代币经济中治疗维持策略的系统回顾:对应急管理的启示》。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2022-09-01 eCollection Date: 2022-12-01 DOI:10.1007/s40614-022-00358-7
Sean D Regnier, Haily K Traxler, Amanda Devoto, Anthony DeFulio
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引用次数: 0

摘要

权宜管理(CM)干预措施基于操作性原则,能有效促进健康行为。尽管这些干预措施取得了成功,但对它们的一个常见批评是,干预措施撤消后,其效果并不能持续。许多 CM 研究对治疗后的效果进行了评估,但很少有研究对促进效果维持的程序进行调查。代币经济干预和 CM 干预在程序和概念上是相似的。代币经济文献包括许多评估促进干预后维持的程序的研究。我们进行了一次系统的文献综述,对代币经济治疗维持的文献进行了归纳。通过检索程序共获得了 697 篇文章,并根据纳入/排除标准对 37 篇文章进行了审查。最成功的策略是将各种程序结合起来。在大多数情况下,通过社会强化或自我管理将稀释或褪色与程序控制转移相结合。社会强化和自我监控程序似乎尤为重要,有 70% 的研究采用了这两种方法。因此,我们的主要建议是结合多种维持策略,其中至少有一种策略应有助于将目标行为的控制权转移到其他强化物上。此外,分级移除干预措施也在一定程度上评估了 CM,是进一步开发和评估的合理候选方案。目前还缺乏对维持程序的直接比较,因此应将其视为这两个领域的研究重点。对这两种干预方式感兴趣的研究人员和临床医生可能会受益于对这两个领域发展的持续关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Systematic Review of Treatment Maintenance Strategies in Token Economies: Implications for Contingency Management.

Contingency management (CM) interventions are based on operant principles and are effective in promoting health behaviors. Despite their success, a common criticism of CM is that its effects to not persist after the intervention is withdrawn. Many CM studies evaluate posttreatment effects, but few investigate procedures for promoting maintenance. Token economy interventions and CM interventions are procedurally and conceptually similar. The token economy literature includes many studies in which procedures for promoting postintervention maintenance are evaluated. A systematic literature review was conducted to synthesize the literature on treatment maintenance in token economies. Search procedures yielded 697 articles, and application of inclusion/exclusion criteria resulted in 37 articles for review. The most successful strategy is to combine procedures. In most cases, thinning or fading was combined with programmed transfer of control via social reinforcement or self-management. Social reinforcement and self-monitoring procedures appear to be especially important, and were included in 70% of studies involving combined approaches. Thus, our primary recommendation is to incorporate multiple maintenance strategies, at least one of which should facilitate transfer of control of the target behavior to other reinforcers. In addition, graded removal of the intervention, which has also been evaluated to a limited extent in CM, is a reasonable candidate for further development and evaluation. Direct comparisons of maintenance procedures are lacking, and should be considered a research priority in both domains. Researchers and clinicians interested in either type of intervention will likely benefit from ongoing attention to developments in both areas.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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