Behavioral training for increasing preschool children's adherence with positive airway pressure: a preliminary study.
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.
Slifer
Keith J
KJ
Department of Behavioral Psychology, Kennedy Krieger Institute and Departments of Psychiatry and Pediatrics, Johns Hopkins University School of Medicine. Slifer@Kennedykrieger.org
Kruglak
Deborah
D
Benore
Ethan
E
Bellipanni
Kimberly
K
Falk
Lroi
L
Halbower
Ann C
AC
Amari
Adrianna
A
Beck
Melissa
M
D001521:Behavior Therapy / Q000379:methods*; D002675:Child, Preschool; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance; D012054:Reinforcement, Psychology; D020181:Sleep Apnea, Obstructive / Q000628:therapy*