Breiner J, Beck S
Appl Res Ment Retard. 1984;5(2):259-78. doi: 10.1016/s0270-3092(84)80006-5.
The present paper reviews the behavioral parent training literature that has focused on reducing noncompliance with developmentally delayed children. Several factors are identified which may make parental attempts to reduce developmentally delayed children's noncompliance difficult. The 13 studies reviewed are separated into group and single case approaches, and each study was assessed on a number of methodological factors. The studies generally report success in modifying non-compliance; however, the variability in the experimental rigor of the reviewed studies preclude definitive conclusions from being made at this time about the efficacy of training parents to reduce noncompliance with delayed children. As examples, only a few studies have collected parental data and home observational data. Clinical and training considerations are also discussed, such as the need to identify parental and marital characteristics that may influence training success and identify which specific training techniques are most effective in teaching parents contingency management procedures. Finally, suggestions for training parents of delayed children are offered.
本文回顾了专注于减少发育迟缓儿童不服从行为的行为家长培训文献。确定了几个可能使家长试图减少发育迟缓儿童不服从行为变得困难的因素。所回顾的13项研究分为小组和单案例方法，并且每项研究都根据一些方法学因素进行了评估。这些研究普遍报告在改变不服从行为方面取得了成功；然而，所回顾研究的实验严谨性存在差异，使得目前无法就培训家长减少发育迟缓儿童不服从行为的效果得出明确结论。例如，只有少数研究收集了家长数据和家庭观察数据。还讨论了临床和培训方面的考虑因素，比如需要确定可能影响培训成功的家长和婚姻特征，以及确定哪些具体培训技术在教导家长应急管理程序方面最有效。最后，为培训发育迟缓儿童的家长提供了建议。
