特殊幼兒因生理或心智上之缺陷,與他人進行適切之溝通有其困難,而證據本位策略的使用有其重要性,藉此增進特殊幼兒之溝通能力。本研究旨在探討核心反應訓練(PRT)融入輔助溝通系統(AAC)以提升特殊幼兒溝通能力之成效。本研究採用單一受試法之A-B-A設計,檢驗2位就讀集中式特教班且無口語之幼兒溝通能力表現,並分析此介入方法能否提升無口語特殊幼兒溝通表達(溝通板/溝通輔具)、語言理解之頻率,進而降低不適切溝通行為的表現。研究工具包含標準化評量工具、自編之溝通行為紀錄表、圖文溝通編輯平台之輔助溝通系統App與社會成效問卷了解介入成效,透過目視分析圖表結果顯示PRT融入AAC的介入可提升兩位個案溝通能力並降低不適切行為,但增進能力幅度有限,個案特質與情緒狀態需納入考量。
Due to the physical or mental impairments, young children with disabilities have difficulties in communicating appropriately with others. The utilization of evidence-based is important to facilitate communication skills of young children with disabilities. The purpose of this study was to investigate the effects of pivotal response training (PRT)with augmentative alternative communication (AAC) on promoting communication skills for children with disabilities. This study applied single-subject A-B-A design to examine communication skills for two non-verbal young children placed in self-contained classrooms. It also analyzed if such intervention reduced inappropriate behaviors due to lack of communication skills. The measurement tools included self-made communication record form, an editing platform App of AAC system and social validity questionnaire to investigate outcomes. The results showed that PRT with AAC could promote children's communication skill, but the improvement was limited. The personal characteristics and emotional states should take into consideration.