USE OF ESCAPE AND REWARD IN THE MANAGEMENT OF YOUNG CHILDREN DURING DENTAL TREATMENT
Male
Anxiety
03 medical and health sciences
0302 clinical medicine
Reward
Behavior Therapy
Escape Reaction
Practice, Psychological
Child, Preschool
Humans
Female
Cooperative Behavior
Child
Dental Care
Reinforcement, Psychology
DOI:
10.1901/jaba.1987.20-381
Publication Date:
2006-03-01T22:36:27Z
AUTHORS (2)
ABSTRACT
A reinforced practice procedure was used to facilitate cooperative behavior in five children, aged 3 to 6 years, during dental treatment. In a multiple baseline design across subjects, the children were rewarded with escape, inexpensive stickers, and praise for cooperative behavior in the presence of the sights, sounds, and some sensations of the dental instruments prior to actual dental treatment. Direct observations of disruptive behavior via a 15‐s interval recording system indicated baseline levels as high as 90% were reduced to less than 15% by the final treatment visit. In addition, the procedure was effective in reducing overall heart rate and blood pressure reactivity to dental treatment. All children were rated by the involved dental professionals as more cooperative and relaxed following exposure to reinforced practice.
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