替代性溝通訓練在國小中、重度智能障礙學童購物技能學習之成效研究

The Research of the Effectiveness of Alternative Communication Training on the Learning of Shopping Skills for Elementary School Children with Moderate to Severe Mental Retardation

10.6457/BSER.200612.0099

李旻青(Min-Ching Lee)；莊妙芬(Mai-Feng Tsuang)

替代性溝通訓練 ； 中、重度智能障礙 ； 購物技能 ； alternative communication training ； moderate/severe mental retardation ； shopping skill

特殊教育與復健學報

16期（2006 / 12 / 01）

99 - 123

繁體中文

本研究之目的在探討替代性溝通訓練在國小中、重度智能障礙學童購物技能學習之成效。研究方法採單一受試研究法中之跨受試多探試之實驗設計，受試為三名中、重度智能障礙國小學童，自變項為替代性溝通訓練，依變項為購物技能之行為。本研究之結果摘要如下：一、替代性溝通訓練對國小中、重度智能障礙學童之購物技能具有習得成效，並能繼續應用此行為。二、替代性溝通訓練對國小中、重度智能障礙學童之購物技能能類化於不同情境。三、三名受試除習得購物技能外，尚改善了認知、社會能力、生活能力等方面之行為。四、訪談相關人員顯示本研究具良好社會效度。

The purpose of this study was to investigate the effectiveness of alternative communication training on the learning of shopping skills for elementary school children with moderate to severe mental retardation. The subjects are three elementary school children with moderate to severe mental retardation. The single subject research across subjects with multiple probe design was used. The independent variable was alternative communication training and the dependent variable was shopping skills. Data were collected on the three subjects during baseline, intervention, maintenance, and generalization phases. Visual analysis was used to analyze the effectiveness of the training. The observational analysis and social validity analysis using interviews with related individuals were also supplemented.Results of this study are summarized as followings:1. The alternative communication training is effective on the acquisition of shopping skills for the elementary school children with moderate to severe mental retardation. It is also effective in maintaining the results of such behavior change and in the generalization of the success.2. In addition to improved shopping skills, the subjects have also learned other skills during the period of this study.3. Interviews with related individuals have indicated that this research has a high social validity.

1. 黃志雄(2002)。碩士論文(碩士論文)。台南市，國立台南師範學院特殊教育學系。
   連結：
2. Ayres, K. M.,Langone, J.(2002).Acquisition and generalization of purchasing skills using a video enhanced computer-based instructional program..Journal of Special Education Technology,17(4),15-28.
3. Browder, D. M., Grasso, E.(1999).Teaching money skills to individual with mental retardation.Remedial and Special Education,20(5),297-308.
4. Browder, D. M.,Snell, M. E.,M. E. Snell(Ed.)(1993).Instruction of students with severe disabilities.Columbus, OH:Charles Merrill.
5. Chambers, M.,Rehfeldt, R. A.(2003).Assessing the acquisition and generalization of two mand forms with adults with severe developmental disabilities.Research in Developmental Disabilities,24,265-280.
6. Colyer, S. P.,Collins, B. C.(1996).Using natural cues within prompt levels to teach the next dollar strategy to students with disabilities.The Journal of Special Education,30(3),305-318.
7. Denny, P. J.,Test, D. W.(1995).Using the One-More-Than technique to teach money counting to individuals with moderate mental retardation.Education & Treatment of Children,18(4),422-433.
8. Doss, L. S.,Reichle J.,J. York,J. Sigafoos (Eds.)(1991).Implementing augmentative and alternative communication: Strategies for learners with severe disabilities.Baltimore, MD:Paul H. Brookes.
9. Dyches, T. T.,Davis, A.,Lucido, B. R.,Young, J. R.(2002).AAC: Augmentative and Alternative Communication,18(2),124-131.
10. Ferguson, B.,McDonnell, J. J.(1991).A comparison of serial and concurrent sequencing strategies in teaching generalized grocery item location to students with moderate handicaps..Education and Training in Mental Retardation,26,292-304.
11. Frank, A. R.,Wacker, D. P.,Berg, W. K.,McMahon, C. M.(1985).Teaching selected microcomputer skills to retarded students via picture prompts.Journal of Applied Behavior Analysis,18(2),179-185.
12. Gardill, M. C.,Browder, D. M.(1995).Teaching stimulus classes to encourage independent purchasing by students with severe behavior disorders.Education and Training in Mental Retardation,30,254-264.
13. Hallahan, D. P.,Kauffman, J. M.(1991).Exceptional learners: Introduction to special education.Englewood Cliffs, NJ:Prentice Hall..
14. Hetzroni, O. E.,Roth, T.(2003).Effects of a positive support approach to enhance communicative behaviors of children with mental retardation who have challenging behaviors.Education and Training in Developmental Disabilities,38(1),95-105.
15. Kamhi, A.,Johnston, J.(1982).Towards an understanding of retarded children`s linguistic deficiencies.Journal of Speech and Hearing Research,25,435-445.
16. Kravits, T. R.,Kamps, D. M.,Kemmerer, K.,Potucek, J.(2002).Brief report: Increasing communication skills for an elementary-aged student with autism using the Picture Exchange Communication System.Journal of Autism and Developmental Disorders,32(3),225-230.
17. Kuder, S. J.(1997).Teaching Students with Language and Communication Disabilities.Boston, MA:Allyn & Bacon..
18. LaCampagne, J.,Cipani, E.(1987).Training adults with mental retardation to pay bills.Mental Retardation,25(5),293-303.
19. Langone, J.(1981).Curriculum for the trainable mentally retarded-or "what do I do when the ditto machine dies!".Education and Training of the Mentally Retarded,16(2),150-154.
20. Martin, J. E.,Rusch, F. R.(1987).Use of the partial-sequential withdrawal design to assess maintenance of retarded adults´acquired meal preparation skills.Research in Developmental Disabilities,8,389-399.
21. Matson, J. L.,Long, S.(1986).Teaching computation/shopping skills to mentally retarded adults.American Journal of Mental Deficiency,91(1),98-101.
22. McDonnell, J.,Laughlin, B.(1989).A comparison of backward and concurrent chaining strategies in teaching community skills.Education and Training in Mental Retardation,24,230-238.
23. Mechling, L. C.,Gsat, D. L.(1997).Combination audio/visual self-prompting system for teaching chained tasks to students with intellectual disabilities.Education and Training in Mental Retardation and Developmental Disabilities,32(2),138-153.
24. Mechling, L.,Langone, J.(2000).The effects of computer-based instruction program with video anchors on the use of photographs for prompting augmentative communication.Education and Training in Mental Retardation and Developmental Disabilities,35(1),90-105.
25. Mores, T. E.,Schuster, J. W.(2000).Teaching elementary students with moderate intellectual disabilities how to shop for groceries.Exceptional Children,66(2),273-288.
26. Morse, T. E.,Schuster, J. W.,Sandknop, P. A.(1996).Grocery shopping skills for persons with moderate to profound intellectual disabilities: A review of the literature.Education and Treatment of Children,19(4),487-517.
27. Nietupski, J.,Clancy, P.,Christiansen, C.(1984).Acquisition, maintenance, and generalization of vending machine skills by moderately handicapped students.Education and Training in Mental Retardation,3,91-96.
28. Rowland, C.,L. Goetz,D. Guess,K. Stremel-Campbell (Eds.)(1987).Innovative program design for individuals with dual sensory impairments.Baltimore, MD:Paul Brookes.
29. Schlosser, R. W.,Sigafoos, J.(2002).Selecting graphic symbol for an initial request lexicon: Integrative review.AAC: Augmentative and Alternative Communication,18(2),102-123.
30. Sprague, J. R.,Horner, R. H.(1984).The effects of single instance, multiple instance, and general case training on generalized vending machine use by moderately and severely handicapped students.Journal of Applied Behavior Analysis,17,273-278.
31. Tawney, J. W.,Gast, D. L.(1984).Single subject research in special education..Columbus, OH:Charles E. Merrill.
32. Westling, D. L.,Fox, L.(2003).Teaching students with severe disabilities.Upper Saddle River, NJ:Prentice Hall.
33. Wiggins, S. B.,Behrmann, M. M.(1988).Increasing independence through community learning.Teaching Exceptional Children,21(1),20-24.
34. Woodard, M.,N. Richman,R. Lansdown (Eds.)(1988).Problem of preschool children.Britain:Biddles Press.
35. 何素華(1995)。國小智能不足兒童錢幣應用教學效果之研究。嘉義師院學報，9，561-598。
36. 李乙明、王文科主編(2001)。特殊教育導論。台北市:心理。
37. 杜正治(1994)。單一受試研究法。台北市:心理。
38. 林寶貴(1994)。語言障礙與矯治
39. 林寶貴、黃玉枝、張正芬(1992)。台灣區智能不足學童語言障礙之調查研究。聽語會刊，8，13-18。
40. 邱滿艷(1984)。社會技巧訓練法－對一個中度智能不足者學習「買東西」的效果。特殊教育會刊，7，96-99。
41. 張慈蘭(1987)。碩士論文(碩士論文)。彰化市，國立台灣教育學院特殊教育研究所。
42. 教育部(1999)。特殊教育學校（班）國民教育階段智能障礙類課程綱要。台北市:教育部。
43. 莊妙芬(2000)。替代性溝通訓練對重度智能障礙兒童溝通能力與異常行為之影響。特殊教育與復健學報，8，1-26。
44. 莊妙芬(1987)。智能障礙兒童與自閉症兒童口語表達能力之比較研究。特殊教育與復健學報，5，1-35。
45. 陳榮華、林坤燦(1997)。手語/口語並用溝通訓練方案對增進中重度智能障礙者溝通技能之成效研究。花蓮師院學報，7，183-214。
46. 黃錫昭(2003)。碩士論文(碩士論文)。嘉義市，國立嘉義大學特殊教育研究所。
47. 葉瓊華、彰師大特教系主編(1998)。第三屆特殊教育「課程與教學」學術研討會彙編。彰化市:彰師大。
48. 趙子嫻(1997)。碩士論文(碩士論文)。台北市，國立台灣師範大學特殊教育研究所。

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