Evaluation of Matched and Unmatched Stimuli on the Maintenance of Treatment Effects for Automatically Maintained Self-Injurious Behavior (AUTO)

匹配和不匹配刺激对自动维持自伤行为（AUTO）治疗效果维持的评估

• 批准号: 10729880
• 负责人: Joel Ringdahl
• 金额: $ 49.6万
• 依托单位: UNIVERSITY OF GEORGIA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10729880
• 关键词: Address; Beavers; Behavior; Behavior Therapy; Bite; Candy; Clinical; Culicidae; Data Collection; Developmental Disabilities; Diagnostic; Eating; Esthesia; Evaluation; Exhibits; Individual; Injury; Intellectual functioning disability; Intervention; Investigation; Literature; Longevity; Maintenance; Methods; Motivation; Negative Reinforcer; Outcome; Outcome Study; Pattern; Positive Reinforcer; Procedures; Psychological reinforcement; Reinforcement Schedule; Reporting; Research; Research Design; Research Subjects; Review Literature; Schedule; Self-Injurious Behavior; Sensory; Social Interaction; Source; Stimulus; Thinness; Time; Variant; autism spectrum disorder; design; effective intervention; epidemiology study; experience; improved; intervention effect; pragmatic implementation; randomized, clinical trials; reinforcer; repetitive behavior; response; severe behavior problem; success; sweet taste perception; therapy design; treatment effect; two-dimensional

PROJECT SUMMARY/ABSTRACT Individuals with developmental disabilities, including intellectual disability (ID) and autism spectrum disorder (ASD), commonly engage in repetitive challenging behavior such as self-injurious behavior (SIB) that is maintained by automatic reinforcement (i.e., internal sources of reinforcement). The behavioral intervention literature provides demonstrations of successful approaches to the treatment of such behavior, including noncontingent reinforcement (NCR) and differential reinforcement of other behavior (DRO). However, these demonstrations are limited in that they rarely, if ever, describe successful application of intervention strategies over protracted time periods or the ability to successfully reduce (thin) the schedule of availability for competing sources of stimulation (i.e., preferred items/activities) from continuously or nearly continuously available. As a result, little is known about variables that might impact the success of long-term implementation of NCR and DRO as treatments for automatically maintained SIB. Prior research on treatment of automatically maintained SIB suggests that both stimuli matched to the putative sensory consequences produced by automatically maintained SIB and stimuli unmatched to the putative sensory consequences produced by automatically maintained SIB are effective for reducing SIB in the context of NCR-based interventions. This finding provides an avenue for exploring variables related to long-term intervention success, including successfully increasing treatment implementation durations and thinning the schedule of reinforcement. Thus, the aims of this project are to evaluate the impact of matched and unmatched stimuli in the context of NCR- and DRO-based intervention on the ability to both increase intervention time (i.e., treatment longevity) and to reduce the amount of time spent with the alternative stimuli (i.e., schedule thinning). These aims will be explored in the context of single-subject research designs within which intervention approaches will be alternated and compared. The findings have relevance for individuals with intellectual and developmental disabilities such as ASD who exhibit challenging repetitive behavior such as SIB. Clinically, understanding how treatment approaches impact intervention success over longer time periods and improve practicality are important to individuals with ID and ASD. The proposed studies will provide more information regarding how to construct NCR- and DR-based interventions such that those treatments will result in increased improvements to long-term outcomes.

项目摘要/摘要 发育障碍的人，包括智力障碍（ID）和自闭症 频谱障碍（ASD）通常从事重复性挑战的行为，例如自我伤害 由自动加固维护的行为（SIB）（即内部来源 加强）。行为干预文献提供了成功的演示 治疗此类行为的方法，包括非转化强化（NCR）和 其他行为的差异加强（DRO）。但是，这些示威是有限的 他们很少（如果有的话）描述了在旷日持久的时间上成功应用干预策略 期间或成功减少（稀薄）竞争来源的可用性时间表的能力 连续或几乎连续可用的刺激（即首选项目/活动）。作为 结果，关于可能影响长期实施成功的变量知之甚少 NCR和DRO作为自动维护SIB的处理。先前关于治疗的研究 自动保持SIB表明两个刺激都与假定的感觉匹配 自动保持SIB和刺激产生的后果是无与伦比的 自动维持的SIB产生的感官后果可有效减少SIB 基于NCR的干预措施的上下文。这一发现为探索与 长期干预成功，包括成功增加治疗实施 持续时间和更薄的加固时间表。因此，该项目的目的是评估 在基于NCR和DRO的干预措施中，匹配和无与伦比的刺激对 增加干预时间（即治疗寿命）的能力并减少 花费替代刺激（即计划稀疏）的时间。这些目标将在 单个受试者研究设计的背景，在该设计中将交替使用干预方法 并比较。这些发现与具有智力和发展的人相关 诸如ASD之类的残疾人表现出具有挑战性的重复行为，例如SIB。临床上 了解治疗方法如何影响较长时间的干预成功，并且 改善实用性对具有ID和ASD的人很重要。拟议的研究将提供 有关如何构建基于NCR和DR的干预措施的更多信息 治疗将导致长期结局的改善。