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Behavioural treatment of non-compliance ... y acquired spinal cord injuries
Behavioural treatment of non-compliance in adolescents with newly acquired spinal cord injuries
2229
<p>PURPOSE: To demonstrate the efficacy of using differential reinforcement to treat non-compliance in adolescents with spinal cord injury. METHOD: A case series design was used to examine three adolescents (aged 14-16 years) with tetraplegia who received multi-disciplinary rehabilitation treatment and a behavioural contract programme during an in-patient hospital admission. Assessment included collecting data on each patient's weekly percentage of compliance with all rehabilitation goals, weekly percentage of negative affect observed in therapy sessions and scores on a measure of mobility in physical therapy. RESULTS: Compliance with rehabilitation demands improved from a baseline of 20-65% to 80% or greater after the patients received differential reinforcement for participating in the rehabilitation regimen. Patients exhibited less anger, sadness and frustration during therapy sessions once contracts were started. CONCLUSIONS: The adolescents demonstrated greater compliance after the implementation of a behavioural contract. Future studies should identify the specific variables that affect psychological adjustment and predict 'readiness' to participate in rehabilitation.</p>
Gorski JA, Slifer KJ, Townsend V, Kelly-Suttka J, Amari A
Pediatric rehabilitation
2005-07-01 00:00
8
3
187-98
Adaptation, Psychological,Adolescent,Anger,Anxiety,Behavior Therapy,Cervical Vertebrae,Contracts,Depression,Female,Frustration,Goals,Humans,Male,Motor Activity,Patient Admission,Patient Compliance,Patient Participation,Physical Therapy Modalities,Quadripl
The Kennedy Krieger Institute, Maryland, USA. joanneg@blythedale.org
1363-8491
10.1080/13638490400021438
X20E0XDY1EEGQKPD
0
False
16087553
