Allen K D, Loiben T, Allen S J, Stanley R T
Meyer Rehabilitation Institute, University of Nebraska Medical Center, Omaha 68198-5450.
J Appl Behav Anal. 1992 Fall;25(3):629-36. doi: 10.1901/jaba.1992.25-629.
We evaluated the effectiveness of a dentist-implemented intervention in which brief escape from dental treatment was provided to manage disruptive child behavior during restorative dental treatment. Within a multiple baseline design across subjects, 4 children, aged 3 to 7 years, were provided temporary escape from dental treatment contingent upon brief periods of cooperative behavior. Disruptive behavior decreased when the appropriate escape contingency was used at least 80% of the time. The escape contingency required no more time than traditional management procedures (e.g., tell-show-do, reprimands and loud commands, restraint) to bring disruptive behavior under control. Independent ratings by two dentists provided social validation of the efficacy of the escape contingency.
我们评估了一种由牙医实施的干预措施的效果，该干预措施是在修复性牙科治疗期间，通过提供短暂脱离牙科治疗的方式来管理儿童的破坏性行为。在一项针对多个受试者的多基线设计中，4名年龄在3至7岁的儿童，在出现短暂合作行为时，会获得暂时脱离牙科治疗的机会。当至少80%的时间使用适当的逃避条件时，破坏性行为会减少。与传统管理程序（如告知-展示-做、斥责和大声命令、约束）相比，逃避条件控制破坏性行为所需的时间并不更长。两名牙医的独立评级为逃避条件的有效性提供了社会验证。
