title: Effects of Antecedent Manipulations and Social Reinforcement to Increase Lateral Positioning in a Premature Infant with Obstructive Sleep Apnea.
abstract: Recent research suggests supine positioning for sleeping infants is the safest position to prevent breathing related difficulties; however doing so can significantly increase obstruction in apneic infants resulting in decreased sleep quality. We implemented a multi-component treatment package compromised of antecedent interventions and parent-mediated social reinforcement to increase lateral positioning in a premature infant with obstructive sleep apnea. Results indicate that the intervention increased lateral positioning in the participant by over 80 % in the final phase of the study, indicating efficacy of the intervention. Limitations and suggestions for future research are discussed.
authors.affiliation: School of Psychology, Fielding Graduate University, 2020 De La Vina St, Santa Barbara, CA 93105 USA.
authors.forename: Harry
authors.initials: H
authors.lastname: Voulgarakis
authors.affiliation: The Center for Children with Special Needs, Glastonbury, CT USA.|Institute for Behavioral Studies, Endicott College, Boston, MA USA.
authors.forename: Solandy
authors.initials: S
authors.lastname: Forte
authors.affiliation: School of Psychology, Fielding Graduate University, 2020 De La Vina St, Santa Barbara, CA 93105 USA.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Giacomelli
authors.affiliation: School of Psychology, Fielding Graduate University, 2020 De La Vina St, Santa Barbara, CA 93105 USA.|David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA USA.
authors.forename: Debra
authors.initials: D
authors.lastname: Bendell-Estroff
authors.affiliation: San Diego School of Medicine, University of California, San Diego, CA USA.
authors.forename: Henry
authors.initials: H
authors.lastname: Krous
keywords: Infant behavior; Premature infants; Side sleeping; Sleep apnea; Stimulating objects; Supine sleep