The efficacy of noncontingent escape for decreasing children's disruptive behavior during restorative dental treatment

J Appl Behav Anal. 2006 Summer;39(2):161-71. doi: 10.1901/jaba.2006.79-05.

Abstract

We evaluated the effectiveness of a dentist-implemented behavioral intervention in which brief escape from dental treatment was provided on a regular basis, independent of the child's behavior. Within a multiple baseline design across subjects, 5 children, ages 4 to 7 years, were provided with temporary escape from dental treatment on a fixed-time schedule. The intervals were signaled by an electronic timer worn by the dentist. Clinically significant reductions were observed in physically disruptive behavior across all 5 children with the introduction of noncontingent escape, and verbally disruptive behavior was markedly reduced in 4 of the 5 children. In addition, the dental staff s use of physical restraint was reduced to near zero across all 5 children. The research extends the literature in both clinical dentistry and in applied behavior analysis by demonstrating that a dentist can easily and effectively implement noncontingent reinforcement to produce clinically significant and socially important changes in children's health behavior.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Attention Deficit and Disruptive Behavior Disorders / prevention & control*
  • Attention Deficit and Disruptive Behavior Disorders / psychology
  • Child
  • Child, Preschool
  • Cooperative Behavior*
  • Dental Restoration, Permanent*
  • Escape Reaction*
  • Extinction, Psychological*
  • Female
  • Humans
  • Male
  • Office Visits*
  • Pediatric Dentistry*
  • Time Factors