Using Chained or Tandem Schedules With Functional Communication Training: A Systematic Review.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Behavior Modification Pub Date : 2023-01-01 Epub Date: 2022-02-14 DOI:10.1177/01454455221077420

Jessica N Torelli, Sage E Pickren

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引用次数: 4

Abstract

Chained and tandem schedules are a common method for thinning schedules of reinforcement following functional communication training (FCT) in the treatment of problem behavior. We conducted a systematic literature review and meta-analysis of chained and tandem schedules following FCT to describe treatment characteristics and evaluate effects. We identified 38 articles and found reductions in problem behavior across four measures. Results of a random-effects multilevel meta-analysis of rigorous evaluations showed a significant effect of chained or tandem schedules + FCT on problem behavior relative to baseline. We observed resurgence in 77% of cases and 31% of schedule-thinning transitions. Results showed chained schedules resulted in greater reductions in problem behavior relative to tandem schedules. Exploratory moderator analyses suggested extinction, combined reinforcement, and delay and denial tolerance training procedures were associated with greater reductions in problem behavior relative to other treatment characteristics. Implications for practice and future research are discussed.

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使用链式或串联时间表与功能沟通训练:系统回顾。

链式和串联式计划是一种常用的方法，用于细化功能性沟通训练(FCT)后的强化计划。我们对FCT后的链式和串联方案进行了系统的文献回顾和荟萃分析，以描述治疗特征并评估效果。我们确定了38篇文章，发现问题行为在四个方面有所减少。严格评估的随机效应多水平荟萃分析结果显示，相对于基线，链式或串联计划+ FCT对问题行为有显著影响。我们观察到77%的病例复发，31%的时间表变薄的转变。结果表明，相对于串联计划，链式计划导致更大的问题行为减少。探索性调节分析表明，相对于其他治疗特征，消除、联合强化、延迟和拒绝容忍训练程序与问题行为的更大减少有关。讨论了对实践和未来研究的启示。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavior Modification PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： For two decades, researchers and practitioners have turned to Behavior Modification for current scholarship on applied behavior modification. Starting in 1995, in addition to keeping you informed on assessment and modification techniques relevant to psychiatric, clinical, education, and rehabilitation settings, Behavior Modification revised and expanded its focus to include treatment manuals and program descriptions. With these features you can follow the process of clinical research and see how it can be applied to your own work. And, with Behavior Modification, successful clinical and administrative experts have an outlet for sharing their solutions in the field.