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医疗保健中基于激励的治疗基础:一个为研究和实践提供信息的行为分析框架。

The ABCs of incentive-based treatment in health care: a behavior analytic framework to inform research and practice.

作者信息

Meredith Steven E, Jarvis Brantley P, Raiff Bethany R, Rojewski Alana M, Kurti Allison, Cassidy Rachel N, Erb Philip, Sy Jolene R, Dallery Jesse

机构信息

Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Department of Psychology, University of Florida, Gainesville, FL, USA.

出版信息

Psychol Res Behav Manag. 2014 Mar 19;7:103-14. doi: 10.2147/PRBM.S59792. eCollection 2014.

Abstract

Behavior plays an important role in health promotion. Exercise, smoking cessation, medication adherence, and other healthy behavior can help prevent, or even treat, some diseases. Consequently, interventions that promote healthy behavior have become increasingly common in health care settings. Many of these interventions award incentives contingent upon preventive health-related behavior. Incentive-based interventions vary considerably along several dimensions, including who is targeted in the intervention, which behavior is targeted, and what type of incentive is used. More research on the quantitative and qualitative features of many of these variables is still needed to inform treatment. However, extensive literature on basic and applied behavior analytic research is currently available to help guide the study and practice of incentive-based treatment in health care. In this integrated review, we discuss how behavior analytic research and theory can help treatment providers design and implement incentive-based interventions that promote healthy behavior.

摘要

行为在健康促进中起着重要作用。运动、戒烟、坚持服药以及其他健康行为有助于预防甚至治疗某些疾病。因此,促进健康行为的干预措施在医疗环境中越来越普遍。许多此类干预措施会根据与预防健康相关的行为给予奖励。基于奖励的干预措施在几个方面存在很大差异,包括干预的目标人群、目标行为以及所使用的奖励类型。仍需要对许多这些变量的定量和定性特征进行更多研究,以为治疗提供依据。然而,目前有大量关于基础和应用行为分析研究的文献,可帮助指导医疗保健中基于奖励的治疗的研究和实践。在这篇综合综述中,我们讨论行为分析研究和理论如何帮助治疗提供者设计和实施促进健康行为的基于奖励的干预措施。

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