긍정적 행동지원 교육이 근무자의 상호작용 행동과 발달장애 아동의 행동에 미치는 영향 = Effects of Staff Training in Positive Behavior Support(PBS) on the Behaviors of Staff and Children with Developmental Disabilities in an Inpatient Unit

다국어 초록 (Multilingual Abstract)

The present study was designed to evaluate the effects of staff training in PBS on the behaviors of staff and children with developmental disabilities in an inpatient unit. The perceived significance of children's problem behavior and staff's caring stress significantly decreased with the intervention. A satisfaction survey reported staff's high satisfaction with the process and results of staff training. This study suggests that PBS is a socially valid and positive intervention with problem behavior of children with developmental disabilities. The implications and limitations of this study, with directions for future research, are also discussed.

국문 초록 (Abstract)

본 연구는 긍정적 행동지원 교육이 입원병동 근무자와 발달장애 아동의 행동에 어떠한 영향을 미치는지를 살펴봄으로써 발달장애 아동의 행동개선을 위한 그룹 차원의 긍정적 행동지원의 효과를 검증하고자 하였다. 따라서 발달장애 아동을 위한 재활병동에서 긍정적 행동지원에 대한 근무자 교육을 실시하고, 근무자 14명과 아동 15명을 대상으로 직접적 행동관찰, 아동의 문제행동 심각도와 근무자의 돌보기 스트레스 측정, 프로그램 만족도 평가를 실시하였다. 연구 결과, 근무자 교육 실시 전에 비해 근무자와 아동의 행동이 긍정적으로 변화하였다. 즉, 칭찬 등의 근무자의 긍정적 상호작용 행동이 증가하고 부정적 지시 등의 부정적 상호작용 행동이 감소하였으며, 아동 행동에서는 떼쓰기 등 문제행동이 크게 감소하고 긍정적 행동은 증가하는 추세를 보였다. 또한 근무자가 평가하는 아동의 문제행동 심각도와 돌보기 스트레스가 중재 전에 비해 유의미하게 감소하였으며, 근무자들은 긍정적 행동지원이 사회적으로 바람직하다고 인식하였다. 본 연구는 긍정적 행동지원 및 교육이 발달장애 아동 및 주변인의 행동과 스트레스 개선에 효과적임을 밝힘으로써, 긍정적 행동지원이 발달장애 아동을 대상으로 한 교육 및 서비스 기관에서 실제적으로 사용가능하고, 사회적으로 타당한 중재 방식임을 제안하였다.

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