Behavioral training for increasing Preschool children's adherence with positive airway pressure: A preliminary study

Keith John Slifer, Deborah Kruglak, Ethan Benore, Kimberly Bellipanni, Lori Falk, Ann C. Halbower, Adrianna M Amari, Melissa Beck

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Pages (from-to)147-175
Number of pages29
JournalBehavioral Sleep Medicine
Issue number2
Publication statusPublished - 2007


ASJC Scopus subject areas

  • Clinical Neurology
  • Medicine (miscellaneous)
  • Neuroscience (miscellaneous)
  • Psychology (miscellaneous)
  • Medicine(all)

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