以圖畫書為媒介之親子共讀活動對一位注意力缺陷過動症幼兒口語表達與注意力行為影響之研究

Effects of Parent-child Shared Reading Activity as a Program on Attention Deficit Hyperactivity Disorder with Expressive Language Disorder Child

徐庭蘭(Ting-Lan Hsu)

《醫護科技學刊》 8卷3期 (2006/07) Pp. 197-212

https://doi.org/10.6563/TJHS.2006.8(3).4

摘要

本研究以個案研究設計，探討親子共讀對一位注意力缺陷過動症女孩口語表達與注意力行為改進之影響。個案合併有口語表達及注意力之問題，而研究者以4個月的時間，幫助這位注意力缺陷過動症之小女孩，進行每週2-3次、每次15-20分鐘、一次一本圖畫書，總計40次40本圖畫書之親子共讀活動。研究者透過錄影、觀察及文件蒐集等資料，輔以家長用及教師用「兒童活動量評量表」「學前兒童語言障礙評量表」之前後測分數，以瞭解幼兒口語表達及注意力行為改變之情形。本研究兼重量化及質性的成效分析，而得到以下之結果：1．幼兒口語表達及注意力行為得以改進：由評量表前後測的資料顯示，個案在口語表達所得之百分等級由8提昇至55。而注意力行為在家長用量表上得分由32分進步至27分；在教師用評量表上是36分提昇至28分。2．口語表達錯誤減少：個案在口語上的錯誤如「替代音」、「聲調錯誤」、「歪曲音」則是減少到二至三次。3．專注行為增加：在「眼神」、「肢體動作」等二方面之不專注行為，以具代表性之圖畫書為例，個案從第一個月的350次，到第四個月的250次而已。最後希望藉由本研究結果，可做為未來特殊教育領域之教師及父母參考，使注意力缺陷過動症幼兒之口語表達及注意力行為得以改善。

關鍵字

親子共讀 ； 注意力缺陷過動症 ； 口語表達 ； 注意力行為

並列摘要

This study examined how parent-child shared reading activity effects on 5-year-old female child who manifested both attention deficit hyperactivity disorder (ADHD) and expressive language disorder. The child participated underwent forty shared-reading sessions with one parent over a 4-month period. The 15-20 minute reading sessions were conducted twice a week. Quantitative and qualitative data were collected before and after intervention to identify changes in the child's expressive language and attention behavior. Three major findings were documented: 1. Improvement in expressive language ability and attention behavior. Pre- and post-test data revealed improvements in the child's expressive language ability. Preschool Language Scale for Developmentally Delayed Children demonstrated improvement from a percentile rank of 8 in the pretest to 55 in the posttest. Additionally, Assessment of Kindergarten Children Activity Level by both parents and teachers following intervention indicated reduced scores. 2. Communication errors decreased: Qualitative data from observations showed that errors in expressive language particularly articulation errors decreased. 3. Inattention behaviors decreased: Qualitative data from observations indicated that the child's inattention behavior declined from 350 to 250 times from the first month to the fourth month. It was concluded that parent-child shared reading activities have a positive effect on child with ADHD and expressive language disorder.

並列關鍵字

Parent-child shared reading ； attention deficit hyperactivity disorder ； expressive language ； attention behavior

參考文獻

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