The effects of behavioural contracting and preferred reinforcement on appointment keeping

Robert A. Hayes, Lisa A. Efron, Gina S. Richman, Kelley A. Harrison, Elizabeth L. Aguilera

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


The current study demonstrates the efficacy of using a behavioural contingency contract in conjunction with family-selected reinforcers to increase appointment keeping among low income families in a child and family therapy clinic. Three families with similar presenting problems participated. A multiple baseline across-subjects design with the addition of a reversal component was utilised. Upon treatment implementation, contracts were signed by family members stating that they would receive coupons valuing $30.00 after attending four consecutive clinic appointments. These coupons were selected by the family from a diverse menu. Results indicated increases in appointment keeping following implementation of the behavioural contract. The cost effectiveness of using a behavioural contract in conjunction with economic incentives with low-income families in discussed, and suggestions for future research on appointment keeping are made.

Original languageEnglish (US)
Pages (from-to)90-96
Number of pages7
JournalBehaviour Change
Issue number2
StatePublished - 2000

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology


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