A Token Economy for Exercise Adherence in Pediatric Cystic Fibrosis: A Single-Subject Analysis
Objective In cystic fibrosis (CF), adherence to airway clearance techniques (e.g., chest physiotherapy and exercise) is poor. Exercise is important because pulmonary difficulties are associated with the highest mortality rate. Despite this, very little research has focused on exercise adherence in C...
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| Veröffentlicht in: | Journal of pediatric psychology 2009-05, Vol.34 (4), p.354-365 |
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| container_title | Journal of pediatric psychology |
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| creator | Bernard, Rebecca S. Cohen, Lindsey L. Moffett, Kathryn |
| description | Objective In cystic fibrosis (CF), adherence to airway clearance techniques (e.g., chest physiotherapy and exercise) is poor. Exercise is important because pulmonary difficulties are associated with the highest mortality rate. Despite this, very little research has focused on exercise adherence in CF. This study examined a token economy for increasing exercise in children with CF. Methods An ABAB single-subject design evaluated a token economy for increasing and maintaining exercise in three children with CF. Patient report, parent report, and physiological measures were used to assess treatment integrity, medical stability, and changes in exercise. Results Measures suggested that treatment integrity was strong. Results indicated strong treatment effects for all participants without negative medical side effects. Follow-up of 1 and 3 months supported continued exercise for all participants. Conclusions A token economy effectively increased exercise in children with CF, and the single-subject design highlighted some of the intricacies of individualized treatment of adherence. Implications and recommendations for further research are discussed. |
| doi_str_mv | 10.1093/jpepsy/jsn101 |
| format | Article |
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Exercise is important because pulmonary difficulties are associated with the highest mortality rate. Despite this, very little research has focused on exercise adherence in CF. This study examined a token economy for increasing exercise in children with CF. Methods An ABAB single-subject design evaluated a token economy for increasing and maintaining exercise in three children with CF. Patient report, parent report, and physiological measures were used to assess treatment integrity, medical stability, and changes in exercise. Results Measures suggested that treatment integrity was strong. Results indicated strong treatment effects for all participants without negative medical side effects. Follow-up of 1 and 3 months supported continued exercise for all participants. Conclusions A token economy effectively increased exercise in children with CF, and the single-subject design highlighted some of the intricacies of individualized treatment of adherence. Implications and recommendations for further research are discussed.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jsn101</identifier><identifier>PMID: 18820291</identifier><identifier>CODEN: JPPSDW</identifier><language>eng</language><publisher>Atlanta, GA: Oxford University Press</publisher><subject>adherence ; Biological and medical sciences ; Child ; Child clinical studies ; cystic fibrosis ; Cystic Fibrosis - complications ; Cystic Fibrosis - therapy ; Errors of metabolism ; Exercise Therapy - methods ; Female ; Follow-Up Studies ; Humans ; Medical sciences ; Metabolic diseases ; Miscellaneous hereditary metabolic disorders ; Patient Compliance ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; reversal design ; single-case designs ; Time Factors ; Token Economy ; Treatment Outcome</subject><ispartof>Journal of pediatric psychology, 2009-05, Vol.34 (4), p.354-365</ispartof><rights>The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org 2008</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-dd90cb04844114c6311cf6cd0340b88613d0db18e3594baf1aa459d2d18a1343</citedby><cites>FETCH-LOGICAL-c456t-dd90cb04844114c6311cf6cd0340b88613d0db18e3594baf1aa459d2d18a1343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21420839$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18820291$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bernard, Rebecca S.</creatorcontrib><creatorcontrib>Cohen, Lindsey L.</creatorcontrib><creatorcontrib>Moffett, Kathryn</creatorcontrib><title>A Token Economy for Exercise Adherence in Pediatric Cystic Fibrosis: A Single-Subject Analysis</title><title>Journal of pediatric psychology</title><addtitle>J Pediatr Psychol</addtitle><description>Objective In cystic fibrosis (CF), adherence to airway clearance techniques (e.g., chest physiotherapy and exercise) is poor. Exercise is important because pulmonary difficulties are associated with the highest mortality rate. Despite this, very little research has focused on exercise adherence in CF. This study examined a token economy for increasing exercise in children with CF. Methods An ABAB single-subject design evaluated a token economy for increasing and maintaining exercise in three children with CF. Patient report, parent report, and physiological measures were used to assess treatment integrity, medical stability, and changes in exercise. Results Measures suggested that treatment integrity was strong. Results indicated strong treatment effects for all participants without negative medical side effects. Follow-up of 1 and 3 months supported continued exercise for all participants. Conclusions A token economy effectively increased exercise in children with CF, and the single-subject design highlighted some of the intricacies of individualized treatment of adherence. Implications and recommendations for further research are discussed.</description><subject>adherence</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>cystic fibrosis</subject><subject>Cystic Fibrosis - complications</subject><subject>Cystic Fibrosis - therapy</subject><subject>Errors of metabolism</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Miscellaneous hereditary metabolic disorders</subject><subject>Patient Compliance</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>reversal design</subject><subject>single-case designs</subject><subject>Time Factors</subject><subject>Token Economy</subject><subject>Treatment Outcome</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0EGL1DAUB_AgijuuHr1KLoqXunlNmkm9lWHGKgsKM4fFgyFNUs1sJ61JC9tvb6RlPXp6hPfjvZc_Qq-BfABS0pvzYIc435yjBwJP0AYYL7ItLe6eog1Jj0zwkl6hFzGeCSGMUf4cXYEQOclL2KAfFT7199bjve59f5lx2we8f7BBu2hxZX7ZYL222Hn8zRqnxuA03s1xTOXgmtBHFz_iCh-d_9nZ7Dg1Z6tHXHnVzan1Ej1rVRftq7Veo9Nhf9rV2e3XT5931W2mWcHHzJiS6IYwwRgA05wC6JZrQygjjRAcqCGmAWFpUbJGtaAUK0qTGxAKKKPX6N0ydgj978nGUV5c1LbrlLf9FCXfQlEKKhLMFqjT5THYVg7BXVSYJRD5N0-55CmXPJN_sw6emos1__QaYAJvV6CiVl0blE_JPbocWE4ELZN7v7h-Gv67c73RxdE-PGIV7tM_6LaQ9d13WfP69OVwrCWhfwBENpya</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Bernard, Rebecca S.</creator><creator>Cohen, Lindsey L.</creator><creator>Moffett, Kathryn</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>A Token Economy for Exercise Adherence in Pediatric Cystic Fibrosis: A Single-Subject Analysis</title><author>Bernard, Rebecca S. ; Cohen, Lindsey L. ; Moffett, Kathryn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-dd90cb04844114c6311cf6cd0340b88613d0db18e3594baf1aa459d2d18a1343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>adherence</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>cystic fibrosis</topic><topic>Cystic Fibrosis - complications</topic><topic>Cystic Fibrosis - therapy</topic><topic>Errors of metabolism</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Miscellaneous hereditary metabolic disorders</topic><topic>Patient Compliance</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>reversal design</topic><topic>single-case designs</topic><topic>Time Factors</topic><topic>Token Economy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bernard, Rebecca S.</creatorcontrib><creatorcontrib>Cohen, Lindsey L.</creatorcontrib><creatorcontrib>Moffett, Kathryn</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bernard, Rebecca S.</au><au>Cohen, Lindsey L.</au><au>Moffett, Kathryn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Token Economy for Exercise Adherence in Pediatric Cystic Fibrosis: A Single-Subject Analysis</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>34</volume><issue>4</issue><spage>354</spage><epage>365</epage><pages>354-365</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><coden>JPPSDW</coden><abstract>Objective In cystic fibrosis (CF), adherence to airway clearance techniques (e.g., chest physiotherapy and exercise) is poor. Exercise is important because pulmonary difficulties are associated with the highest mortality rate. Despite this, very little research has focused on exercise adherence in CF. This study examined a token economy for increasing exercise in children with CF. Methods An ABAB single-subject design evaluated a token economy for increasing and maintaining exercise in three children with CF. Patient report, parent report, and physiological measures were used to assess treatment integrity, medical stability, and changes in exercise. Results Measures suggested that treatment integrity was strong. Results indicated strong treatment effects for all participants without negative medical side effects. Follow-up of 1 and 3 months supported continued exercise for all participants. Conclusions A token economy effectively increased exercise in children with CF, and the single-subject design highlighted some of the intricacies of individualized treatment of adherence. Implications and recommendations for further research are discussed.</abstract><cop>Atlanta, GA</cop><pub>Oxford University Press</pub><pmid>18820291</pmid><doi>10.1093/jpepsy/jsn101</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of pediatric psychology, 2009-05, Vol.34 (4), p.354-365 |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; EBSCOhost Education Source; Alma/SFX Local Collection |
| subjects | adherence Biological and medical sciences Child Child clinical studies cystic fibrosis Cystic Fibrosis - complications Cystic Fibrosis - therapy Errors of metabolism Exercise Therapy - methods Female Follow-Up Studies Humans Medical sciences Metabolic diseases Miscellaneous hereditary metabolic disorders Patient Compliance Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry reversal design single-case designs Time Factors Token Economy Treatment Outcome |
| title | A Token Economy for Exercise Adherence in Pediatric Cystic Fibrosis: A Single-Subject Analysis |
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