การปรับสภาพแวดล้อมตามกรอบแนวคิดเซททร่วมกับการเรียนการสอนเชิงระบบ เพื่อลดพฤติกรรมความกลัวการนั่งโถชักโครกของเด็กพิการซ้อนที่มีความบกพร่องในการบูรณาการประสาทความรู้สึก

Abstract

The purpose of this thesis was to study the effects of environmental adaptation using the SETT Framework with systematic instructions to reduce the fear of sitting on the flush toilet for a child with multiple disabilities and sensory integrative dysfunction. The case study was a male aged 14 years and 8 months with multiple disabilities and sensory integrative dysfunction who has the fear of sitting on the flush toilet. Research tools included: 1) a behavioral observation form for the fear of sitting on the flush toilet administered pre- and post-implementation; 2) three individual implementation plans regarding environmental adaptation using SETT Framework with systematic instruction. Factors affecting the case study's preference were used as a teaching strategy, including environmental adaptation, telling stories, using picture cards, and reinforcement. The results indicated that: 1.The mean score on the fear of sitting on the flush toilet at a pre-implementation was 13.67 (91.13%), whereas that at a post-implementation was 5.00 (33.33 %), with a decreased score of 8.67 (57.80 %). 2. The mean score on the individual implementation plan 1 on Do you know me? What am I? at a pretest was 5 ( 33.33 %) whereas at a posttest it was 13 (86.67 %). 3. The mean score on individual implementation plan 2 on Taking Children to Sit on a Modified Flush Toilet at a pretest was 9 (60.00%) while at a posttest it was 15 (100.00 %). 4.The mean score on the individual implementation plan 3 on Taking Children to the Toilet at a pretest was 6 (66.67%), while at a posttest it was 9 (100.00%).