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研究生: 劉羽珊
論文名稱: 運用SGD對低功能自閉症兒童進行溝通訓練之效果研究
指導教授: 王華沛
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: 2011
畢業學年度: 99
語文別: 中文
論文頁數: 108
中文關鍵詞: 低功能自閉症語音產生裝置溝通行為輔助溝通
英文關鍵詞: low functioning autism, speech generating devices (SGD), communication behavior, augmentative and alternative communication (AAC)
論文種類: 學術論文
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  • 本研究旨在探討應用語音產生裝置(Speech Generating Device, SGD)進行溝通訓練,對三位低功能自閉症兒童主動溝通型式之影響以及口語能力維持及情境類化之效果。
    本研究之研究對象為三位自閉症男童,分別為一名3歲6個月中重度自閉症伴隨智能障礙兒童、一名5歲1個月中度自閉症兒童以及一名8歲6個月中度自閉症伴隨智能障礙兒童。研究中採取單一受試研究法之跨受試多試探設計,探討運用SGD進行溝通訓練之後,三位受試者主動以動作、SGD及口語三種溝通型式要求物品之溝通頻率的變化,正確使用SGD溝通之能力消長,以及在移除SGD之後,其口語能力維持之效果。
    研究結果發現,在接受SGD溝通訓練之後:(一)三位受試者主動以正確SGD要求物品的行為均有明顯增加;(二)三位受試者均因SGD訓練的介入而減少動作溝通並增加以SGD溝通的比例,並具有情境類化的效果;(三)在口語維持的效果上,其中兩位受試者在介入後口語能力提升,並在SGD移除後口語能力仍可持續維持;(四)在社會效度部分,家長及老師對於SGD的接納度良好,且受試者不適當溝通行為有減少情形,口語表達及整體溝通能力均有提升。

    The purpose of this study was to evaluate the effect of applying SGD (Speech Generating Device) to low function autism in terms of the active communication model, the maintenance of verbal expression, and context generalization.
    The subjects of this study are three children with moderate to severe autism respectively. And the research design was a multiple probe across participants. After the SGD communication training was intervening, the variation of the frequency for active communication model including physicals, SGD and verbal expression, the ability of communication with SGD, and the maintenance of verbal expression had been evaluated
    The research results showed that, after the SGD communication training was intervening, 1) the spontaneous requests with correct SGD of the three subjects was dramatically increasing, 2) the physical communicative act was reduced and the communication with SGD was increased for the three subjects, in addition, combining with the effect of context generalization. 3) The verbal expression of two of the subjects was improved after the SGD intervention and the verbal expression can be maintained after removing the SGDs.4) In the aspect of social validity, the parents and the teachers all fully accepted the SGD, moreover, the frequency of inadequate communication was lower, and the skill of verbal expression and overall communication was increased on the other hand.

    第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的與待答問題 3 第三節 名詞釋義 4 第二章 文獻探討 7 第一節 自閉症者的溝通特質與限制 7 第二節 輔助溝通之相關研究 13 第三節 SGD相關理論與應用之探討 18 第三章 研究方法 26 第一節 研究對象 26 第二節 研究設計 32 第三節 研究工具 37 第四節 SGD溝通訓練 40 第五節 實施程序 46 第六節 資料處理與分析 55 第四章 研究結果與討論 58 第一節 主動溝通型式之變化分析 58 第二節 SGD溝通之學習成效分析 73 第三節 社會效度分析 77 第四節 綜合討論 80 第五章 結論與建議 82 第一節 結論 82 第二節 建議 83 參考文獻 86 壹、 中文部分 86 貳、 英文部分 90 圖目錄 圖3-1 研究架構圖 32 圖3-2 實驗情境之硬體與人員位置圖 37 圖3-3-1 TALKABLE 2 42 圖3-3-2 MINI-COM 43 圖3-4 SGD溝通訓練流程圖 45 圖3-5 實驗階段流程圖 53 圖3-6 研究流程圖 54 圖4-1 主動溝通型式百分比曲線圖 69 圖4-2 主動正確SGD要求物品百分比曲線圖 73 表目錄 表2-1 數位與合成語音輸出的比較 19 表2-2 SGD應用於自閉症之國外相關研究 24 表2-3 SGD應用於自閉症之國內相關研究 25 表3-1 受試者基本資料 26 表3-2-1 受試甲溝通能力評量結果 28 表3-2-2 受試乙溝通能力評量結果 29 表3-2-2 (續) 30 表3-2-3 受試丙溝通能力評量結果 31 表3-3 受試者之溝通符號及語音符號內容 41 表3-4-1 受試甲觀察者信度百分比 56 表3-4-2 受試乙觀察者信度百分比 56 表3-4-3 受試丙觀察者信度百分比 56 表3-5 觀察者信度一覽表 56 表4-1 受試甲主動溝通型式百分比視覺分析表 70 表4-2受試乙主動溝通型式百分比視覺分析表 71 表4-3 受試丙主動溝通型式百分比視覺分析表 72 表4-4 正確SGD要求物品百分比視覺分析表 74 附錄 附錄一 自閉症兒童溝通行為評量表 98 附錄二 偏好物調查表 102 附錄三 溝通行為觀察記錄表 103 附錄四 家長成效意見調查問卷 105 附錄五 教師成效意見調查問卷 106 附錄六 「自閉症兒童溝通行為調查表」前後差異比較表 107

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