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 患有发育障碍的个人，包括智力障碍和自闭症 谱系障碍（ASD），通常从事重复性挑战行为，如自我伤害 由自动强化维持的行为（SIB）（即，的内部来源 增强）。行为干预文献提供了成功的示范， 治疗这种行为的方法，包括非偶然强化（NCR）和 其他行为差异强化（DRO）。然而，这些示威活动仅限于 他们很少（如果有的话）描述长期成功应用干预策略的情况， 周期或能力，成功地减少（薄）的时间表的可用性，为竞争来源的 刺激（即，优选的项目/活动）从连续或几乎连续可用中移除。作为 结果，对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。之前关于治疗的研究 自动维持的SIB表明，两种刺激都与假定的感觉相匹配， 由自动维持的SIB和与假定的SIB不匹配的刺激产生的后果 由自动维持的SIB产生的感觉结果对于减少 基于国家报告的干预措施的背景。这一发现为探索与以下因素相关的变量提供了途径： 长期干预成功，包括成功地增加治疗实施 持续时间和细化强化计划。因此，本项目的目的是评估 在NCR和DRO干预的背景下，匹配和不匹配刺激对 既增加干预时间（即，治疗寿命），并减少 用替代刺激花费的时间（即，调度细化）。这些目标将在 单一主题研究设计的背景下，干预方法将交替使用 和比较这些发现与智力和发展方面的个人有关。 ASD等残疾，表现出具有挑战性的重复行为，如SIB。在临床上， 了解治疗方法如何在较长时间内影响干预成功， 提高实用性对于患有ID和ASD个体是重要的。拟议的研究将提供 关于如何构建基于NCR和DR的干预措施的更多信息， 治疗将导致长期结果的改善。