Article

PURPOSE: To evaluate a time out based discipline strategy designed to decrease
treatment avoidance in children with cystic fibrosis (CF) who displayed
non-compliant behaviour to their parents' treatment requests. METHOD: A
single-subject reversal design was used to compare baseline compliance when a
time out based discipline strategy was in effect. Outcome measures included
observational assessments of compliance, parent ratings of child
treatment-related behaviour problems and parent reported preference for the time
out strategy. RESULTS: Greater compliance was demonstrated when the time out
strategy was in place. Parents reported fewer treatment-related behaviour
problems and desired less professional help for these problems upon completion of
the study and reported preferring the time out discipline strategy to their
typical child management strategy. CONCLUSIONS: This discipline strategy
represents a practical and appealing brief intervention that is shown to help
parents maximise their children's participation in life-extending treatments.
This intervention minimises the need for parent-therapist interaction, which may
be of particular importance to families of patients with CF who already devote
significant time to medical appointments and interventions. The preliminary
nature of this data and lack of reversal for one of the participants emphasise
the need for additional research to replicate the findings.

Langue : ANGLAIS