Altman K, Bondy A, Hirsch G
J Behav Med. 1978 Dec;1(4):403-12. doi: 10.1007/BF00846696.
Self-monitoring combined with contingency contracting resulted in weight loss, modification of dysfunctional eating habits, and increased or sustained exercise rates for two obese, mentally retarded adolescent females with Prader-Willi syndrome. Contingency contracting between clients and their parents/caregivers was used to specify consequences for daily self-monitoring, reduced caloric intake, weight loss, and exercise. Punishment for food stealing was also employed. Results suggest that contingency contracting is an effective technique for producing long-term weight loss in obese mentally retarded adolescents. Further, these techniques offer an alternative to the clinician considering solely dietary restriction or surgical intervention.
自我监测与权变契约相结合，使两名患有普拉德-威利综合征的肥胖智障青少年女性实现了体重减轻、不良饮食习惯的改变，以及运动频率的提高或维持。服务对象与其父母/照顾者之间采用权变契约来明确日常自我监测、减少热量摄入、体重减轻和运动的结果。还对偷食行为进行了惩罚。结果表明，权变契约是使肥胖智障青少年长期减重的有效方法。此外，这些方法为临床医生提供了一种替代方案，使其无需仅考虑饮食限制或手术干预。
