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Basic and Clinical Studies in Reinforcing Positive Behaviors in Intellectual and Developmental Disabilities

加强智力和发育障碍积极行为的基础和临床研究

基本信息

批准号：
10348693
负责人：
Timothy A Shahan
金额：
$ 53.57万
依托单位：
UTAH STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-02-09 至 2023-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10348693
关键词：
Affect Aggressive behavior Animals Basic Science Behavior Behavior Therapy Caregivers Child Choice Behavior Clinic Clinical Clinical Research Collaborations Complex Dangerousness Data Extinction (Psychology)Individual Infant Intellectual functioning disability Knowledge Laws Mathematics Methods Modeling National Institute of Child Health and Human Development Pattern Phase Problem behavior Process Psychological reinforcement Quality of life Rattus Recording of previous events Reinforcement Schedule Relapse Research Personnel Schedule Scientist Self-Injurious Behavior Siblings Source Testing Thinness Time Translating base behavioral momentum clinical practice clinically relevant comorbidity developmental disease discounting experimental study improved innovation insight mathematical model novel predicting response reinforcer research clinical testing response severe behavior problem social integration theories treatment duration

项目摘要

Abstract Understanding complex comorbid conditions of intellectual developmental disorder (IDD) is an NICHD priority. Severe problem behavior (e.g., self-injurious behavior, aggression) of children with IDD is prevalent, potentially dangerous, and negatively impacts social integration and quality of life. Function-based differential reinforcement of alternative behavior (DRA) interventions reduce such behavior effectively, but treatment relapse often occurs when a caregiver does not deliver reinforcement for the alternative behavior. Such relapse is known as resurgence. The efficacy of DRA interventions in reducing severe problem behavior has long been theorized to be related to the same basic processes that govern choice between concurrently available sources of reinforcement. However, quantitative theories of such choice behavior (e.g., the matching law) have not previously been applicable to resurgence following DRA because they could not account for situations in which one or both behaviors no longer produced reinforcement. This project represents a collaboration between a basic scientist/theorist and clinical scientists with expertise in DRA treatments to evaluate and translate the predictions of a novel choice-based theory of resurgence. This innovative theory is built from two fundamental and well-established principles of reinforcement: (a) individuals allocate proportionally more responding to responses that produce proportionally more reinforcement (i.e., the matching law); and (b) the value of reinforcement decreases hyperbolically as it recedes further into the past. By combining these two principles into a mathematical model, the theory accounts for resurgence in situations in which the only existing quantitative theory of resurgence (behavioral momentum theory) has failed. The choice-based theory generates novel predictions about the precise conditions under which resurgence might be expected to occur and how treatments might be altered to reduce resurgence (e.g., extending treatment duration, dynamically adjusting schedule thinning). This project empirically examines these and other novel predictions about variables of high potential clinical relevance, but for which clear data are lacking (e.g., effects of different response efforts for the target and alternative responses) and directly translates insights from the theory and basic research with animals in order to improve treatment of problem behavior in the clinic and reduce treatment relapse. Our overarching hypothesis is that DRA interventions informed by this novel theory will be less susceptible to resurgence of problem behavior: (a) during periods when reinforcers are unavailable; (b) when reinforcer availability diminishes during reinforcement schedule thinning; and (c) when other response or reinforcement parameters change, such as increases in response effort. Thus, this project seeks to fill existing gaps in basic/theoretical knowledge about resurgence and represents a rare close collaboration between basic and clinical scientists to better align basic research and clinical practice.

摘要