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Sequential Evaluation of Reinforced Compliance and Graduated Request Delivery for the Treatment of Noncompliance in Children with Developmental Disabilities

机译:对发展性残疾儿童不依从行为的强化依从性和分级要求交付的顺序评估

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摘要

Errorless compliance training is a recently developed approach that has been demonstrated to be effective in treating severe oppositional behavior in children. In conjunction with several ancillary techniques, the approach comprises two fundamental components: reinforcement for child compliance and delivery of requests in a four-level hierarchy, from requests that yield high levels of compliance to those that yield low levels. To determine the relative contribution of each component, four children with developmental disabilities and severe oppositional behavior were observationally assessed in baseline and then treated using reinforcement following each instance of compliance to parental requests. Following this first treatment phase, we used the graduated request hierarchy in conjunction with reinforced compliance. Results indicated that use of reinforcement for compliance in isolation was ineffective in bringing about clinically significant improvements in child compliance. The addition of the graduated request hierarchy appeared to be associated with substantial changes in child compliance that maintained in follow-up assessments.
机译:无错服从训练是最近开发的一种方法,已被证明可有效治疗儿童的严重对立行为。结合几种辅助技术,该方法包括两个基本组成部分:加强对孩子的依从性,以及在四个级别的层次结构中传递请求,从产生较高遵从性的请求到产生较低遵从性的请求。为了确定每个组成部分的相对贡献,在基线观察观察了四个发育障碍和严重对立行为的孩子,然后在每次符合父母要求的情况下使用强化治疗。在第一个处理阶段之后,我们结合了增强的合规性使用了分级的请求层次结构。结果表明,单独使用强化来实现依从性对改善儿童依从性的临床意义不佳。分级请求等级的增加似乎与后续评估中保持的儿童依从性的重大变化有关。

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