Translational research: Incorporating experimental evidence on altered reward and punishment sensitivity into behavior management strategies for ADHD

行为和神经成像研究的实验结果表明，患有注意力缺陷多动障碍(ADHD)的儿童对奖惩的反应与他们通常发育的同龄人不同。目前的研究旨在将ADHD强化敏感性改变的经验结果转化为对注意力不集中和/或多动/冲动水平升高的儿童的行为管理。行为管理计划已被日本政府机构和心理健康专业人员认可和推广，作为支持有儿童行为困难的家庭的有效手段。然而，在接触到可能从这类计划中受益的家庭方面仍然存在挑战。通过对实验文献的回顾和基于社区的参与性研究(CBPR)方法，我们确定了现有ADHD儿童父母行为管理材料的内容和交付方法的修订点。我们与社区利益相关者一起，正在开发一项包含这些修订的试点计划。我们将评估修订后的行为管理计划的可行性和初步效果。

Experimental findings from behavioral and neuroimaging studies indicate children with attention deficit hyperactivity disorder (ADHD) respond differently to reward and punishment than their typically developing peers. The current research aims to translate empirical findings on altered reinforcement sensitivity in ADHD into the behavioral management of children demonstrating elevated levels of inattention and/or hyperactivity/impulsivity.Behavioral management programs have been recognized and promoted by Japanese governmental agencies and mental health professionals as an effective means to support families with children who are experiencing behavioral difficulties. However, challenges remain in reaching families who may benefit from such programs.Through a review of experimental literature and using a community-based participatory research (CBPR) approach, we have identified revision points for the content and delivery methodology of the existing behavioral management materials for parents of children with ADHD. Together with community stakeholders, we are developing a pilot program incorporating these revisions. We will evaluate the feasibility and preliminary effects of the revised behavioral management program.