Show simple item record

dc.contributor.advisorWilder, David
dc.contributor.authorHodges, Ansley Catherine
dc.date.accessioned2020-10-15T23:23:36Z
dc.date.available2020-10-15T23:23:36Z
dc.date.created2020-07
dc.date.issued2020-08
dc.date.submittedJuly 2020
dc.identifier.urihttp://hdl.handle.net/11141/3179
dc.descriptionThesis (Ph.D.) - Florida Institute of Technology, 2020.en_US
dc.description.abstractAll individuals, regardless of age, race, gender, or diagnosis, must learn to tolerate and/or participate in routine medical procedures (e.g., wellness exams, dental cleaning, blood draws). For some individuals, tolerating medical procedures can be a particularly onerous task. Specifically, individuals with intellectual disabilities (ID) experience more frequent difficulties with treatment adherence. With this population, a variety of techniques have been empirically demonstrated to increase cooperation with medical routines. However, no studies have reported changes in physiological behavior throughout training, and only a few studies have reported data on problem behavior. Several studies used graduated exposure or a hierarchy of the medical procedure with a series of steps; participants learned to tolerate the sequence of steps (i.e., the hierarchy), one by one, over time. However, the extent to which this step-by-step approach is needed is unclear. In the current study, we evaluated the hierarchy across dental cleaning, dental x-ray, and needle tolerance procedures, and collected data on physiological behavior and problem behavior throughout. We conducted assessment probes after training the first three steps in each medical procedure and after every second step thereafter; probes were terminated at the onset of problem behavior and training resumed at that step number. Results showed that participates were able to skip as many as 48 steps in dental cleaning. Results show that the assessment protocol increased efficiency by eliminating unnecessary steps across all three procedures. All participants learned to tolerate all three procedures and experienced less problem behavior and stress, as measured by physiological indices, throughout treatment.en_US
dc.format.mimetypeapplication/pdf
dc.language.isoen_USen_US
dc.rightsCopyright held by author.en_US
dc.subjectMedical toleranceen_US
dc.subjectGraduated guidanceen_US
dc.subjectHierarchyen_US
dc.subjectAssessment toolen_US
dc.subjectPhysiological measuresen_US
dc.subjectDentalen_US
dc.subjectBlood drawen_US
dc.subjectNeedleen_US
dc.titleAn Assessment Protocol for Tolerating Medical Procedures: Evaluating Operant and Physiological Behaviorsen_US
dc.typeDissertationen_US
dc.date.updated2020-10-07T17:03:08Z
thesis.degree.nameDoctor of Philosophy in Behavior Analysisen_US
thesis.degree.levelDoctoralen_US
thesis.degree.disciplineBehavior Analysisen_US
thesis.degree.departmentBehavior Analysisen_US
thesis.degree.grantorFlorida Institute of Technologyen_US
dc.type.materialtext


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record