扩大实验室模型,用于评估护理人员不依从的复发
Catherine L Williams1,2, Kyleigh L Montague1,3, Alec M Bernstein1,4
1Marcus Autism Center, Emory University School of Medicine, Atlanta, GA, USA.
Journal of the experimental analysis of behavior
|July 19, 2023
概括
护理人员对治疗计划的坚持可能会复发,特别是当孩子的挑战性行为是逃生维护时. 这项研究表明,所有参与者都出现了护理人员不依从的复发,这凸显了需要更好的治疗策略的需要.
科学领域:
- 行为心理学 行为心理学
- 儿童心理学 儿童心理学
- 临床心理学 临床心理学
背景情况:
- 护理人员的坚持对于治疗有效性至关重要,通常通过负面增强来维持.
- 照顾者不坚持可以复发,特别是当具有挑战性的儿童行为被社会负面强化 (逃避) 维持时.
- 之前的模型并没有评估逃跑维持行为的非坚持性复发,也没有测量其大小.
研究的目的:
- 为了评估护理人员在模拟治疗逃跑所维持的挑战性行为期间不坚持护理者的复发情况.
- 评估一种新型测量系统对量化护理人员不守规矩的有用性.
- 在实验室模型中以前没有研究过的背景下调查护理人员复发.
主要方法:
- 用了一种实验室模型模拟逃跑所维持的具有挑战性的行为.
- 护理人员接触到类似家庭的环境,然后在临床环境中接受培训,最后回到类似家庭的环境中观察复发.
- 一个联盟模拟了儿童的行为,一个新的测量系统量化了护理人员的不坚持大小.
主要成果:
- 在模拟治疗期间,所有参与者都出现了护理人员不依从的复发.
- 新的测量系统捕获了护理人员不坚持错误的幅度.
- 这项研究成功地模拟了逃跑维护行为的非坚持性复发.
结论:
- 护理人员不坚持的复发是治疗逃避所维持的具有挑战性的行为的一个重要问题.
- 需要进一步的研究来制定减轻护理人员复发的策略.
- 拟议的测量系统对未来关于护理人员坚持治疗和治疗疗效的研究有价值.
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