ﻃﺮاﺣﯽ، ﺗﺪوین و روایاﺑﯽ برنامه‌ی آموزشی - توانمندسازی شناختی مبتنی بر ذهن آگاهی برای بهبود کارکردهای اجرایی درکودکان دارای اختلال نقص توجه / بیش فعالی

نویسندگان
ژاله کیانی 1
علیرضا مرادی 1
پروین کدیور 1
حمید رضا حسن آبادی 1
هادی کرامتی 1
محمد عفت پناه 2
1 ، گروه روان‌شناسی تربیتی، دانشگاه خوارزمی، تهران، ایران
2 بیمارستان ضیائیان، پردیس بین‌الملل، دانشگاه علوم پزشکی تهران، تهران، ایران
چکیده
ذهن آگاهی یکی از مداخله‌های اثر گذار در ارتقاء و بهبود کارکردهای اجرایی است، اگر چه این مداخله برای بزرگسالان دارای مستندهای محکمی است، اما برای کودکان کمتر به آن پرداخته شده است، این در حالی است که کودکان دارای نقص توجه /بیش فعالی در کارکردهای اجرایی با مشکل مواجه هستند. از پژوهش حاضر طراحی، ﺗـﺪوین و روایـﯽ‏یـﺎﺑﯽ ﺑﺮﻧﺎﻣـه‌‏ی آموزشی- توانمندسازی شناختی ﻣﺒﺘﻨـﯽ ﺑـﺮ ذهن آگاهی ﺑﺮای ارتقاء کارکردهای اجرایی و کاهش نشانگان رفتاری کودکان دارای اﺧﺘﻼل بیش فعالی/ نقص توجه است. ﭘﮋوﻫﺶ حاضر از نوع بنیادی است که در دو ﻣﺮﺣﻠﻪ اﺟـﺮا ﺷـﺪ، در ﻣﺮﺣﻠﮥ اول برای ﻃﺮاﺣﯽ و ﺗﺪوین ﺑﺮﻧﺎﻣﻪ از روش توصیفی - ﺗﺤﻠﯿﻠﯽ ﺑﺎ رویکرد ﺳﻨﺘﺰ ﭘﮋوﻫﯽ ﺗﺮﮐﯿﺒﯽ استفاده شد. در مرحله دوم برای روایابی برنامه از روش‏‌های روایی ﺻﻮری، روایی ﻣﺤﺘﻮایی ﺑـﻪ ﺷـﯿﻮه کیفی و کمی با استفاده از پانل خبرگانی 10نفره و از دو ضریب نسبی روایی محتوا (CVR) و شاخص روایی محتوا (CVI) استفاده شد. حداقل و حداکثر میزان( CVR )برای هر ماده یا جزء برنامه (73/0 و 1) حداقل و حداکثر میزان( CVI) برای هر ماده یا جزء برنامه به ترتیب (80/0 و 1) محاسبه شد. که در نهایت متوسط شاخص روایی محتوا (S-CVI/Ave) برای کل برنامه 91/0 به دست آمد. نتیجه این پژوهش منجر به تهیه یک برنامه آموزشی - درمانی درسه بخش 1-مبانی، 2-آگاهی به بیرون و 3-آگاهی به درون که شامل خرده عناصر تقویت توجه، تمرکز، هوشیاری نسبت به هیجانات، افکار، تکالیف، هدف و تکانه‌ها می‌باشد. این برنامه آموزشی- درمانی شامل 16 جلسه کودکان و 3 جلسه والدین، 120 کارت و 20 کاربرگ آموزشی می‌باشد. یافته‌های پژوهش نشان می‌دهد ﺑﺮﻧﺎﻣـﮥ آموزشی -توانمندسازی شناختی ﻣﺒﺘﻨـﯽ ﺑـﺮ ذهن آگاهی ﺑﺮای ارتقاء کارکردهای اجرایی و کاهش نشانگان رفتاری کودکان ﺑﺎ اﺧﺘﻼل بیش فعالی/ نقص توجه از روایی لازم (S-CVI/Ave) 91/0 برای کاربرد آموزشی و استفاده بالینی برخوردار است.
کلیدواژه‌ها
اختلال بیش فعالی/ نقص توجه
ذهن آگاهی
ﺑﺮﻧﺎﻣـﮥ آﻣﻮزﺷـﯽ- توانمندسازی شناختی
کارکردهای اجرایی
نشانگان رفتاری

عنوان مقاله English

Designing, developing and validating a Psycho-Educational program of Mindfulness-Based Cognitive empowerment to Executive Functions in Children with Attention Deficit Hyperactivity Disorder

نویسندگان English

zhaleh kiani 1
alireza moradi 1
parvin kadivar 1
Hamid Reza Hasanabadi 1
hadi keramati 1
Mohammad Effatpanah 2
1 Department of Clinical Psychology, Kharazmi University, Tehran, Iran
2 , Ziaian Hospital, International Campus, Tehran University of Medical Sciences, Tehran, Iran
چکیده English

Mindfulness is one of the effective interventions in improving executive functions. Although this intervention is well documented for adults, but it is less addressed for children, while children with attention deficit / hyperactivity disorder Executive functions are problematic. The purpose of this study is to Designing, developing and validating a psycho-educational program of empowerment based on mindfulness-cognitive for reduce behavioral symptoms and improve executive function in children with attention deficit / hyperactivity disorder. The present study is of the fundamental type, which is in two parts, In the first for designing and development stages was a descriptive - analytic method with a configurative synthesis approach In the second stage For program validation, along with the use of face validity method, content validity method was used quantitatively and Qualitatively method with a panel of 10 experts and Content Validity Ratio (CVR) and Content Validity Index (CVI). The minimum and maximum CVRs for each item or component of the program were calculated as 0/73 and 1, respectively. Also the minimum and maximum CVIs for each item or component of the program were calculated as 0/80 and 1, respectively. Finally, the average content validity index (S-CVI/Ave) for the entire program was calculated as 0/91. This research leads to the preparation of an educational-therapeutic program in three sections: 1- basics, 2- external awareness and 3- internal awareness, which includes the sub-elements of strengthening attention, concentration, awareness of emotions, thoughts, tasks, purpose and impulses. Be. This educational-therapeutic program includes 16 sessions for children and 3 sessions for parents, 120 cards and 20 educational worksheets. The psycho educational program of empowerment based on mindfulness- cognitive for reduce behavioral symptoms and improve executive function in children with attention deficit / hyperactivity disorder has appropriate face and content validity, and has a useful validity for educational, clinical and research uses.

کلیدواژه‌ها English

attention deficit hyperactivity disorder
Mindfulness
executive function
psycho-educational program
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