Training Children With Asthma to Use Inhalation Therapy Equipment1

Renne, Charles M.; Creer, Thomas L.

doi:10.1901/jaba.1976.9-1

Cited by 54 publications

(3 citation statements)

References 10 publications

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“…Using shaping, modeling, and reinforcement, they taught children with asthma to correctly use the nebulizer during attacks. Renne and Creer (1976) observed that many children with asthma did not use a compressor-driven nebulizer correctly. A behavioral analysis of their children's behavior indicated that they had to coordinate three responsesdiaphragmatic breathing, attending to the apparatus, and inhaling the dispensed medication correctly-in order for the apparatus to achieve this goal.…”

Section: Shapingmentioning

confidence: 99%

Adherence to Asthma Regimens

Creer

Levstek

1997

Handbook of Health Behavior Research II

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Section: Shapingmentioning

confidence: 99%

Adherence to Asthma Regimens

Creer

Levstek

1997

Handbook of Health Behavior Research II

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“…For this reason, it is important to teach children to comply with lens insertion and removal. Shaping, the differential reinforcement of successive approximations to an end goal (Catania, 1984), has been used successfully to teach a variety of skills, induding conversation skills (Bourgeois, 1990), glasses use (Wolf, Risley, & Mees, 1964), inhalation therapy responses (Renne & Creer, 1976), and compliance with radiation therapy (Mathews & Grantmyre, 1985). The purpose of this study was to document and evaluate systematically the effectiveness of a shaping procedure to teach contact lens use in young children.…”

mentioning

confidence: 99%

Teaching Young Children to Use Contact Lenses

Mathews¹,

Hodson²,

Crist³

et al. 1992

J of App Behav Analysis

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Young children with surgically removed lenses and extreme nearsightedness can benefit from contact lenses, but their parents may need instruction to teach their children to accept lenses. In this study, 4 children under the age of 5 years were taught contact lens wear using a shaping procedure. Compliance was rewarded with praise and tangibles, and noncompliance was followed with brief time-out for 3 of the children and restraint for the 4th. Three children showed high compliance during an initial shaping procedure, with a decrease in compliance during initial insertion of the lenses. At 3- to 10-month follow-up, levels of compliance were high. Insertion and removal of lenses were accomplished in substantially less time, with little crying and no need for time-out. All 3 children continue to use the lenses daily, and 2 have shown improved visual acuity. The 4th child, who has Down syndrome, showed low levels of compliance with need for physical restraint throughout. Although his parents reported high compliance when he first went home, fitting difficulties and an infection resulted in plummeting of compliance, and contact lens use was discontinued. This procedure has been used successfully at the same hospital with 11 of 13 other children between the ages of 14 months and 7 years 4 months. Implications for selection of suitable candidates for this intervention and ways to decrease costs are discussed.

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“…Studies investigating tha use of behavioral techniques in the treatment of health-related problems have recently rt-)cei ved considerable emphasis. Problems such as enuresis (At~howe, 1972;Nordquist, 1971), obesity (Stuart, 19137), a.lc.oholism (Miller, 1972;Sobell and Sobell, 1973), chronic patn (Fordyce, Fowler, Lehman, and DeLateur, 1975•), and asthma (Neisworth, 1972;Renne and Creer. 1976 learning best occurs, and the variables that control behavior, might well facilitate patient recovery and make rehabilitation and patient-management programs more successful.…”

mentioning

confidence: 99%