Behavioral training of motion control in young children undergoing radiation treatment without sedation.

@article{citeulike:247831, abstract = {Preschool-age children undergoing radiation treatment for malignancies often require daily sedation or general anesthesia to assure adequate motion control. A few older children with severe anxiety reactions, a history of behavior problems, or developmental handicaps have similar problems with radiotherapy. The use of sedation or anesthesia adds risk and expense to a procedure that does not require their administration for pain management. This report describes an alternative approach using behavior analysis to teach cooperation and motion control to preschoolers and older children with special needs. Outcome data are presented for 10 children between the ages of 3 and 7. Eight of the 10 appeared to benefit from the behavioral program. These eight cooperated with radiation treatments without the need for repeated sedation or anesthesia. The benefits and limitations of this approach are discussed along with the need for additional research.}, address = {Department of Behavioral Psychology, Kennedy Krieger Institute, Baltimore, MD 21205.}, author = {Slifer, K. J. and Bucholtz, J. D. and Cataldo, M. D. }, citeulike-article-id = {247831}, comment = {"It should be noted that the children will, understandably, sometimes cry or have a tantrum during the desensitization period of the behavioral program. However, with the gradual introduction of the child to the equipment and the high frequency of praise and rewards designed into the program, these periods of upset are infrequent and usually brief." p. 62 ---=note-separator=--- Training duration was 1 to 3 sessions, each lasting 30 to 60 minutes. Mean needed sessions = 2.1. ---=note-separator=--- The desensitization component doesn't appear to have included reciprocal inhibition. It was more like graduated exposure. A sample hierarchy is provided. ---=note-separator=--- NJM Health Sciences Library Shelved by Title v.11:1994:incl supp 300 Level }, issn = {1043-4542}, journal = {J Pediatr Oncol Nurs}, keywords = {conditioning, desensitization, hardcopy, motion, neuroethicsnet, operant, pediatric}, month = {April}, number = {2}, pages = {55--63}, posted-at = {2005-07-06 15:20:32}, priority = {0}, title = {Behavioral training of motion control in young children undergoing radiation treatment without sedation.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/8003262}, volume = {11}, year = {1994} }

TY - JOUR ID - citeulike:247831 L3 - citeulike-article-id:247831 TI - Behavioral training of motion control in young children undergoing radiation treatment without sedation. JF - J Pediatr Oncol Nurs VL - 11 IS - 2 SP - 55 EP - 63 AD - Department of Behavioral Psychology, Kennedy Krieger Institute, Baltimore, MD 21205. SN - 1043-4542 N2 - Preschool-age children undergoing radiation treatment for malignancies often require daily sedation or general anesthesia to assure adequate motion control. A few older children with severe anxiety reactions, a history of behavior problems, or developmental handicaps have similar problems with radiotherapy. The use of sedation or anesthesia adds risk and expense to a procedure that does not require their administration for pain management. This report describes an alternative approach using behavior analysis to teach cooperation and motion control to preschoolers and older children with special needs. Outcome data are presented for 10 children between the ages of 3 and 7. Eight of the 10 appeared to benefit from the behavioral program. These eight cooperated with radiation treatments without the need for repeated sedation or anesthesia. The benefits and limitations of this approach are discussed along with the need for additional research. KW - conditioning KW - desensitization KW - hardcopy KW - motion KW - neuroethicsnet KW - operant KW - pediatric N1 - "It should be noted that the children will, understandably, sometimes cry or have a tantrum during the desensitization period of the behavioral program. However, with the gradual introduction of the child to the equipment and the high frequency of praise and rewards designed into the program, these periods of upset are infrequent and usually brief." p. 62 N1 - Training duration was 1 to 3 sessions, each lasting 30 to 60 minutes. Mean needed sessions = 2.1. N1 - The desensitization component doesn't appear to have included reciprocal inhibition. It was more like graduated exposure. A sample hierarchy is provided. N1 - NJM Health Sciences Library Shelved by Title v.11:1994:incl supp 300 Level AU - Slifer, KJ AU - Bucholtz, JD AU - Cataldo, MD PY - 1994/04// UR - http://view.ncbi.nlm.nih.gov/pubmed/8003262 ER -