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研究生:鄭淳智
研究生(外文):CHENG,CHUN-CHIH
論文名稱:以家庭中心正向行為支持方案改善自閉症學生不服從行為成效之研究
論文名稱(外文):Using a Family-Centered Positive Behavior Support Program to Reduce Noncompliance Behaviors of a Student with Autism Spectrum Disorder
指導教授:李永昌李永昌引用關係
指導教授(外文):LI,YUNG-CHANG
口試委員:林惠芬張昇鵬吳裕益劉萌容
口試委員(外文):LIN,HUI-FENCHANG,SHENG-PENGWU,YU-ILIU,MENG-JUNG
口試日期:2016-06-10
學位類別:博士
校院名稱:國立高雄師範大學
系所名稱:特殊教育學系
學門:教育學門
學類:特殊教育學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:中文
論文頁數:266
中文關鍵詞:自閉症不服從行為家庭中心正向行為支持
外文關鍵詞:autism spectrum disordernoncompliance behaviorsfamily-centeredpositive behavior support
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以家庭中心正向行為支持方案改善
自閉症學生不服從行為成效之研究

摘要
本研究旨在探討家庭中心正向行為支持方案,對改善一位自閉症學生(以下稱為個案)不服從行為的實施過程與成效。本研究採行動研究,研究者與家長以合作夥伴的關係來發展和執行方案,透過功能評量和家庭評量等方式,研究者和家長設計了符合家庭情境的正向行為支持方案,研究者並藉由觀察、訪談等方式,了解個案不服從行為和正向行為的變化情形,並探討研究者和家長的成長與改變,本研究結論如下:
1.家庭中心正向行為支持方案能減少個案的不服從行為。
2.家庭中心正向行為支持方案能增加個案的正向行為。
3.本研究的發展過程與執行歷程能符合家庭中心正向行為支持的原則。
4.家庭中心正向行為支持方案有助於家長態度的正向改變和研究者的成長。
研究者並針對研究結果,對家長、教師及未來研究提出相關建議。


關鍵詞:自閉症學生、不服從行為、家庭中心、正向行為支持

Using a Family-Centered Positive Behavior Support Program to Reduce Noncompliance Behaviors of
A Student with Autism Spectrum Disorder

Abstract

The purpose of this action research was to develop and understand the implementing process and effects of the family-centered positive behavior support program designed for reducing noncompliance behaviors of a student with autism spectrum disorder. The researcher and the mother of the participant developed and implemented the program in a collaborative partnership. By conducting functional assessment and family assessment, the researcher and the parent got the information to design a contextually appropriate positive behavior program. The data were collected by observation, interviews and checklists for the researcher to know the changes of the noncompliance behaviors and positive behaviors, and the growth of both the parent and the researcher. The conclusions of this study were as follows:
1. The family-centered positive behavior program could reduce the rate of noncompliance behaviors for the participant with autism spectrum disorder.
2. The family-centered positive behavior program could help the participant with autism spectrum disorder to increase positive behaviors.
3. The development and implementation of the research could comply with the principles of the family-centered positive behavior.
4. The family-centered positive behavior program could contribute to a positive change in the attitude of the parent and the researcher’s personal growth.
According to the findings and conclusions, suggestions were raised for parent, teachers, and future study.


Keywords: autism spectrum disorder, noncompliance behaviors, family-centered, positive behavior support

目次
第一章 緒論 1
第一節 問題背景與研究動機 1
第二節 研究目的與待答問題 7
第三節 名詞釋義 9
第二章 文獻探討 15
第一節 自閉症者的不服從行為 15
第二節 家庭中心正向行為支持的理論、原則及挑戰 30
第三節 家庭中心正向行為支持的相關研究 53
第三章 研究設計與實施 61
第一節 研究方法 61
第二節 研究參與者和研究情境 68
第三節 研究工具 76
第四節 研究步驟 83
第五節 資料處理與分析 95
第六節 研究品質 100
第四章 結果與討論 103
第一節 家庭中心正向行為支持方案的發展歷程與內容 103
第二節 家庭中心正向行為支持方案的執行情況 151
第三節 家庭中心正向行為支持方案的成效 173
第四節 綜合討論 201
第五章 結論與建議 215
第一節 結論 215
第二節 建議 228
參考文獻 233
附錄 242
附錄1 行動發展初期訪談家長指引 242
附錄2 行為動機評量表 243
附錄3 不服從行為功能訪談問卷 245
附錄4 行為前事件觀察紀錄表 249
附錄5 家庭生態評量題綱 250
附錄6 一週時間表 251
附錄7 週末活動表 252
附錄8 家庭中心正向行為支持方案實施過程檢核(家長版) 253
附錄9 家庭中心正向行為支持方案實施過程檢核表 (研究者版) 255
附錄10 家庭中心正向行為支持方案觀察指引 257
附錄11 不服從行為時間取樣紀錄表 258
附錄12 正向行為時間取樣紀錄表 259
附錄13 方案遭遇挑戰與因應策略紀錄表 260
附錄14 家庭中心正向行為支持方案社會效度訪談題綱 261
附錄15 省思日誌 262
附錄16 家長邀請函 263
附錄17 家長同意書 265



表次
表2-1家庭中心正向行為支持的原則 38
表2-2家庭中心正向行為支持相關研究 56
表3-1本行動方案可能遭遇的困難、因應策略和優勢 93
表3-2資料編碼表 96
表4-1個案在學校不服從行為的功能及正向行為支持策略 107
表4-2個案不服從行為的可能因素和功能假設 125
表4-3個案的行為動機 133
表4-4個案行為前後事件觀察 134
表4-5 個案不服從行為的功能 135
表4-6 在家整理物品的不服從行為目視和統計分析 175
表4-7 在大賣場的不服從行為目視和統計分析 178
表4-8 在公園的不服從行為目視和統計分析 180
表4-9 在家整理物品的正向行為目視和統計分析 182
表4-10 在大賣場的正向行為目視和統計分析 185
表4-11 在公園的正向行為目視和統計分析 187



圖次
圖2-1行為功能的假設及替代行為路徑圖 43
圖3-1行動研究的流程圖 83
圖4-1在學校不服從行為的功能假設及替代行為路徑圖 108
圖4-2在家整理物品的不服從行為功能假設及替代行為路徑圖 144
圖4-3在大賣場的不服從行為功能假設及替代行為路徑圖 147
圖4-4在公園的不服從行為功能假設及替代行為路徑圖 150
圖4-5不服從行為改變趨勢圖 176
圖4-6正向行為改變趨勢圖 183







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