부모-아동 반응성 상호작용 증진 프로그램 개발 및 적용효과 : 발달장애 아동을 대상으로 = The Development and Effects of Promoting Program for Parent-Child Responsive Interaction

다국어 초록 (Multilingual Abstract)

The manner that parents relate to their children has a substantial and long term influence on children's cognitive, language and socio-emotional development. When parents are highly responsive, warm, and supportive during their interactions with children, children are likely to be active, developing well, and emotionally stable. This is true even for children with developmental disorders whom many assume require considerable structure and direction to achieve higher level developmental skills.
The purpose of this study is to develop a parenting intervention program to be incorporated easily into routine interactions between parent-children and to evaluate the effects of the program, using a control group with pre-post test design.
The subjects of this study were 18 mothers of children with developmental disorders(ages 3~8 years). Among them, 10 mothers were assigned to intervention group and 8 mothers to controlling group, at random.
The 「Promoting Program for Parent-Child Responsive Interaction」were short-term program of 12 sessions and included three parts. The first part was 'educational processing' on the lecture of interactive strategies and the practical activities of video-feedback, rehearsal, and role-playing at the 1~8 sessions. The second part was 'home-based processing' on the practical activities of modeling and coaching to supervise the parent-child interaction (at) routine home at the 9~10 sessions. The third part was 'feedback processing' on the planning of shaping program to reinforce the major interactive strategy between parents-children at the 11-12 sessions.
The parent-child interaction were videotaped and the data for parent child interaction were estimated by using Maternal Behavior Rating Scales and Child Behavior Rating Scales(Mahoney, 1999). The data were analyzed with t-test, repeated major of ANOVA, and KAWKSTAR package program(Kawk, 1992).
The results obtained were as follows;
1. In the intervention group, there were highly positive changes on the mother's style of responsiveness. But there was no significant change on the mother's style of "no-directiveness". And, in the control group, there was no positive change.
2. In the intervention group, there were significant changes on the child's style of activities. But there was no significant change on the child's style of compliance. And, in the control group, there was no significant change.
3. In the intervention group, there was highly significant reduction on the parenting stress and stress of parent-child relationship. But there was no significant change on the stress of children's temperament and learning expectation.
Conclusions of this study imply that「Promoting Program for Parent-child Responsive Interaction」is effective intervention program to enhance the parental style for the promoting the developmental well-being of disabled children and reduce the parenting stress reciprocally. Additionally, it is implied that this study is significant in terms of using the parenting intervention program based on family-focused approach.

목차 (Table of Contents)

• Ⅰ. 서 론 = 1
• 1. 연구의 필요성 = 1
• 2. 연구의 목적 = 7
• Ⅱ. 이론적 배경 = 8
• 1. 발달장애에 대한 개념적 접근 = 8
• 2. 어머니의 반응성 행동과 아동발달과의 관계 = 9
• 3. 부모-자녀간 상호작용 행동이 아동발달에 미치는 효과 = 13
• 4. 부모 중재 프로그램의 효과 = 17
• Ⅲ. 방법 및 절차 = 22
• 1. 「부모-아동 반응성 상호작용 증진 프로그램」개발 = 22
• 1) 프로그램의 이론 틀 = 22
• 2) 프로그램 내용 및 과정 = 25
• 2. 프로그램 효과 검증 = 29
• 1) 연구대상 = 29
• 2) 평가도구 = 32
• 3) 연구절차 = 36
• 4) 자료분석 = 40
• Ⅳ. 결 과 = 41
• 1. 부모 중재 프로그램 실시 = 41
• 2. 프로그램 효과 검증 = 45
• 3. 프로그램에 대한 평가 = 69
• Ⅴ. 논의 및 결론 = 74
• 참 고 문 헌 = 85
• ABSTRACT = 93
• 부 록 = 96
• 감 사 의 글