Abstract:
:Patient disruption during dental visits can impede treatment and may result in invasive approaches to care. The current study evaluated the efficacy of graduated exposure with and without extinction to decrease disruption during dental treatment for 4 young men with autism spectrum disorder (ASD). Modified functional analyses confirmed that disruption was maintained by escape from dental demands for all four young men. Initial treatment consisted of graduated exposure, whereby exam steps were initially removed and then gradually reintroduced as disruption remained low; throughout this phase, disruption resulted in a break from the exam. During the subsequent treatment phase, graduated exposure procedures continued and extinction for disruption was added. Graduated exposure alone did not result in sufficient treatment effects; however, the addition of extinction resulted in greater reductions in disruption and increases in exam completion for all 4 young men, and treatment effects generalized to a dental clinic setting.
journal_name
J Appl Behav Analjournal_title
Journal of applied behavior analysisauthors
McConnell KL,Sassi JL,Carr L,Szalwinski J,Courtemanche A,Njie-Jallow F,Cheney WRdoi
10.1002/jaba.747subject
Has Abstractpub_date
2020-09-01 00:00:00pages
2233-2249issue
4eissn
0021-8855issn
1938-3703journal_volume
53pub_type
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