How to Evaluate the Effectiveness of an ADHD Treatment

经过安妮温德米尔 病人倡导者

In my previous我谈到了如何通过使用的方式评估孩子的行为ABC record keeping system
In this post we will continue discussing ways to observe and record data for behaviors you wish to change. In order to enact change or treat a condition such as ADHD, you have to be able to look at the symptoms in an objective way. Record keeping will allow you to see patterns and trends which can give you some very important information to share with the doctors, therapists, teachers, or anyone who is working with your child.

这种数据可以有用的一种方法是决定特定治疗是否有效。治疗ADHD症状有两种主要方法,它们包括behavior management techniquesandADHD药物。Alternative methods for treating ADHD may include achange in diet
或使用A.sensory integration approach。您可以决定尝试一种治疗方法或多种方法的组合。

无论您选择的治疗方式如何,您都希望设计一些系统,以告诉您这种治疗是否正在工作。以下是一些简单的方法,您可以看看您孩子的症状和行为,以便测量您所选择的ADHD治疗的成功:

1. Recording the frequency of a behavior:您这样做的方式是首先定义要检查的行为。让我们说,您的孩子的老师刚刚开始行为计划来应对您的孩子的行为忘记了。她可以客观地定义这种行为,因为:在没有举手的情况下喊出答案,在说安静的时间内说话,以及其他人已经在说话时中断。为了评估行为程序是否有效,她可以选择时间段来标记您的孩子在谈论交叉行为中的频率。

例如,在上午10点到11点之间,她可以保持你孩子谈话谈话的次数的简单计数。如果行为计划正在运行,当然您希望看到那些售价随着时间的推移而降低。

你可以找到一个frequency/behavior count formfrom the Kansas Institute for Positive Behavioral support web site.

2. Recording the duration of a behavior:假设你有一个孩子已经崩溃or outbursts of crying and who needs time to regroup before regaining enough composure to resume an activity. In this case you may want to record how long the meltdown lasts from start to finish before the child is calm again. You will want to have this data before using any new treatments so that you have a baseline comparison of how long these meltdowns last without treatment. After implementing treatment (let's say your child is placed on a medication to help regulate mood) you will again record the duration of any meltdowns. Hopefully, if the particular treatment is effective, you will see a reduction in the amount of time these meltdowns last. If the duration of the outbursts remain the same over weeks and months or increases, then you know that you have to make a change in your child's treatment plan.

You may find aDuration Recording Formfrom特殊联系
website.

3.时间抽样记录:也许你想要了解你的孩子在一天中的行为方式。时间采样记录或有时称为间隔记录可以提供帮助。基本上你想将孩子的日子分开到时代,当你看看孩子是否正在参与特定的行为。有两种方法可以做到这一点。一个是在您和/或您的孩子的教师检查您孩子的那一天中的一天,并注意他或她是否从事目标行为。例如,您可以查看每小时或在每个类时期的某些设定时间内发生的事情。这种数据记录的优势是您不会疯狂尝试整天观察行为,但您的孩子在您的孩子从事这些目标行为时也可能缺少时间段。

执行时间采样记录的第二种方法是选择观察行为的时间间隔。例如,假设您希望评估您的孩子的新药是否在减少侵略性行为时对其进行任何影响。您创建数据表分为常规时间间隔,例如8AM-9,9-10,10-11等。然后,您可以使用代码来表示任何目标行为的发生。例如,如果您瞄准攻击,您可以使用字母“a”在框中写入框中,以便在遵守此行为时的时间间隔。这将告诉你是什么时候药物是最不效益的。如果您开始看到在某些时候通过行为的突破模式,例如服用缺少药物,那么这是您可以与孩子的医生讨论的事情。

There are many blank time sampling observation forms to be found on the Internet. Here is atime sampling record formfrom the Special Connections website. Depending on your situation you may just want to create your own form.

It may seem like a lot of trouble to record data like this but it can absolutely give you some very valuable information so that you are able to make wise decisions about your child's treatment. Collecting data can also encourage you to hang in there because you might see a gradual trend towards improvements in behavior that you might not otherwise notice.

如果您找到了评估您孩子进度的有效方法,请告诉我们。作为一个社区,我们都互相学习。谢谢你成为一名成员adhd中央

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安妮温德米尔

These articles were written by a longtime HealthCentral community member who shared valuable insights from her experience living with multiple chronic health conditions. She used the pen name "Merely Me."