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Skinner i kuddrummet: Personalfaktorer i förskola som påverkar effekten av beteendeterapi för barn med autism
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2009 (Swedish)Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesisAlternative title
Kindergarten moderators for intensive behavioral therapy for children with autism (English)
Abstract [sv]

Flera olika behandlingsmetoder för autism finns utvecklade, även om bäst stöd finns för intensiv beteendeterapi (IBT). Variationen i behandlingseffekt inom IBT är dock stor. I Sverige används IBT på förskolor, sannolikt med varierande framgång. 22 förskolor med 24 barn som fått IBT i två år undersöktes retrospektivt med telefonenkäter, och flera faktorer undersöktes för samband med barnens förbättring i adaptiv förmåga under samma period. Integration av träningen i förskolans verksamhet samt tränarens tilltro till metoden samvarierade med behandlingsutfall. Många av tränarna var skeptiska till IBT och metoden i Sverige skiljer sig markant från de publicerade studier från vilka evidensen för IBT kommer. Studiens retrospektiva design innebär att de funna sambanden inte går att tolka kausalt.

Abstract [en]

Several methods of treatment for autism has been developed and there is good evidence for the use of intensive behavioral therapy (also called applied behavior analysis, ABA). However, the variation in treatment gains are consistently large. Behavioral therapy for children with autism is used in swedish kindergartens, likely with variation in both fidelity and level of success. In this study, 22 kindergartens with 24 children with autism who had received behavioral therapy was investigated retrospectively using a telephone survey. Several factors was analysed for hypothesised covariation with treatment gains measured with an adaptive behavior scale. Level of integration of the treatment in the kindergarten and therapist's allegiance to the treatment was positively correlated to treatment gains. The retrospective design of the study makes causal conclusions of findings impossible. Additional findings was a generally low allegiance to the treatment and a large discrepancy between swedish behavioral therapy and the efficacy studies for ABA for children with autism.

Place, publisher, year, edition, pages
2009. , 42 p.
Keyword [en]
psychotherapy, allegiance, autism, behavioral therapy
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:su:diva-33129OAI: oai:DiVA.org:su-33129DiVA: diva2:282416
Presentation
2009-12-04, U22, Frescati Hagväg 8, Stockholm, 10:00 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2009-12-21 Created: 2009-12-20 Last updated: 2009-12-21Bibliographically approved

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CiteExportLink to record
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