Contingent social reinforcement for fluid compliance in a hemodialysis patient.
Two approaches, (a) patient education and (b) compliance-contingent social reinforcement, were employed to improve compliance with fluid restrictions in a chronically noncompliant hemodialysis patient of borderline intellectual functioning. Results indicated that only social reinforcement led to improved compliance (i.e., decreased intersession weight gain). Treatment effects were well maintained at both 3- and 6-month follow-ups. Contingency management strategies are recommended as a potentially cost effective treatment for noncompliance in hemodialysis patients.
University of Mississippi Medical Center.
T H
TH
Mosley
A R
AR
Eisen
B K
BK
Bruce
P J
PJ
Brantley
T B
TB
Cocke
D000328:Adult; D001294:Attitude to Health; D001521:Behavior Therapy; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000628:therapy*; D010349:Patient Compliance; D012056:Reinforcement, Social; D006435:Renal Dialysis / Q000523:psychology*; D014743:Videotape Recording