Increasing compliance with medical procedures: application of the high-probability request procedure to a toddler

J J McComas1, D P Wacker, L J Cooper

  • 1University of Iowa, USA.

Insights

Using high-probability (high-p) requests increased toddlers' compliance with low-probability (low-p) medical procedures. This simple strategy may improve adherence across various medical tasks.

Area of Science:

  • Behavioral Psychology
  • Pediatric Medicine

Background:

  • Applied behavior analysis investigates methods to increase compliance.
  • The high-probability (high-p) request sequence is a behavioral strategy used to increase compliance with subsequent low-probability (low-p) requests.

Purpose of the Study:

  • To examine the efficacy of the high-probability (high-p) request procedure in a clinical setting.
  • To assess the impact of high-p requests on a toddler's compliance with medical procedures.

Main Methods:

  • A toddler was exposed to a series of high-probability (high-p) requests followed by a low-probability (low-p) request.
  • Compliance with medical procedures was measured before and after the intervention.

Main Results:

  • Compliance with low-probability (low-p) requests increased significantly after the implementation of the high-probability (high-p) request procedure.
  • The findings suggest the high-p procedure is effective in enhancing compliance in young children during medical care.

Conclusions:

  • The high-probability (high-p) request procedure can be a valuable tool for improving pediatric medical compliance.
  • This behavioral strategy shows promise for application across different types of medical tasks and patient populations.