Children with autism spectrum disorder (ASD) often present with challenging behaviors such as aggression, tantrums, or noncompliance. Behavior analytic interventions are considered evidence-based for decreasing challenging behaviors and may include a combination of strategies to teach replacement behaviors and prevent and respond to challenging behaviors. However, multi-component interventions are often implemented in treatment settings by professionals and effects may not generalize to the home. Little research has explored the levels of treatment integrity with which multi-component interventions are implemented by parents. This study evaluated the use of behavior skills training (BST) with ongoing coaching to train parents of two children with ASD to implement multi-component behavioral interventions in the home to decrease challenging behaviors. Treatment integrity was monitored for each treatment component, and attempts were made to minimize barriers to treatment integrity. Results support the use of BST with ongoing coaching. Implications for practice and future research are discussed.

中文翻译：

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行为干预的多个组成部分的父母治疗完整性

患有自闭症谱系障碍 (ASD) 的儿童通常表现出具有挑战性的行为，例如攻击性、发脾气或不服从。行为分析干预被认为是基于证据的，可减少具有挑战性的行为，并且可能包括教授替代行为以及预防和应对具有挑战性的行为的策略组合。然而，多组分干预通常由专业人员在治疗环境中实施，效果可能不会推广到家庭。很少有研究探讨父母实施多组分干预措施的治疗完整性水平。本研究评估了使用行为技能训练 (BST) 和持续辅导来训练两名自闭症儿童的父母在家中实施多组分行为干预以减少具有挑战性的行为。监测每个治疗成分的治疗完整性，并尝试尽量减少治疗完整性的障碍。结果支持在持续指导中使用 BST。讨论了对实践和未来研究的影响。