Behavioral training for increasing preschool children's adherence with positive airway pressure: a preliminary study.

TitleBehavioral training for increasing preschool children's adherence with positive airway pressure: a preliminary study.
Publication TypeJournal Article
Year of Publication2007
AuthorsSlifer KJ, Kruglak D, Benore E, Bellipanni K, Falk L, Halbower AC, Amari A, Beck M
JournalBehavioral sleep medicine
Volume5
Issue2
Pagination147-75
Date Published2007
Abstract

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.

Alternate JournalBehav Sleep Med