Training children with autism spectrum disorders to be compliant with a physical exam

Cuvo, Anthony J.; Reagan, Amanda Law; Ackerlund, Julie; Huckfeldt, Rachel; Kelly, Cheri W.

doi:10.1016/j.rasd.2009.09.001

Cited by 44 publications

(30 citation statements)

References 10 publications

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“…That is, the DRO procedure may prevent the occurrence of challenging behaviors that are evoked by the response blocking procedure implemented in DNRO. Researchers have used DRO alone and as part of treatment packages, to increase compliance with medical procedures (Carton & Schweitzer, ; Cuvo, Godard, Huckfeldt, & DeMattei, ; Cuvo, Reagan, Ackerlund, Huckfeldt, & Kelly, ; Goetz, Holmberg, & LeBlanc, ; Shabani & Fisher, ), but we found no study that focused solely on wearing a medical device. As children with ASD may need to wear medical devices for assessment and treatment of some co‐occurring conditions, examining the effects on an intervention that does not require response blocking appears important.…”

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confidence: 85%

Increasing compliance with wearing a medical device in children with autism

Dufour

Lanovaz

2019

J of App Behav Analysis

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Health professionals often recommend the use of medical devices to assess the health, monitor the well-being, or improve the quality of life of their patients. Children with autism may present challenges in these situations as their sensory peculiarities may increase refusals to wear such devices. To address this issue, we systematically replicated prior research by examining the effects of differential reinforcement of other behavior (DRO) to increase compliance with wearing a heart rate monitor in 2 children with autism. The intervention increased compliance to 100% for both participants when an edible reinforcer was delivered every 90 s. The results indicate that DRO does not require the implementation of extinction to increase compliance with wearing a medical device. More research is needed to examine whether the reinforcement schedule can be further thinned.

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confidence: 85%

Increasing compliance with wearing a medical device in children with autism

Dufour

Lanovaz

2019

J of App Behav Analysis

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“…We constructed an examination hierarchy through consultation with nursing staff at the school and similar to the protocol by Cuvo et al (2010). As shown in Table 1, the hierarchy had 12 steps that corresponded to the procedures, which comprised a medical examination.…”

Section: Measurementmentioning

confidence: 99%

Teaching an adolescent with autism and intellectual disability to tolerate routine medical examination: Effects of a behavioral compliance training package.

Cavalari¹,

DuBard²,

Luiselli³

et al. 2013

Clinical Practice in Pediatric Psychology

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The present study evaluated graduated exposure and positive reinforcement in a compliance training intervention package with an adolescent female who had autistic disorder, intellectual disability, and long-standing avoidance of routine medical examination. Intervention consisted of slowly introducing her to a 12-step examination hierarchy and reinforcing compliant responding within a changing criterion experimental design. Reinforcement for appropriate alternative behavior and modeling were also components of intervention. A behavioral clinician first implemented procedures that were subsequently generalized to nurses. The participant learned to comfortably tolerate a medical examination that she had resisted for nearly 2 years. We discuss clinical and research implications of the case.

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“…Children with autism and other developmental disabilities may display noncompliant or avoidant behavior in the presence of specific stimuli or events. Such problem behavior may decrease the individual's compliance with prescribed dental or medical procedures (e.g., Altabet, 2002; Cuvo, Reagan, Ackerlund, Huckfelddt, & Kelly, 2010; Richling, Rapp, Carroll, Smith, Nystedt, & Siewert, in press; Shabani & Fisher, 2006), increase aberrant behaviors in public places (e.g., Ricciardi, Luiselli, & Camare, 2006), or both. A variety of behavioral interventions have been used to increase individuals' proximity to or tolerance of an avoided stimulus or event.…”

Section: Introductionmentioning

confidence: 99%

Increasing compliance with haircuts in a child with autism

Schumacher

Rapp

2010

Behavioral Interventions

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Using a changing-criterion design, we evaluated the effects of providing a preferred edible item and escape from sitting contingent on a child's compliance with sitting during haircuts. Results indicated that the intervention eliminated the child's escape responses and increased his sitting to a duration that permitted regular haircuts by his mother. Follow-up sessions showed that the participant's increased compliance during haircuts continued for over 2 months.

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Training children with autism spectrum disorders to be compliant with a physical exam

Cited by 44 publications

References 10 publications

Increasing compliance with wearing a medical device in children with autism

Increasing compliance with wearing a medical device in children with autism

Teaching an adolescent with autism and intellectual disability to tolerate routine medical examination: Effects of a behavioral compliance training package.

Increasing compliance with haircuts in a child with autism

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