Differential negative reinforcement of other behavior to increase wearing of a medical bracelet

J Appl Behav Anal. 2015 Dec;48(4):901-6. doi: 10.1002/jaba.228. Epub 2015 Jul 14.


We used a changing criterion design to evaluate the extent to which differential negative reinforcement of other behavior increased compliance with wearing a medical alert bracelet for a young boy with autism. Results showed the duration for which the participant wore the bracelet systematically increased across trials from 5 s to 7 hr over several weeks.

Keywords: DNRO; autism; compliance; medical compliance.

MeSH terms

  • Autistic Disorder / complications
  • Autistic Disorder / psychology*
  • Autistic Disorder / rehabilitation*
  • Complementary Therapies / instrumentation*
  • Complementary Therapies / methods
  • Humans
  • Male
  • Problem Behavior / psychology*
  • Prostheses and Implants / adverse effects*
  • Prostheses and Implants / psychology
  • Reinforcement, Psychology*
  • Reproducibility of Results
  • Treatment Outcome