Mueller Michael M, Piazza Cathleen C, Moore James W, Kelley Michael E, Bethke Stephanie A, Pruett Angela E, Oberdorff Amanda J, Layer Stacy A
Marcus and Kennedy Krieger Institutes, Atlanta, Georgia 30329, USA.
J Appl Behav Anal. 2003 Winter;36(4):545-62. doi: 10.1901/jaba.2003.36-545.
Four different multicomponent training packages were evaluated to increase the treatment integrity of parents implementing pediatric feeding protocols. In Study 1 we exposed 3 parents to a training package that consisted of written protocols (baseline), verbal instructions, therapist modeling, and rehearsal training. Results suggested that the package was successful in increasing treatment integrity of the feeding protocols to high levels. Study 2 investigated three different parent-training packages comprised of components used in Study 1. Two parents were exposed to written protocols, verbal instructions, and modeling; 2 parents were exposed to written protocols, verbal instructions, and rehearsal; and 2 parents were exposed to written protocols and verbal instructions. Results of Study 2 showed that each parent-training package produced very high treatment integrity. Follow-up data in the clinic and home for 5 participants suggested that the results were durable for up to 3 months. These results demonstrate a first step in the transfer and application of research findings into routine clinical practice because we evaluated several methods for training parents to implement behavioral feeding protocols, and we demonstrated that these methods resulted in high levels of treatment integrity in a controlled clinical setting.
为提高家长实施儿科喂养方案的治疗依从性，对四种不同的多成分训练方案进行了评估。在研究1中，我们让3名家长接受了一个由书面方案（基线）、口头指导、治疗师示范和排练训练组成的训练方案。结果表明，该方案成功地将喂养方案的治疗依从性提高到了很高的水平。研究2调查了由研究1中使用的成分组成的三种不同的家长训练方案。2名家长接受了书面方案、口头指导和示范；2名家长接受了书面方案、口头指导和排练；2名家长接受了书面方案和口头指导。研究2的结果表明，每个家长训练方案都产生了非常高的治疗依从性。对5名参与者在诊所和家中的随访数据表明，结果可持续长达3个月。这些结果展示了将研究结果转化和应用于常规临床实践的第一步，因为我们评估了几种培训家长实施行为喂养方案的方法，并且我们证明了这些方法在受控的临床环境中导致了高水平的治疗依从性。
