Translational Research on NCR Interventions for Behavior Disorders

NCR 行为障碍干预措施的转化研究

• 批准号: 7256817
• 负责人: ISER DELEON
• 金额: $ 19.66万
• 依托单位: HUGO W. MOSER RES INST KENNEDY KRIEGER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-01 至 2009-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7256817
• 关键词: Address; Adverse effects; Behavior; Behavior Disorders; Behavioral; Caring; Clinical; Developmental Disabilities; Effectiveness; Evaluation; Individual; Intervention; Literature; Modeling; Outcome; Problem behavior; Process; Psychological reinforcement; Reinforcement Schedule; Relative (related person); Research; Research Design; Resistance; Schedule; Selection for Treatments; Series; Sorting - Cell Movement; Standards of Weights and Measures; Therapeutic; Time; Translational Research; base; comparative; design; hedonic; reinforcer; response

DESCRIPTION (provided by applicant): The current standard of care in the treatment of the severe behavior disorders of individuals with developmental disabilities relies on (1) identifying the environmental variables that give rise to and maintain (reinforce) the problem behavior and (2) arranging for the relevant reinforcers to be delivered in a manner that displaces their procurement through problem behavior. Noncontingent reinforcement (NCR) is a therapeutic arrangement, based on this model, in which the reinforcer hypothesized to maintain a problem behavior is delivered on a response-independent, time-based schedule. This form of intervention has grown increasingly popular over the past decade, its popularity largely driven by its ease of implementation relative to other common interventions and demonstrated effectiveness in decreasing problem behavior during protracted evaluations and under limited circumstances. However, NCR may have unknown detrimental effects under arrangements that go beyond the typical treatment evaluation, often predicted by research on basic behavioral process that has yet to fully come into contact with the treatment literature. This proposal describes an exploratory, translational project designed to evaluate the impact of these basic behavioral processes (behavioral momentum, hedonic constrast, and behavioral reinstatement) on interventions built upon the noncontingent delivery of reinforcers. Specific studies will determine the extent to which NCR enhances the resistance of problem to other forms of intervention, produces an increae in levels of problem behavior in non- treatment settings, and reinstates probelm behavior that had previously been reduced through other forms of intervention. These questions will be answered through a series of comparative treatment evaluations in which the effects of NCR will be compared with the effects of parallel interventions that rely on the contingent reinforcer delivery or more simply, the absence of free reinforcement. The proposed studies will form the basis of a larger objective to determine the optimal therapeutic arrangements for this and related interventions. Thus, the outcomes have significant potential to impact treatment selection for individuals that display severe behavior disorders. 7. Project Narrative Noncontingent reinforcement (NCR) is an increasingly common intervention for the severe behavior disorders of individuals with developmental disabilities. However, certain basic behavioral processes, yet to be examined in a clinical context, predict that NCR may increase behavior problems when it is not being directly implemented or may weaken the effects of other interventions. This project will determine the extent to these side effects occur as a first step towards determining how they can be avoided.

描述（由申请人提供）：治疗发育障碍个体严重行为障碍的当前护理标准依赖于（1）确定引起并维持（增强）问题行为的环境变量，以及（2）与相关的增强剂以通过问题行为取代其采购的方式。非态增强（NCR）是基于该模型的治疗布置，在该模型中，假设维持问题行为的增强器是在无响应的，基于时间的时间表上提供的。在过去的十年中，这种干预形式越来越受欢迎，它的受欢迎程度在很大程度上是由于其相对于其他常见干预措施的易于实施而驱动的，并且在降低长期评估和有限情况下降低问题行为的有效性。但是，NCR在安排下可能具有未知的有害影响，这些效果超出了典型的治疗评估，通常通过对尚未完全与治疗文献接触的基本行为过程进行的研究来预测。该提案描述了一个探索性的转化项目，旨在评估这些基本行为过程（行为动量，享乐主义者约束和恢复行为恢复）对基于增强剂的非诱因的干预措施的影响。具体的研究将确定NCR在多大程度上增强问题对其他形式的干预措施的抵抗力，在非治疗环境中产生问题行为水平的增量，并恢复以前通过其他形式的干预措施降低的概率行为。这些问题将通过一系列的比较治疗评估来回答，在这些评估中，将NCR的影响与依赖于偶然的增强剂交付或更简单的平行干预措施的影响进行比较。拟议的研究将构成更大目标的基础，以确定针对此和相关干预措施的最佳治疗安排。因此，结果具有影响表现出严重行为障碍的个体的治疗选择的巨大潜力。 7.项目叙事非敏化强化（NCR）是针对发育障碍个体的严重行为障碍的日益普遍干预措施。但是，某些基本的行为过程尚未在临床环境中进行检查，预测NCR在未直接实施时可能会增加行为问题，或者可能会削弱其他干预措施的影响。该项目将确定这些副作用的程度是确定如何避免它们的第一步。