ERIC Number: EJ1030850
Record Type: Journal
Publication Date: 2014
Abstractor: As Provided
Reference Count: 10
Graduated Exposure and Compliance Training Intervention for Blood Draw Avoidance and Refusal in a Woman with Intellectual Disability and Schizoaffective Disorder
Cromartie, R. Samuel; Flood, William A.; Luiselli, James K.
Journal of Mental Health Research in Intellectual Disabilities, v7 n2 p95-103 2014
This case report concerns a woman with intellectual disability, schizoaffective disorder, and avoidance and refusal of having her blood drawn. She required but refused blood draws to properly monitor the therapeutic dose of a necessary psychotropic medication. During intervention at a community-based habilitation setting and under simulated conditions, direct-care and supervisory staff (a) gradually exposed her to steps constituting a blood draw, (b) reinforced completed steps (praise and tokens), and (c) offered a monetary incentive to participate in an actual blood draw. Evaluated in a changing criterion design, the woman demonstrated increased compliance and eventually completed blood draws immediately following intervention, months later, and at 12- to 24-month follow-ups. We discuss implications from the case and the advantages of in vivo intervention for overcoming medical fears among people who have intellectual disability.
Descriptors: Case Studies, Females, Mental Retardation, Schizophrenia, Mental Disorders, Compliance (Psychology), Drug Therapy, Intervention, Reinforcement, Behavior Problems, Behavior Modification, Adults, Fear, Task Analysis, Program Effectiveness, Observation
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A