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使用基于应用程序的代币经济来提高发育障碍成年人在日常生活和职业任务中的参与度。

Using an App-Based Token Economy to Increase Engagement in Daily Living and Vocational Tasks with Adults with Developmental Disabilities.

作者信息

Beahm Lydia A, Ingvarsson Einar T, Funk Noelle, Haskins Lauren, Frazier Jake

机构信息

University of Virginia, 405 Emmet Street South, Charlottesville, VA 22904 USA.

Virginia Institute of Autism, Charlottesville, VA USA.

出版信息

Behav Anal Pract. 2023 Jan 25;16(4):1-14. doi: 10.1007/s40617-023-00774-4.

Abstract

The token economy is an evidence-based practice that improves outcomes across populations, settings, and behaviors. Nonetheless, their complex nature frequently leads to ineffective implementation. In addition, little is known about the extent to which token economies are effective for increasing engagement in adults with disabilities. Therefore, we conducted a multiple probe across participants to evaluate the effectiveness of a token economy using an app (i.e., Class Dojo) to increase engagement with daily living and vocational tasks in adults with disabilities. All participants increased their engagement with tasks following the introduction of the intervention and maintained higher than baseline levels of engagement up to 6 weeks after the intervention ended. Staff members completed an anonymous survey to indicate their perception of the feasibility and effectiveness of the intervention. Social validity results indicated that some staff members found the intervention effective, but time-consuming and challenging.

摘要

代币经济是一种基于证据的实践方法,可改善不同人群、环境和行为的结果。尽管如此,其复杂的性质常常导致实施效果不佳。此外,对于代币经济在提高残疾成年人参与度方面的有效程度,人们了解甚少。因此,我们对参与者进行了多次探测,以评估使用一款应用程序(即Class Dojo)的代币经济在增加残疾成年人对日常生活和职业任务的参与度方面的有效性。在引入干预措施后,所有参与者对任务的参与度都有所提高,并且在干预结束后的6周内,参与度一直维持在高于基线的水平。工作人员完成了一项匿名调查,以表明他们对该干预措施的可行性和有效性的看法。社会效度结果表明,一些工作人员认为该干预措施有效,但耗时且具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/242b/10700275/6b69d3aec345/40617_2023_774_Fig1_HTML.jpg

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