Autonomic Arousal and Adherence with Dental Appointments
Individuals with developmental disabilities sometimes display avoidance responses such as a lack of cooperation, aggression, and vocal refusal when completing health-care routines such as dental cleanings, physicals, and haircuts. This study evaluated the effects of both graduated exposure and a dif...
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Veröffentlicht in: | Behavior analysis in practice 2023-12, Vol.16 (4), p.1191-1210 |
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description | Individuals with developmental disabilities sometimes display avoidance responses such as a lack of cooperation, aggression, and vocal refusal when completing health-care routines such as dental cleanings, physicals, and haircuts. This study evaluated the effects of both graduated exposure and a differential reinforcement procedure on the acquisition, maintenance, and generalization of cooperation with dental routines. In addition, autonomic responses were used as an ancillary measure of distress or comfort and were included in the decision tree of practitioner actions. Procedures were completed in a simulated context of a dental examination. The results of this study may lead to more comprehensive treatment plans that include the use of physiological responses in addition to cooperation with procedures as an indicator that an avoidance response has been extinguished. Assessing autonomic arousal may be a useful addition to the procedures of exposing participants to dental visit routines, to improve adaptation, cooperation, and generalization. |
doi_str_mv | 10.1007/s40617-023-00808-x |
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This study evaluated the effects of both graduated exposure and a differential reinforcement procedure on the acquisition, maintenance, and generalization of cooperation with dental routines. In addition, autonomic responses were used as an ancillary measure of distress or comfort and were included in the decision tree of practitioner actions. Procedures were completed in a simulated context of a dental examination. The results of this study may lead to more comprehensive treatment plans that include the use of physiological responses in addition to cooperation with procedures as an indicator that an avoidance response has been extinguished. 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Assessing autonomic arousal may be a useful addition to the procedures of exposing participants to dental visit routines, to improve adaptation, cooperation, and generalization.</description><subject>Autism</subject><subject>Behavior</subject><subject>Behavioral Science and Psychology</subject><subject>Communication</subject><subject>Cooperation</subject><subject>Dentists</subject><subject>Developmental disabilities</subject><subject>Fear & phobias</subject><subject>Heart rate</subject><subject>Medicaid</subject><subject>Medical research</subject><subject>Physiology</subject><subject>Psychology</subject><subject>Research Article</subject><issn>1998-1929</issn><issn>2196-8934</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9UblOxDAUtBAIVsAPUKBINDSB5yOxXaGIW0KigdpyvA4blNiLnXD8PV52OQvcPFkzb96MBqE9DEcYgB9HBiXmORCaAwgQ-esamhAsy1xIytbRBEspciyJ3EK7MT5CepQCFGwTbVEBvOQFnSBRjYN3vm9NVgU_Rt1l2k2zajqzwTpjs5d2mGVn1g0JqeZz37qhT7-4gzYa3UW7u5rb6P7i_O70Kr-5vbw-rW5yQzEZcsNBcmF40VBCGLZp1JpCY3mtBTRGMMaoNkJrKqksbS1KUWs2xVob4Lig2-hkqTsf695OTboddKfmoe11eFNet-o34tqZevDPCgMHIGWZFA5XCsE_jTYOqm-jsV2nnU2JFZFAZJHsQaIe_KE--jG4lE8RIQXHkrOFJbJkmeBjDLb5coNBLcpRy3JUKkd9lKNe09L-zxxfK59VJAJdEmKC3IMN37f_kX0HbJaaQw</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Gayle, Roxanne</creator><creator>Weiss, Mary Jane</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8648-6085</orcidid><orcidid>https://orcid.org/0000-0002-2836-3861</orcidid></search><sort><creationdate>20231201</creationdate><title>Autonomic Arousal and Adherence with Dental Appointments</title><author>Gayle, Roxanne ; Weiss, Mary Jane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c312t-c70978c75f32241ef32ba30fe7ba80fc84443ac8aa39396eb868ba4d1aac07153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Autism</topic><topic>Behavior</topic><topic>Behavioral Science and Psychology</topic><topic>Communication</topic><topic>Cooperation</topic><topic>Dentists</topic><topic>Developmental disabilities</topic><topic>Fear & phobias</topic><topic>Heart rate</topic><topic>Medicaid</topic><topic>Medical research</topic><topic>Physiology</topic><topic>Psychology</topic><topic>Research Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gayle, Roxanne</creatorcontrib><creatorcontrib>Weiss, Mary Jane</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Behavior analysis in practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gayle, Roxanne</au><au>Weiss, Mary Jane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Autonomic Arousal and Adherence with Dental Appointments</atitle><jtitle>Behavior analysis in practice</jtitle><stitle>Behav Analysis Practice</stitle><addtitle>Behav Anal Pract</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>16</volume><issue>4</issue><spage>1191</spage><epage>1210</epage><pages>1191-1210</pages><issn>1998-1929</issn><eissn>2196-8934</eissn><abstract>Individuals with developmental disabilities sometimes display avoidance responses such as a lack of cooperation, aggression, and vocal refusal when completing health-care routines such as dental cleanings, physicals, and haircuts. This study evaluated the effects of both graduated exposure and a differential reinforcement procedure on the acquisition, maintenance, and generalization of cooperation with dental routines. In addition, autonomic responses were used as an ancillary measure of distress or comfort and were included in the decision tree of practitioner actions. Procedures were completed in a simulated context of a dental examination. The results of this study may lead to more comprehensive treatment plans that include the use of physiological responses in addition to cooperation with procedures as an indicator that an avoidance response has been extinguished. 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subjects | Autism Behavior Behavioral Science and Psychology Communication Cooperation Dentists Developmental disabilities Fear & phobias Heart rate Medicaid Medical research Physiology Psychology Research Article |
title | Autonomic Arousal and Adherence with Dental Appointments |
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