在儿科人群中,药物管理可能是一个重要的问题,尤其是患有发育障碍和共病喂养障碍的患者。在儿科喂养计划中,研究主要集中在固体而不是药物和液体的消耗上,大多数研究是在美国的专科医院内进行的。据我们所知,除了一些关于吞咽药丸的研究外,没有研究对儿科喂养中的药物管理进行详细的治疗评估。我们报告了在澳大利亚的短期密集的基于家庭的行为分析程序中使用经验支持的治疗方法进行药物管理的治疗方案的结果。两名患有自闭症谱系和儿科喂养障碍的男性参加了比赛。我们使用多基线单病例实验设计进行药物给药,同时进行固体食物的治疗评估。消费量增加(9;补充剂,泻药,止痛药),口味(8;巧克力,黑电流和苹果,草莓,柠檬酸橙,橙色,巧克力香草,樱桃,apple),形式(4;薄的和厚的液体,咀嚼片,软糖),和递送方法(5;手指喂养,勺子,杯子,药勺,药杯)在第一次治疗期间。对于一个参与者来说,我们教开放式杯子饮用各种液体(牛奶,果汁,药物)。对于两位参与者来说,我们教自己用器皿喂厚厚的液体药物。固体的治疗结果相似,参与者将食物种类增加到超过160个食物组。所有目标都实现了,包括培训父母在家中保持收益。
Medication administration can be a significant issue in pediatric populations, and especially with patients with developmental disabilities and comorbid feeding disorders. Research has focused largely on consumption of solids rather than medication and liquids in pediatric feeding programs, with most studies being conducted within specialized hospital settings in the United States. No studies to our knowledge have detailed treatment evaluations for medication administration in pediatric feeding except for a few studies on pill swallowing. We report results of treatment protocols for medication administration using empirically-supported treatments in a short-term intensive home-based behavior-analytic program in Australia. Two males with autism spectrum and pediatric feeding disorders participated. We used a multiple baseline single-case experimental design for medication administration conducted concurrently with a treatment evaluation for solid foods. Consumption increased in number (9; supplements, laxatives, pain relievers), flavors (8; chocolate, blackcurrent and apple, strawberry, lemon-lime, orange, chocolate-vanilla, cherry, apple), forms (4; thin and thick liquids, chewables, gummies), and delivery methods (5; finger-fed, spoon, cup, medicine spoon, medicine cup) within the first treatment session. For one participant, we taught open cup drinking for a variety of liquids (milk, juices, medications). For both participants, we taught self-feeding with utensils for thick liquid medications. Treatment results were similar for solids and participants increased food variety to over 160 across food groups. All goals were met including training parents to maintain gains at home.