Simulation and Counterconditioning as Adjuncts to Pharmacotherapy for Invasive Pediatric Procedures

Keith John Slifer, Roberta L. Babbitt, Marilyn D. Cataldo

Research output: Contribution to journalArticle

Abstract

Behavioral counterconditioning was conducted during simulated medical routines to supplement medical management of five children's distress during invasive procedures (bone marrow aspiration, lumbar puncture, tracheostomy care, venipuncture, and finger pricks). Preferred activities were paired in vivo with medical stimuli, and differential positive reinforcement was provided contingent on engagement with the preferred activities and on compliance with adult instructions, first during simulations and later during actual procedures. Data on cooperation, escape/avoidance, and negative vocalizations were evaluated using both single-subject experimental methods and a baseline-treatment group statistical comparison. Results support the benefits of this approach as an adjunctive intervention to decrease behavioral distress in some children requiring repeated invasive procedures. Discussion emphasizes the potential for training medical personnel to implement these techniques preventively, for decreasing or discontinuing sedation for some children treated under local anesthesia, and for preparing children with developmental disabilities for invasive procedures.

Original languageEnglish (US)
Pages (from-to)133-141
Number of pages9
JournalJournal of Developmental and Behavioral Pediatrics
Volume16
Issue number3
StatePublished - 1995

Fingerprint

Pediatrics
Drug Therapy
Developmental Disabilities
Spinal Puncture
Phlebotomy
Tracheostomy
Disabled Children
Local Anesthesia
Fingers
Bone Marrow
Therapeutics

Keywords

  • behavior therapy
  • invasive procedures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Psychiatry and Mental health
  • Developmental and Educational Psychology
  • Behavioral Neuroscience
  • Psychology(all)

Cite this

Simulation and Counterconditioning as Adjuncts to Pharmacotherapy for Invasive Pediatric Procedures. / Slifer, Keith John; Babbitt, Roberta L.; Cataldo, Marilyn D.

In: Journal of Developmental and Behavioral Pediatrics, Vol. 16, No. 3, 1995, p. 133-141.

Research output: Contribution to journalArticle

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