Melmark New England.
J Appl Behav Anal. 2021 Apr;54(2):654-667. doi: 10.1002/jaba.774. Epub 2020 Oct 5.
This discussion article considers applied behavior analysis measurement, assessment, and treatment of sleep and sleep-related problems among infants, children, and youth who are typically developing and have neurodevelopmental disabilities. Measurement has concentrated on designing practitioner-implemented methods and improving fidelity of data recording through sleep-monitoring instrumentation. The emphasis of assessment is identifying antecedent and consequence variables that promote sleep and evoke and maintain sleep-related problems. Treatment research has evaluated several effective interventions for problems such as delayed sleep-onset, night and early morning waking, bedtime resistance, and unwanted co-sleeping. Early and contemporary applied behavior analysis research is reviewed relative to function-based treatment formulation, intervention integrity, social validity, and research-to-practice translation.
本文讨论了应用行为分析在测量、评估和治疗婴儿、儿童和青少年的睡眠及与睡眠相关问题方面的应用，这些儿童和青少年的发育和神经发育正常。在测量方面，研究主要集中在设计从业者实施的方法上，并通过睡眠监测仪器提高数据记录的准确性。评估的重点是确定促进睡眠和引发并维持与睡眠相关问题的前因和后果变量。治疗研究已经评估了几种有效的干预措施，用于解决入睡延迟、夜间和清晨早醒、睡前抗拒和不想要的同床共睡等问题。本文回顾了早期和当代应用行为分析研究，涉及基于功能的治疗方案、干预完整性、社会有效性以及研究到实践的转化。
