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The Effects of Applied Behavior Analysis-Based Parent-Implemented Interventions for Children with Pediatric Feeding Disorder: A Systematic Review and Meta-Analysis
The Effects of Applied Behavior Analysis-Based Parent-Implemented Interventions for Childr...
The Effects of Applied Behavior Analysis-Based Parent-Implemented Interventions for Children with Pediatric Feeding Disorder: A Systematic Review and Meta-Analysis

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자료유형  
 학위논문 서양
최종처리일시  
20250211151323
ISBN  
9798383226049
DDC  
370
저자명  
Ma, Ruqian.
서명/저자  
The Effects of Applied Behavior Analysis-Based Parent-Implemented Interventions for Children with Pediatric Feeding Disorder: A Systematic Review and Meta-Analysis
발행사항  
[Sl] : University of Washington, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
191 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-01, Section: B.
주기사항  
Advisor: Missall, Kristen.
학위논문주기  
Thesis (Ph.D.)--University of Washington, 2024.
초록/해제  
요약Feeding difficulties occur at a high rate in children with normal development and at a disproportionally high rate in children with developmental disabilities. Prolonged problematic eating, categorized as Pediatric Feeding Disorder (PFD), can result in poor physical growth and jeopardize overall health. Extant research on applied behavior analysis (ABA) based parent-implemented interventions (PIIs) has been widely accepted and found to be effective in supporting children with feeding difficulties. A vast majority of studies have separately explored the efficacy of ABA-based interventions and PIIs for children with feeding difficulties. In addition, previous meta-analyses and systematic reviews have focused on studies utilizing single-case research design. Present study comprehensively assessed the overall effectiveness of ABA-based PIIs for children with PFD with studies utilizing group experimental design. Meta-analytic procedures were used to estimate the effects of ABA-based PIIs on child and parent outcomes for children with PFD. A total of 11 studies were included in the analysis. Characteristics of the parent training programs was summarized. A random-effect model was employed and the results showed a moderate but statistically significant effect size (g = -0.73, 95% CI [-1.34, -0.13]) for ABA-based PIIs on child feeding outcomes, indicating a positive impact on mitigating child feeding challenges. However, the effect size estimate for one of the parental outcomes (i.e., parent stress) was small and statistically nonsignificant (g = -0.38, 95% CI [-0.83, 0.07]). Moderator analysis was also performed to examine the moderating effects of the following variables on child feeding outcomes and parental outcomes: training delivery format, direct child participation, utilization of escape extinction, and utilization of consequence- and antecedent-based treatment package. Results showed that all four variables had a moderating effect on child feeding outcomes but only two variables showed a moderating effect on parental stress. This study not only marked as the first attempt to systematically evaluate the empirical evidence from group experimental designed studies, but also explored potential moderators that may play vital roles in the effectiveness of ABA-based PIIs with children with PFD. Discussion of the implications along with future directions conclude this dissertation.
일반주제명  
Educational psychology
일반주제명  
Behavioral psychology
일반주제명  
Special education
일반주제명  
Pediatrics
키워드  
Applied behavior analysis
키워드  
Parent training
키워드  
Pediatric feeding disorder
키워드  
Developmental disabilities
키워드  
Parental outcomes
기타저자  
University of Washington Education
기본자료저록  
Dissertations Abstracts International. 86-01B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aMa,  Ruqian.
■24510▼aThe  Effects  of  Applied  Behavior  Analysis-Based  Parent-Implemented  Interventions  for  Children  with  Pediatric  Feeding  Disorder:  A  Systematic  Review  and  Meta-Analysis
■260    ▼a[Sl]▼bUniversity  of  Washington▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a191  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-01,  Section:  B.
■500    ▼aAdvisor:  Missall,  Kristen.
■5021  ▼aThesis  (Ph.D.)--University  of  Washington,  2024.
■520    ▼aFeeding  difficulties  occur  at  a  high  rate  in  children  with  normal  development  and  at  a  disproportionally  high  rate  in  children  with  developmental  disabilities.  Prolonged  problematic  eating,  categorized  as  Pediatric  Feeding  Disorder  (PFD),  can  result  in  poor  physical  growth  and  jeopardize  overall  health.  Extant  research  on  applied  behavior  analysis  (ABA)  based  parent-implemented  interventions  (PIIs)  has  been  widely  accepted  and  found  to  be  effective  in  supporting  children  with  feeding  difficulties.  A  vast  majority  of  studies  have  separately  explored  the  efficacy  of  ABA-based  interventions  and  PIIs  for  children  with  feeding  difficulties.  In  addition,  previous  meta-analyses  and  systematic  reviews  have  focused  on  studies  utilizing  single-case  research  design.  Present  study  comprehensively  assessed  the  overall  effectiveness  of  ABA-based  PIIs  for  children  with  PFD  with  studies  utilizing  group  experimental  design.  Meta-analytic  procedures  were  used  to  estimate  the  effects  of  ABA-based  PIIs  on  child  and  parent  outcomes  for  children  with  PFD.  A  total  of  11  studies  were  included  in  the  analysis.  Characteristics  of  the  parent  training  programs  was  summarized.  A  random-effect  model  was  employed  and  the  results  showed  a  moderate  but  statistically  significant  effect  size  (g  =  -0.73,  95%  CI  [-1.34,  -0.13])  for  ABA-based  PIIs  on  child  feeding  outcomes,  indicating  a  positive  impact  on  mitigating  child  feeding  challenges.  However,  the  effect  size  estimate  for  one  of  the  parental  outcomes  (i.e.,  parent  stress)  was  small  and  statistically  nonsignificant  (g  =  -0.38,  95%  CI  [-0.83,  0.07]).  Moderator  analysis  was  also  performed  to  examine  the  moderating  effects  of  the  following  variables  on  child  feeding  outcomes  and  parental  outcomes:  training  delivery  format,  direct  child  participation,  utilization  of  escape  extinction,  and  utilization  of  consequence-  and  antecedent-based  treatment  package.  Results  showed  that  all  four  variables  had  a  moderating  effect  on  child  feeding  outcomes  but  only  two  variables  showed  a  moderating  effect  on  parental  stress.  This  study  not  only  marked  as  the  first  attempt  to  systematically  evaluate  the  empirical  evidence  from  group  experimental  designed  studies,  but  also  explored  potential  moderators  that  may  play  vital  roles  in  the  effectiveness  of  ABA-based  PIIs  with  children  with  PFD.  Discussion  of  the  implications  along  with  future  directions  conclude  this  dissertation.
■590    ▼aSchool  code:  0250.
■650  4▼aEducational  psychology
■650  4▼aBehavioral  psychology
■650  4▼aSpecial  education
■650  4▼aPediatrics
■653    ▼aApplied  behavior  analysis
■653    ▼aParent  training
■653    ▼aPediatric  feeding  disorder
■653    ▼aDevelopmental  disabilities
■653    ▼aParental  outcomes
■690    ▼a0525
■690    ▼a0384
■690    ▼a0529
■690    ▼a0767
■71020▼aUniversity  of  Washington▼bEducation.
■7730  ▼tDissertations  Abstracts  International▼g86-01B.
■790    ▼a0250
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17161200▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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