目的 探讨搭载于平板电脑的电子辅助沟通系统(Digital Augmentative and Alternative Communication, DAAC)对孤独症儿童的近期效果。方法 选择4~6岁缺乏有效语言沟通的孤独症儿童21名, 随机分成DAAC组、图片交换沟通系统(Picture Exchanged Communication System, PECS)组及对照组, 比较三组儿童在引起沟通、沟通能力上、行为问题上的改善情况。使用SPSS 13.0进行数据处理分析。结果 DAAC及PECS有利于提升孤独症儿童的沟通意向, 改善沟通能力, 减少情绪行为问题(P＜0.05), 但两组间的效果差异无统计学意义(P>0.05)。DAAC相比较PECS而言, 更易学会, 易于泛化使用(P＜0.05)。结论 DAAC是孤独症儿童容易掌握且切实有效的辅助沟通工具。
Abstract
Objective To explore the short-term efficacy of Digital Augmentative and Alternative Communication(DAAC) for children with autism. Methods A total of 21 autistic children with low speech funtion were randomly assigned to DAAC group, Picture Exchanged Communication System(PECS)group and control group.Then the short-term efficacy was compared under different intervention. Results Comprared with control group, PECS group and DAAC group enhanced desire for communication and social skill, decreased abnormal behavior, but no difference was found between DAAC group and PECS group.DAAC was easily learned and used at home relative to PECS. Conclusion DAAC is a kind of the assistive equipment which is easily learned and effective.
关键词
孤独症 /
电子辅助沟通系统 /
图片交换沟通系统
Key words
autism /
Digital Augmentative and Alternative Communication /
Picture Exchanged Communication System
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Thomas RF, Harold WJ, Joanne C, et al.Prevalence of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network, 11 Sites, United States, 2010[J].MMWR Surveill Summ, 2014, 63(2):1-21.
[2] Bondy AS, Frost LA.The picture exchange communication system[J].Behav Modif, 2001, 25(5):725-744.
[3] Lerna A, Esposito D, Conson M, et al.Long-term effects of PECS on social-communicative skills of children with autism spectrum disorders:a follow-up study[J].Int J Lang Commun Disord, 2014, 49(4):478-485.
[4] Paden AR, Kodak T, Fisher WW, et al.Teaching children with autism to engage in peer-directed mands using a picture exchange communication system[J].J Appl Behav Anal, 2012, 45(2):425-429.
[5] Lerna A, Esposito D, Conson M, et al.Social-communicative effects of the Picture Exchange Communication System (PECS) in autism spectrum disorders[J].Int J Lang Commun Disord, 2012, 47(5):609-717.
[6] Flippin M, Reszka S, Watson LR.Effectiveness of the Picture Exchange Communication System (PECS) on communication and speech for children with autism spectrum disorders:a meta-analysis[J].Am J Speech Lang Pathol, 2010, 19(2):178-195.
[7] Sampath H, Indurkhya B, Sivaswamy J.A communication system on smart phones and tablets for non-verbal children with autism[J].Computers Helping People with Special Needs, 2012, 7383(2):323-330.
[8] Flores M, Musgrove K, Renner S, et al.A comparison of communication using the apple iPad and a picture-based system[J].Augmentative and Alternative Communication, 2012, 28(7):74-84.
[9] Boesch MC, Wendt O, Subramanian A, et al.Comparative efficacy of the Picture Exchange Communication System (PECS) versus a speech-generating device:effects on social-communicative skills and speech development[J].Augment Altern Commun, 2013, 29(3):197-209.
[10] Ganz JB, Hong ER, Goodwyn F, et al.Impact of PECS tablet computer app on receptive identification of pictures given a verbal stimulus[J].Dev Neurorehabil, 2013, 19(8):233-235.
PDF(445 KB)
