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Pediatr Rehabil. 2005 Jul-Sep;8(3):187-98.

Behavioural treatment of non-compliance in adolescents with newly acquired spinal cord injuries.

Author information

1
The Kennedy Krieger Institute, Maryland, USA. joanneg@blythedale.org

Abstract

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.

PMID:
16087553
DOI:
10.1080/13638490400021438
[Indexed for MEDLINE]
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