Chaney (developmental) Flashcards
What was the aim of chaneys study ?
To investigate weather positive reinforcement can improve adherence to using inhalers in young asthmatics.
What was the sample?
Randomly selected from 7 GP surgeries in perth Australia 2with a radius of 51 km
32 children, 22 male, 10 female
Aged between 1 and a half - 6 years
Mean age was 3
Average duration of having asthma was 2.2 years
What was the procedure (first half) ?
Parents of asthmatic children were randomly sampled and written consent was obtained before an interview
Parents completed a questionnaire on the standard inhaler
As a control this questionnaire was completed without any knowledge of the funhaler. The questionnaire was made up of closed questions such as did you medicate your child yesterday yes/no
Participants were then given a funhaler to use for 2 weeks. They were told the device was to be used under adult supervision
What was the procedure (second half) ?
Occasionally parents were contacted to see weather the child had used the funhaler the previous day
At the end of the two weeks the researcher visited the parents for them to complete a second questionnaire which was the same as the first one
What were the findings ?
Usage increased with the funhaler. 59% of children who used the standard one used it the day before however with the funhaler 81% used it the day before
Technique improved . 50% of children would take the recommended 4 breaths but with the funhaler it was 80%
Parents were more successful. Only 10% indicated that they were successful at medicating their child with the standard one which rose to 73% with the funhaler
What were the conclusions
Using operent conditioning can be effective at improving adherence of medication in young asthmatics
The fun haler can improve compliance and health development of children.
This device has the potential to prevent the hospitalisation of young children
