The literature on the systematic application of delay and denial to reinforcement is limited to specific delivery models (i.e., in-person discrete teaching) and particular settings (i.e., highly controlled laboratory or clinical settings). The purpose of the current study is threefold: 1) to extend previous research on a functional communication and delay and denial tolerance training by teaching procedures to caregivers systematically via a telehealth service delivery model, 2) to evaluate delayed access to reinforcement in different clinical populations, and 3) to modify previously published procedures in order to increase participant exposure to evocative setting events. Parents were trained to deliver all direct assessment and intervention procedures to five children, aided by in vivo coaching by their therapists. All participants were able to meet their terminal wait criterion while achieving behavior reductions greater than 90% of baseline. Implications for continued use of telehealth as a primary means of service delivery are discussed.

中文翻译：

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评估延迟和拒绝容忍计划，以增加通过远程医疗培训的适当等待

关于系统应用延迟和拒绝强化的文献仅限于特定的交付模式（即面对面的离散教学）和特定环境（即高度控制的实验室或临床环境）。本研究的目的有三个：1）通过远程医疗服务提供模型系统地向护理人员教授程序，扩展先前关于功能性沟通和延迟和拒绝容忍训练的研究，2）评估不同临床人群的延迟获得强化, 和 3) 修改以前发布的程序，以增加参与者接触令人回味的环境事件。在治疗师的体内指导的帮助下，父母接受了培训，可以为五个孩子提供所有直接评估和干预程序。所有参与者都能够满足他们的终端等待标准，同时实现超过基线 90% 的行为减少。讨论了继续使用远程医疗作为提供服务的主要手段的影响。