Behavioral Training for Increasing Preschool Children's Adherence With Positive Airway Pressure: A Preliminary Study
Titel:
Behavioral Training for Increasing Preschool Children's Adherence With Positive Airway Pressure: A Preliminary Study
Auteur:
Slifer, Keith J. Kruglak, Deborah Benore, Ethan Bellipanni, Kimberly Falk, Lroi Halbower, Ann C. Amari, Adrianna Beck, Melissa
Verschenen in:
Behavioral sleep medicine
Paginering:
Jaargang 5 (2007) nr. 2 pagina's 147-175
Jaar:
2007-03-29
Inhoud:
Behavioral training was implemented to increase adherence with positive airway pressure (PAP) in 4 preschool children. The training employed distraction, counterconditioning, graduated exposure, differential reinforcement, and escape extinction. A non-concurrent multiple baseline experimental design was used to demonstrate program effects. Initially, the children displayed distress and escape-avoidance behavior when PAP was attempted. With training, all 4 children tolerated PAP while sleeping for age appropriate durations. For the 3 children with home follow-up data, the parents maintained benefits. The results are discussed in relation to behavior principles, child health, and common barriers to PAP adherence.