Behavioral intervention to reduce child distress during self-injection.
We investigated the effects of a cognitive-behavioral treatment package on reduction of anticipatory fear of pain during self-administered insulin injections. Two patients diagnosed with insulin-dependent diabetes mellitus participated. An ABAB design was employed; the intervention conditions consisted of cue-controlled breathing, filmed modeling, pacing, and reinforcement. A substantial reduction in the mean time for injection and a reduction in behaviors indicative of anticipatory distress were achieved under intervention conditions. The clinical importance of the study is discussed and areas for future research are identified.
Moore
K E
KE
University of Florida Health Science Center, Gainsville 32610-0234, USA.
Geffken
G R
GR
Royal
G P
GP
D000293:Adolescent; D001521:Behavior Therapy; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007267:Injections / Q000523:psychology*; D007328:Insulin / Q000008:administration & dosage*; D012646:Self Administration / Q000523:psychology*; D013315:Stress, Psychological / Q000517:prevention & control*
D007328:Insulin