功能沟通训练前后不同类别前因刺激的多因变量评价

W. Berg, D. Wacker, J. Harding, Jed Ganzer, Anjali Barretto
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引用次数: 45

摘要

摘要对4例发育迟缓男孩问题行为的功能分析表明,正强化和负强化都维持了男孩的问题行为。功能性沟通训练是通过一组训练刺激进行的,在一组刺激中,孩子的母亲在家庭客厅里提出一个工作任务。预处理探针使用多达10组泛化刺激进行,这些刺激在不同的任务、环境和人群中有所不同。处理后的探针在相同的泛化刺激集上进行。四个因变量(问题行为、任务完成、命令和社会互动)的结果表明:(a)在预处理过程中,问题行为发生在一些但不是所有的泛化刺激集中;(b)训练后,在训练刺激的背景下观察到90%或更多的减少;(c) 70%的泛化刺激组的问题行为减少,但减少幅度不如训练刺激组大(M = 61%);(d)在泛化刺激集的处理后探针中观察到的最一致的变化是任务完成度的增加。所有参与者的父母都完成了一份行为评分表,并报告了活动中问题行为的减少。关键词:刺激概化,FCT,反应概化,发育障碍,严重问题行为。**********功能性沟通训练(FCT)是一种有效的程序,可以减少问题行为的发生,并为那些从事由社会刺激维持的破坏性行为的人增加适当的沟通反应,如获得注意,获得喜欢的物品,或逃避任务要求(例如,Brown等人,2000;Carr & Durand, 1985;Fisher, Kuhn, & Thompson, 1998;Hanley, Iwata, & Thompson, 2001;Wacker et al., 1998)。迄今为止,大多数关于FCT的研究都集中在特定培训背景下的治疗效果上,并且评估仅限于FCT对问题行为发生和适当沟通的短期影响。为了进一步评估FCT,需要分析刺激泛化(例如,对未经训练的前因刺激的反应,如人、任务和环境)和完成FCT后其他积极社会反应的变化,如任务完成和社会互动。一些研究已经评估了FCT对训练情境之外行为的影响(Durand & Carr, 1991,1992;and Durand, 1999)。Durand and Carr(1991)对3名问题行为因逃避学业要求而维持的男孩进行了FCT,证明了问题行为的减少和适当沟通的增加在未经训练的环境(教室环境,新的护理提供者)中保持不变。在没有额外训练的情况下,3名参与者中有2名的问题行为在非训练刺激下保持了2年的减少。同样,Durand(1999)教导有严重残疾的学生在课堂上使用辅助交流设备来请求被认定为维持问题行为的刺激。在每种情况下,FCT都增加了通信设备的使用,减少了课堂上的问题行为。此外,在社区环境中,完成FCT后,设备的使用增加,问题行为减少。Derby等人(1997)对4名幼儿进行了为期2年的研究,评估了FCT在多个因变量中的影响,包括问题行为、命令、玩具玩和积极的社会行为。Derby等人证明了FCT的效果并不局限于问题行为和命令,这是在FCT包中直接产生的。结果显示,在玩玩具和积极的社会行为方面取得了进展,并持续了两年。...
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Evaluation of Multiple Dependent Variables across Distinct Classes of Antecedent Stimuli Pre and Post Functional Communication Training
Abstract Functional analyses of problem behavior for 4 young boys with developmental delays showed that problem behaviors were maintained by both negative and positive reinforcement. Functional communication training was conducted with one set of training stimuli in which the child's mother presented a work task in the family living room. Pretreatment probes were conducted with up to 10 sets of generalization stimuli that varied across tasks, settings, and people. Post treatment probes were conducted across the same generalization stimulus sets. Results for four dependent variables (problem behavior, task completion, manding, and social interactions) indicated that (a) problem behavior occurred across some but not all generalization stimulus sets during pretreatment; (b) following training, reductions of 90% or greater were observed within the context of the training stimuli; (c) reductions in problem behavior were observed for 70% of the post treatment generalization stimulus sets, but the reductions were not as large (M = 61%) as those observed with the training stimuli; and (d) the most consistent change observed during post treatment probes of generalization stimulus sets was increased task completion. Parents of all participants completed a behavior rating form and reported reductions in problem behavior across activities. Keywords: stimulus generalization, FCT, response generalization, developmental disabilities, severe problem behavior. ********** Functional communication training (FCT) has been an effective procedure for reducing the occurrence of problem behavior and increasing appropriate communicative responses for people who engage in destructive behaviors that are maintained by social stimuli, such as gaining attention, gaining access to preferred items, or escaping task demands (e.g., Brown et al., 2000; Carr & Durand, 1985; Fisher, Kuhn, & Thompson, 1998; Hanley, Iwata, & Thompson, 2001; Wacker et al., 1998). To date, the majority of research on FCT has focused on the effects of treatment within a specific training context, and the evaluations have been limited to the short-term effects of FCT on the occurrence of problem behavior and appropriate communication. To further evaluate FCT, analyses are needed on both stimulus generalization (e.g., responding across untrained antecedent stimuli such as persons, tasks, and settings) and changes in other positive social responses, such task completion and social interactions, following the completion of FCT. A few studies have evaluated the effects of FCT on behavior beyond the training context (Durand & Carr, 1991, 1992; and Durand, 1999). Durand and Carr (1991) demonstrated that reductions in problem behavior and increases in appropriate communication were maintained across untrained contexts (classroom settings, novel care providers) following FCT for 3 boys whose problem behavior was maintained by escape from academic demands. The reductions in problem behavior were maintained across non-trained stimuli over a 2-year period for 2 of the 3 participants without additional training. Similarly, Durand (1999) taught students with severe disabilities to use augmentative communication devices in their classroom to request stimuli that had been identified as maintaining problem behavior. In each case, FCT resulted in increased use of the communication device and a reduction in problem behavior in the classroom. Furthermore, use of the device increased and problem behavior decreased in community settings following the completion of FCT. Derby et al. (1997) evaluated the effects of FCT across multiple dependent variables including problem behavior, manding, toy play, and positive social behaviors with 4 young children over a 2-year period. Derby et al. demonstrated that the effects of FCT were not limited to problem behavior and manding, which were consequated directly within the FCT package. The results showed that gains in toy play and positive social behaviors occurred and were maintained for the 2-year period. …
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