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Time out based discipline strategy for children's non-compliance with cystic fibrosis treatment

Catherine B McClellan1, Lindsey L Cohen, Kathryn Moffett

  • 1Department of Psychology, University of South Carolina, Columbia, SC 29208, USA. mcclellb@gwm.sc.edu

Disability and Rehabilitation
|August 23, 2008
PubMed

Insights

A time out discipline strategy improved treatment compliance in children with cystic fibrosis (CF). Parents reported fewer behavior problems and preferred this strategy for managing CF treatment adherence.

Area of Science:

  • Pediatric Psychology
  • Behavioral Medicine
  • Cystic Fibrosis Research

Background:

  • Children with cystic fibrosis (CF) often exhibit non-compliant behavior, leading to treatment avoidance.
  • Effective behavior management strategies are crucial for ensuring adherence to life-extending CF treatments.
  • Parental stress and burden can be exacerbated by challenges in managing pediatric treatment regimens.

Observation:

  • A single-subject reversal design was employed to assess a time out based discipline strategy.
  • Compliance with CF treatments was observed before and during the implementation of the time out strategy.
  • Parental reports on child behavior problems and preference for the intervention were collected.

Findings:

  • Children demonstrated significantly greater compliance with treatments when the time out strategy was applied.
  • Parents reported a reduction in treatment-related behavior problems and a decreased need for professional assistance.
  • Parents expressed a preference for the time out strategy over their usual child management methods.

Implications:

  • The time out strategy offers a practical and effective brief intervention for enhancing pediatric treatment adherence.
  • This approach may reduce the need for extensive parent-therapist interactions, benefiting families with demanding CF care schedules.
  • Further research is warranted to replicate these findings and confirm the long-term efficacy of this intervention.
Abstract

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