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ERIC Number: ED515643
Record Type: Non-Journal
Publication Date: 2009
Pages: 221
Abstractor: As Provided
Reference Count: 0
ISBN: ISBN-978-1-1096-6678-6
Medication Side Effects and Problem Behavior: A Context-Based Approach to Assessment and Intervention in Home and Community Settings
Bleiweiss, Jamie
ProQuest LLC, Ph.D. Dissertation, State University of New York at Stony Brook
Problem behavior significantly impedes multiple aspects of quality of life for individuals with developmental disabilities, and thus represents a major priority for intervention. Psychotropic medications are commonly administered to treat such behavior; however, these agents are often associated with adverse side effects that may have a negative impact on daily activities. The present study explored the possibility that commonly occurring medication side effects may function as setting events, a class of contextual variables that alter ongoing stimulus-response relationships (Kantor, 1959). That is, the presence of side effects purportedly made certain home and community routines more difficult for individuals, and this, in turn, produced greater levels of problem behavior. We demonstrated, experimentally, that the medication side effects did negatively affect particular family-based activities, resulting in an exacerbation of problem behavior. Additionally, the present study examined whether interventions aimed at mitigating these problematic routines and teaching skills to effectively cope with these contexts would result in a reduction of problem behavior and an overall improvement in quality of life. Nine children with developmental disabilities who were prescribed psychotropic medication to treat severe problem behavior participated. A comprehension assessment was conducted to identify problematic contexts in which side effects were present, and intervention packages were then developed and implemented collaboratively with each family. A multiple baseline experimental design was used to demonstrate intervention effects for these high priority contexts. Following intervention, significant improvements were noted in problem behavior, activity completion, and overall family quality of life. We discuss the value of conceptualizing medication side effects as setting events and the direct intervention implications arising from such a conceptualization. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page:]
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A