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研究生: 蔡宇晨
Chai, Yee-Cheng
論文名稱: 比較圖卡交換轉換到語音裝置和直接使用語音裝置 在建立低口語自閉症成人的溝通成效差異之研究
A Comparison Of Picture Exchange Communication System Transfer To Speech Generating Device And Speech Generating Device Only To Teach Communication To Adults With ASD
指導教授: 王慧婷
Wang, Hui-Ting
口試委員: 陳志軒
Chen, Chih Hsuan
佘永吉
Sher, Yung Ji
王慧婷
Wang, Hui Ting
口試日期: 2022/05/30
學位類別: 碩士
Master
系所名稱: 特殊教育學系
Department of Special Education
論文出版年: 2022
畢業學年度: 110
語文別: 中文
論文頁數: 81
中文關鍵詞: 自閉症溝通語音產出裝置成人圖卡交換溝通系統
英文關鍵詞: autism, communication, ;SGD, adult, PECS
研究方法: 單一受試研究法
DOI URL: http://doi.org/10.6345/NTNU202200959
論文種類: 學術論文
相關次數: 點閱:133下載:11
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  • 溝通是人類在群體生活中非常重要的能力。有效的溝通能使人際互動產生正向之循環。無法有效溝通是自閉症族群常見之困難,特別是當溝通困難者到了成年,依然無法隨心所欲做溝通表達時,這對其身心健康有一定程度的影響,甚至會衍生出行為問題。因此,找出適合的輔助溝通系統是至關重要的。近年來有不少研究在比較圖卡交換溝通系統(PECS)和語音裝置溝通系統(SGD)在成效上的差異,但目前還未有一致性的研究結果。本研究以單一受試多基線跨受試設計結合適應性交替處理設計,來比較先使用PECS習得至PECS第四階段句子結構再轉換到SGD ,抑或直接使用SGD從PECS第一階段到第四階段,這兩種介入在成效上的差異。成效差異的評量向度包含:(一)獨立要求的次數;(二)介入期間所需的提示量;(三)通過第四階段標準所需的教學介入次數。本研究在一間獨立的房間內進行,研究對象為四位低口語自閉症成人,其中一位因疫情未能進入介入期而中止。三位研究對象中有兩位在直接使用SGD的獨立要求次數比較高。三位研究對象中有兩位在直接使用SGD所需的提示量高於PECS轉換到SGD。研究結果顯示,PECS 轉換到SGD和直接使用SGD 在達到本研究中所設定從PECS第一階段至第四階段通過標準的教學嘗試次數並無顯著差異。值得注意的是,其中兩位研究對象在AAC偏好的選擇上都有改變。研究結果顯示PECS轉換到SGD和直接使用SGD在成效上並無顯著差異。

    Communication is one of the most essential elements in the social community. Effective communication creates positive interpersonal interaction with others. Communication impairment is a core feature of autism spectrum disorder (ASD). As many studies showed that facing difficulty in communication might cause challenging behavioural issues, especially adults with ASD. Therefore, having access to appropriate augmentative and alternative communication system is beneficial and of necessity. In the past decade, there were several studies comparing the efficacy of Picture Exchange Communication System (PECS) and Speech Generating Device (SGD), but the results were inconsistent. This study compared the efficacy of PECS transfer to SGD and SGD only with three adults with ASD and limited functional speech. This study combined a multiple baseline and an adapted alternating treatment design. Measurable comparable outcomes included number of independent requests, the level of prompting during intervention phase, and the number of sessions to criteria to phase four of PECS, i.e., sentence structure. The findings remained inconsistent. It showed that two participants had more independent requests as well as required higher levels of prompting in SGD only. In addition, participants of both PECS transfer to SGD and SGD only had similar number of sessions to reach PECS phase four. Interestingly, two participants had change in their AAC preference during the process.

    目次 第一章 緒論 1 第一節 研究背景與動機 1 第二節 待答問題 3 第三節 名詞釋義 4 第二章 文獻探討 7 第一節 輔助溝通系統之相關研究 7 第二節 以語言行為發展的PECS 12 第三節 PECS 和SGD在自閉症溝通之相關研究 15 第三章 研究方法 21 第一節 研究設計與實施 21 第二節 研究場域及研究對象 22 第三節 自變項與依變項 25 第四節 研究工具 28 第五節 研究流程 32 第六節 資料分析與信效度 49 第七節 研究倫理 51 第四章 研究結果 53 第一節 信效度結果 53 第二節 研究結果分析 55 第伍章 討論與建議 65 第一節 研究結果與討論 65 第二節 研究限制與建議 68 第三節 結論 69 參考文獻 71 附錄 76 附錄一:符號評估 76 附錄二:研究參與者知情同意書 78 附錄三:社會效度調查表 80 附錄四:SGD 教學範例 81

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