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Background
Adherence rates to asthma medication regime are poor in children, Positive reinforcement could help to increase adherence.
Research method
Field experiment
Design
Repeated measures (Test-Retest)
Sampling technique
Random from various clinics in Australia - 100% response rate
Sample females
22
Sample males
10
Condition 1
Standard inhaler
Condition 2
Funhaler
Data collected by questionnaire
Parents view of child attitudes, how often they were successful, how many times they gave recommended 4 breaths etc
Result - how often were they always successful?
3/30 (10%) standard, 22/30 (73%) funhaler
Result - recommended 4 or more cycles (deep breaths) per delivery?
15/30 (50%) standard, 24/30 (80%) funhaler
How many weeks did they use funhaler for?
2
Operant conditioning
Learning theory by Skinner
Positive reinforcement definition
If the consequences of a behaviour are positive it is more likely to be repeated
Incentive module
Chamber with whistle and spinner
Conclusion
Improved adherence, combined with satisfactory delivery characteristics, suggest that the Funhaler may be useful for management of young asthmatics.
Adherence
Following medical advice
IV
device used to administer medication:
Breath-A-Tech/AeroChamber,
Funhaler,
DV
Compliance (Questionnaire)
age range?
1.5-6 years
procedure?
parents asked to take part, then sent questionnaire around experience of previous inhaler use,
child then given funhaler to use for 2 weeks,
then given same questionnaire to test differences using funhaler,
results - children unwilling to use the mask?
58% to 3% with funhaler
results - strong fear or dislike?
19% to 0% with funhaler
validity?
Face → aims and conclusions around compliance,
Construct → change between funhaler and standard spacer creates a measure of positive reinforcement,
Concurrent → has a lack, but is a pilot study testing the reliability of the measures,
Ecological → field experiment - in familiar and ordinary environment/situation,
Temporal → other research conducted into novelty instead of positive reinforcement and later studies have proved operant conditioning,
reliability?
internal → posed similar questions that all produced similar results,
external → different children showed improved compliance with funhaler over standard spacer