functioning ASD were recruited. The study used a single case design with multiple baseline design across cases and multiple probe design, including baseline, intervention and follow-up phases. The structural body assessment was used to evaluate behaviors of participants at baseline. In intervention phases, Dongshi movement intervention consisted of 17-19 sessions with 40 minutes per session and twice a week. Caregiver-child free play interaction was used to evaluate generalization in all phases. The primary outcome measures included the total time of engaging in interaction with person and coordinated joint engagement (CJE), time of eye contact, and the total times of spontaneous communication with actions and voice or language. The body Dongshi inventory was used to evaluate the changing process of body Dongshi.
Results: Results showed that intervention effects for primary outcome measures of social engagement were observed in three participants, but all the trends were not stable. Effects of generalization and maintenance were not obvious. Effects of body Dongshi were observed in three participants.
Conclusions: Results showed the intervention effects on social engagement. However, the trends were not stable, and effects of generalization and maintenance were not obvious. The present study found that the behaviors with motivation to interact and share interests with others not only occurred in JE, but also revealed while engaging in interaction with person even if there isn’t any toy or object. Furthermore, the present study emphasized the importance of establishing affect connection and relationship to improve their social engagement in young children with ASD. Finally, research limitations in the current study were discussed. The author also provided suggestions for the future studies and clinical practice.
|Reference: ||王天苗、蘇建文、廖華芳、林麗英、鄒國蘇、林世華（1998）：嬰幼兒綜合發展測驗之編製報告。《測驗年刊》， 45，19-46。|
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|Source URI: ||http://thesis.lib.nccu.edu.tw/record/#G0104752003|
|Data Type: ||thesis|
|Appears in Collections:||[心理學系] 學位論文|
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