반응적 의사소통 전략을 중심으로 한 어머니훈련이 발달지체 유아와 어머니의 상호작용에 미치는 영향

The Effects of Mother Training for Responsive Communication Strategies on Social Interaction between Mothers and Their Young Children with Developmental Delays

부모와 유아 사이에 이루어지는 상호작용은 유아의 발달에 많은 영향을 미친다. 본 연구는 어머니와 발달지체 유아와의 상호작용을 증가시키기 위하여 어머니의 민감성(sensitivity), 반응성(responsiveness), 상호성(reciprocity) 증진을 목표로 한 반응적 의사소통 전략을 훈련하였다. 어머니훈련의 효과를 확인하기 위하여 대상자간 중다간헐 기초선 설계를 사용하였으며, 가정에서 일상적으로 이루어지는 놀이 상황에서 발생하는 상호작용을 관찰하였다. 연구 결과, 어머니훈련을 통해 어머니와 발달지체 유아의 상호작용 발생률이 증가하였고 중재 종료 4주 후에도 유지되었다. 이러한 결과를 토대로 상호성을 강조한 부모-자녀 간 의사소통과 발달지체 유아의 조기 중재 시 부모 지원을 위한 상호작용 프로그램의 필요성을 논의하였다.

The importance of quality of early parent-child relationships has become increasingly appreciated. The purpose of the present study was to examine the effect of teaching mothers to use responsive communication strategies(RCS) to preschool children with disabilities during their play actives. RCS, comprising development of sensitivity and responsiveness to child’s communication behavior, following the child’s lead and increasing the mutual reciprocity, were used to facilitate a conversational interaction between parent and child. A multiple baseline design across three parent-child dyads was used to prove the experimental control. Data were collected by recording a 10-minute video of their play with partial interval, time sampling. The results demonstrated that the maternal RCS had a significant influence on promoting the parent-child interaction and that this interaction was maintained after the intervention was completed. Increases in the reciprocity of parent-child and quality of interaction were noted. Implications for future research and practice, including the need to explore implementation factors related to the interaction between mother and children, are presented.