could positive reinforcement improve medical compliance in young asthma parents?
the aim was to solve this buy operant conditioning
Why do only 30-70% of patients not follow their doctors advice?
ignorance
fear
boredom
apathy
What type of experiment was it?
field experiment (takes place in real world setting)
self-report (to gather results)
What type of measures were used?
repeated measures (used same group of children for all independent variables)
Independent variable?
switching from a breath-o-tech/aerochamber, to a funhaler
Dependent variable?
compliance of children to take medication
Participants?
32 children from Australia (10 Male, 22 female)
1.5-6 years old (3.2 average)
all had asthma for an average of 2.2 years
What was the first step of the procedure?
parents gave consent and filled out a closed questionnaire about their child and their attitude towards using an inhaler
What was the second step of the procedure?
they were given a funhaler, with attachments like a spinning disc and a whistle - this provided positive reinforcements to encourage compliance
What was the third step of the procedure?
after 2week of use, parents were given the same questionnaire and doctors randomly checked in to assess change in attitude. -(gave the experiment concurrent validity as 2 measures were used)
What did the results show?
positive reinforcement is highly effective at improving medical compliance, as the questionnaire results dramatically improved and hospital admissions for asthma attacks were low
thorndike’s operant conditioning is supported -(learning through the consequences of behavioural approaches)
the questionnaire results were not affected by socially desirable responses or demand characteristics
Data collection?
qualitative data - structured closed questionnaire
Ethics?
parents gave informed consent
had the right to withdraw
Generalisability?
only Australian children - so results may differ internationally
could be applied to any children was it was a random sample
Nature vs nurture?
nurture: the parents reactions and attitudes towards their inhaler will affect the children’s responses, genetics has little to do with it
Reduction vs hollism?
reductionism: as a wider concept has been reduced to a single statement of positive reinforcement in improving compliance
Ethnocentrism?
the study is ethnocentric because he only studied Australian children
What is operant conditioning?
learning through the consequences of behavioural approaches
What is positive reinforcement?
rewarding for behaviour - increases the likelihood of a response occurring
What is negative reinforcement?
removing unpleasant consequences for behaviour - (increases the likelihood of a response)
What is positive punishment?
giving an unpleasant punishment - (decreases likelihood of bad behaviour)
What is negative punishment?
removing something desirable as a consequence - (decreases probability of bad behaviour)