Antecedent management and compliance training improve adolescents' participation in early brain injury rehabilitation

Keith John Slifer, Cindy L. Tucker, Arlene C. Gerson, Robert C. Sevier, Alana C. Kane, Adrianna M Amari, Betsy P. Clawson

Research output: Contribution to journalArticle

Abstract

Children and adolescents with serious brain injuries are surviving in greater numbers, often entering rehabilitation settings while still emerging from coma. As the child's or adolescent's level of consciousness improves, increased demands to begin participating in self-care and therapeutic activities are presented. When the patient is unable to participate because of disorientation and agitation, the benefits of the rehabilitation admission may be jeopardized, limited rehabilitation resources may be prematurely exhausted, and behavioural sequelae often escalate. A non-concurrent multiple baseline across subjects experimental design was used to examine the effects of a behaviour management approach employing both antecedent environmental manipulations and operant conditioning-based compliance training. Data are presented on therapy attendance, disruptive behaviour, and agitation ratings across three recently brain-injured adolescents as therapeutic demands were gradually introduced. In all three cases, therapy attendance stabilized at a high level, disruptive behaviour decreased, and agitation was maintained at a moderate to low level. The results demonstrate the importance of carefully controlling the environment and coordinating the introduction of both therapeutic demands and positive reinforcement contingencies during early recovery from brain injury.

Original languageEnglish (US)
Pages (from-to)877-889
Number of pages13
JournalBrain Injury
Volume11
Issue number12
StatePublished - 1997

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Brain Injuries
Compliance
Rehabilitation
Operant Conditioning
Therapeutics
Confusion
Self Care
Coma
Consciousness
Research Design
Brain
Problem Behavior

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Slifer, K. J., Tucker, C. L., Gerson, A. C., Sevier, R. C., Kane, A. C., Amari, A. M., & Clawson, B. P. (1997). Antecedent management and compliance training improve adolescents' participation in early brain injury rehabilitation. Brain Injury, 11(12), 877-889.

Antecedent management and compliance training improve adolescents' participation in early brain injury rehabilitation. / Slifer, Keith John; Tucker, Cindy L.; Gerson, Arlene C.; Sevier, Robert C.; Kane, Alana C.; Amari, Adrianna M; Clawson, Betsy P.

In: Brain Injury, Vol. 11, No. 12, 1997, p. 877-889.

Research output: Contribution to journalArticle

Slifer, KJ, Tucker, CL, Gerson, AC, Sevier, RC, Kane, AC, Amari, AM & Clawson, BP 1997, 'Antecedent management and compliance training improve adolescents' participation in early brain injury rehabilitation', Brain Injury, vol. 11, no. 12, pp. 877-889.
Slifer, Keith John ; Tucker, Cindy L. ; Gerson, Arlene C. ; Sevier, Robert C. ; Kane, Alana C. ; Amari, Adrianna M ; Clawson, Betsy P. / Antecedent management and compliance training improve adolescents' participation in early brain injury rehabilitation. In: Brain Injury. 1997 ; Vol. 11, No. 12. pp. 877-889.
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