Allen K D, Warzak W J
Munroe-Meyer Institute for Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha 68198-5450,USA.
J Appl Behav Anal. 2000 Fall;33(3):373-91. doi: 10.1901/jaba.2000.33-373.
Applied behavior analysts have developed many effective interventions for common childhood problems and have repeatedly demonstrated that childhood behavior responds to properly managed contingencies. The success of these interventions is dependent upon their basic effectiveness, as demonstrated in the literature, their precise delivery by the clinician to the parent, and adherence to or consistent implementation of the intervention. Unfortunately, arranging the consistent implementation of effective parenting strategies is a significant challenge for behavior analysts who work in homes, schools, and outpatient or primary care clinics. Much has been done to address issues of adherence or implementation in the clinic, but relatively little has been done to increase our understanding of the contingencies that affect parental adherence beyond the supervised clinic environment. An analysis of the contingencies that strengthen or weaken adherence might suggest strategies to improve implementation outside the clinic setting. What follows is an analysis of the variables associated with adherence by parents to recommendations designed to solve common childhood problems.
应用行为分析师已经针对常见的儿童问题开发了许多有效的干预措施，并反复证明儿童行为会对妥善管理的意外情况做出反应。这些干预措施的成功取决于其基本有效性（如文献所示）、临床医生向家长的精确传授，以及对干预措施的坚持或持续实施。不幸的是，对于在家庭、学校以及门诊或初级保健诊所工作的行为分析师而言，安排有效育儿策略的持续实施是一项重大挑战。在诊所中，为解决依从性或实施问题已经做了很多工作，但在增进我们对影响家长在受监督的诊所环境之外的依从性的意外情况的理解方面，所做的工作相对较少。对强化或削弱依从性的意外情况进行分析，可能会提出改善诊所环境之外的实施情况的策略。以下是对与家长遵守旨在解决常见儿童问题的建议相关的变量的分析。
