Behavioural contracts can be useful when the student has behavioural problems in places other than the classroom (for example. B art room, cafeteria). Once a classroom behaviour contract has been proven, the course director may meet with the student to extend the contractual terms by several adjustments. Adults at these other school sites would then be responsible for assessing the student`s behaviour during the period during which the student is with them. It is rarely easy to deal with disruptive or demanding behaviour. However, some strategies make things easier. If the behaviour is serious or repeated, it may be helpful to arrange a meeting with a student for the implementation of a behavioral agreement. Early research uses behavioural approaches, including reinforcement and direct advice to improve computational skills. For example, Pavchinski, Evans and Bostow (1989) described an intervention with a 12-year-old student with learning disabilities to improve basic reading and math skills. Based on a changing criteria design and token reinforcement system, dagger sight words were presented to the student and a second set of measures consisting of a list of 220 simple computational problems. Tokens that have been won to meet the target criterion can be exchanged for quotas. Similarly, Hastings, Raymond and McLaughlin (1989) used task analysis and direct teaching procedures and successfully trained seven students, including two mentally disabled, to account for quick money. It can improve communication between home and school.
Ideally, you and your child, your teacher and you will be present when the behavioural goals are set. The school social worker, psychologist and/or behaviouralist may also participate in this meeting. This will keep you all on the same side. To improve a person`s motivation to achieve these goals, a procedure called behavioural contracting is often used. The behaviour contract includes a clear indication of behaviour goals in terms of frequency, duration or intensity (e.g.B. „I agree to walk at least 5 days a week for at least 30 minutes a day“). A behavior contract usually involves a kind of reinforcement contingent for goal success (z.B. „If I meet my training goal for this week, I will reward myself by purchasing a copy of my favorite magazine“). There is a growing awareness of obesity as a medical disorder that is available for surgical treatment. The debate over whether obesity should be coded as a disease, when few countries, such as the United States and Canada, have already done so,1,2 There has been an important shift in the understanding of the pathophysiology of obesity and comorbidities. However, the treatment methods available are still very limited.
The different non-surgical treatments for obesity are based on motivational consultations, behavioral modification sessions, behavioral contractions, amplifications, goals, psychological interventions, dietary modifications and very few pharmacological agents. Current results from various studies suggest that non-surgical procedures lead to about 1% to 5% of total body weight loss.3,4 Unfortunately, these measures are not found to produce lasting weight loss and improvement with weight comorbidities in the majority of morbidly obese patients. In contrast, bariatric surgery showed a significant decrease in weight in several studies. A systematic review by Gloy et al.5 with a meta-analysis of 11 randomized controlled studies (RCT) concluded: That bariatric surgery resulted in significantly higher body weight loss and an increase in remission rates of type 2 diabetes, although the results were limited to a 2-year follow-up and were based on a small number of studies and individuals.5 The Swedish study on obesity-related subjects showed that a significant change in body weight was 23% after 2, 10, 15 and 20 years, 17%, 16% and 18% in the surgical group.