Department of Psychology, Western New England University.
FTF Behavioral Consulting.
J Appl Behav Anal. 2021 Jan;54(1):122-143. doi: 10.1002/jaba.762. Epub 2020 Sep 14.
Functional communication training (FCT; Carr & Durand, 1985) is a common function-based treatment in which an alternative form of communication is taught to reduce problem behavior. FCT has been shown to result in substantial reductions of a variety of topographically and functionally different types of problem behavior in children and adults (efficacy). The extent to which these reductions maintain in relevant contexts and result in meaningful changes in the lives of those impacted (effectiveness) is the focus of this paper. This review evaluates the degree to which FCT has been established as an evidence-based practice in psychology (EBPP) according to the definition set out by the American Psychological Association's 2005 Presidential Task Force on Evidence-Based Practice. Our review finds overwhelming evidence in support of FCT as an efficacious treatment but highlights significant limitations in support of its effectiveness. In order to also be recognized as an EBPP, future research on FCT will need to focus more closely on issues related to home, school, and community application, feasibility, consumer satisfaction, and more general and global changes for the individual.
功能性沟通训练（FCT；Carr 和 Durand，1985）是一种基于功能的常见治疗方法，其中教授替代形式的沟通以减少问题行为。FCT 已被证明可导致儿童和成人的各种具有不同地形和功能的问题行为的大量减少（疗效）。这些减少在相关环境中维持的程度以及对受影响者生活产生的有意义的变化（有效性）是本文的重点。本文通过美国心理协会 2005 年总统证据实践特别工作组提出的定义，评估 FCT 在心理学中作为循证实践（EBPP）的程度。我们的综述发现，有压倒性的证据支持 FCT 作为一种有效的治疗方法，但也强调了支持其有效性的显著局限性。为了也被认可为循证实践，未来关于 FCT 的研究需要更紧密地关注与家庭、学校和社区应用、可行性、消费者满意度以及个体更普遍和更全面的变化相关的问题。
