家長醫囑遵從性對構音音韻異常兒童治療成效影響之研究

The Effectiveness of Parent’s Medical Adherence on Children’s Articulation Therapy

彭淑苹(Shu-Ping. Peng)

指導教授 ： 王明揚

國立清華大學/工學院/工業工程與工程管理學系/碩士(2017年)

摘要

構音音韻異常是發展中兒童常見的語言障礙之一。綜觀過去研究了解到家長參與孩童語言治療介入是重要的，在目前語言治療師人力有限的編制下，讓家長協助語言障礙孩童是最具經濟效益的方式。隨著早期療育服務模式的轉變，家長不再只是被動的遵從醫療人員的指示而已，當家長的主動性增加，和孩子進行居家練習的動機也會提升，對孩童治療成效有正面影響，然而卻少有研究探討居家練習變項中，何者對孩童治療成效的幫助較大。因此，本研究以「醫囑遵從性」觀點切入，探討家長居家練習的「質」(練習內容與治療師建議的一致程度)與「量」(每週練習的頻率、每次練習的時間)對於構音音韻障礙孩童治療成效的影響。研究以單組前後測實驗設計，參與者為接受構音音韻治療孩童的家長34人(女性32人，年齡39.44±4.93；男性2人，年齡39.0±2.83)，兒童構音治療為每週一次，每次30分鐘的個別課，於第十次上課時收集居家練習資料。以迴歸分析檢驗家長居家練習與孩童複評子音正確率之關係，研究結果顯示家長居家練習頻率和孩童複評子音正確率有顯著關係(β＝.28, p＝.045)；而家長居家練習的質(β＝.16, p＝.212)、家長居家練習的時間(β＝-.01, p＝.964)和孩童複評子音正確率無顯著關係。

關鍵字

構音音韻障礙 ； 醫囑遵從性 ； 語言治療 ； 居家練習

並列摘要

Articulation/phonological disorder is one of the most common child language disorders. The past studies indicated that parents taking part in child language intervention is very crucial. In addition, it is the most efficient that parents participating in helping children with language disorders due to the limited number of speech therapists. With the alternation of early intervention model, parents are no longer passively followed the instruction of therapists, but become more active. Therefore, the motivation of home-program practice will increase as well, which positively influences treatment efficacy. However, there are few studies investigating which parameter of home-program practice is the most impactful for children’s treatment efficacy. Thus, the main focus of this study is medical compliance. This study investigates how the quality(the consistency of home practice and therapist’s advices)and quantity(the frequency and duration of weekly practice) influence treatment efficacy of children with articulation /phonological disorder. This study utilized single-subject experimrntal design. Subjects were 34 parents(32 female, aged 39.44±4.73;2 male, aged 39.0±2.83 )of children receiving articulation treatment. All children take individual articulation treatment class once a week, the home-practice data was collected on the tenth class. The correlation regression analysis results indicated that there are significant correlation(β＝.28, p＝.045) between the frequency of home practice and post-test of percentage of consonants correct (PCC).The quality of home practice(β＝.16, p＝.212), duration of home practice(β＝-.01, p＝.964) have no significant relation between children PCC.

並列關鍵字

articulation/ phonological disorder ； medical adherence ； speech therapy ； home practice

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