Teaching developmentally disabled children with chronic illness to swallow prescribed capsules

Autor: R L, Babbitt, J M, Parrish, P E, Brierley, M A, Kohr
Rok vydání: 1991
Předmět:
Zdroj: Journal of developmental and behavioral pediatrics : JDBP. 12(4)
ISSN: 0196-206X
Popis: Child noncompliance with prescribed medical regimens, including nonacceptance of oral medication, frequently impedes medical treatment and achievement of clinical aims. During this study, we used a single-subject experimental design to evaluate the effectiveness of a capsule-swallowing training curriculum specifically developed to promote acceptance of oral medication by multihandicapped children. Four such children participated, each diagnosed with a chronic pediatric illness requiring daily intake of oral medication. Training consisted of verbal instruction, demonstration, reinforcement for swallowing candies/capsules progressively larger in size, ignoring mild inappropriate behavior, and gradually providing less guidance and structure. In each case, the curriculum produced routine independent swallowing of prescribed capsules/tablets. Follow-up assessments, coupled with parent satisfaction ratings, suggest that skill acquisition was both enduring and clinically significant. This study validates a brief, readily exportable, and effective approach to teaching handicapped children to swallow capsules.
Databáze: OpenAIRE