Chaney

• Chaney background


  Low rates of medical compliance means increased emergency hospital appointments and increased mortality

  -Chapman identified reasons for children not taking medication- fear, bordem
• Chaney aim


  To see if the principle of reinforcement could be used in a health setting
• Chaney experiment


  Field experiment
• Chaney design


  Repeated measures
• Chaney sample


  Random sample of children with asma recruited by GP

  22 male, 10 male with the mean age of 3.2 with the average duration of 2.2 years with asthama
• Chaney IV


  Using standard inhaler or funhaler
• Chaney DV 


  level of adherence to the prescribed medical regime
• Chaney procedure


  Carried out in participants homes.

  Parents gave informed consent to take part and completed a structured, closed questionnaire via interview on the device.

  Then asked to use the funhaler which had a spinning wheel and whistle.

  These features were used to encourage and reward deep breathing patterns required for effective use of medication.
• Chaney results


  Childs pleasure increased in funhaler 10% to 68%

  Strong fear decreased in funhaler 19% to 0%

  Parents happiness increased in funhaler from 10% to 61%
• Chaney conclusions


  Use of funhaler could possibly improve clinical outcomes like lowering rates of admissions to hospitals

  Devices use self reinforcement strategies can improve overal health of children