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Advances in the Application of Behavioral Medicine |
Sunday, May 24, 2015 |
11:00 AM–11:50 AM |
Texas Ballroom Salon B (Grand Hyatt) |
Area: CBM; Domain: Applied Research |
Chair: Ashley Eden Greenwald (University of Nevada, Reno) |
CE Instructor: Ashley Eden Greenwald, M.A. |
Abstract: Advances in biomedical interventions have increased both length and quality of life in many ways. Effective interventions are often derived from a thorough understanding of the chemical and biological variables related to disease processes and healthy functioning. However, many interventions require ongoing participation by patients to be effective, such as changing diet, increasing exercise, and completing prescribed regimens. Behavior analysis has the unique opportunity to harness behavioral contingencies to help support these biomedical interventions, making the science of behavior poised to make substantial contributions to this area. This presentation offers a conceptual account of adherence as well as a behavior analytic tool that was designed to support data collection in brain injury clinics and an empirical analysis of a behavioral technology for childbirth. |
Keyword(s): behavioral medicine, brain injury, childbirth |
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Adherence to Medical Regimens: Science, Technology, and the Future |
JONATHAN R. MILLER (Kennedy Krieger Institute/Johns Hopkins University) |
Abstract: Advances in biomedical interventions have increased both length and quality of life in many ways. Effective interventions are often derived from a thorough understanding of the chemical and biological variables related to disease processes and healthy functioning. However, a major factor contributing to many of the deadliest illnesses among populations of industrialized countries, such as heart disease, type 2 diabetes, and certain cancers, is behavior. Furthermore, many interventions require ongoing participation by patients to be effective, such as changing diet, increasing exercise, and completing prescribed regimens. Therefore, the science of behavior is poised to make substantial contributions to this area, particularly with respect to increasing and maintaining the behavior needed for interventions to achieve positive results. This presentation offers a conceptual account of adherence and how the behavioral approach can be applied to realize therapeutic outcomes, with special consideration of the recent advances in widely available technology. |
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Momentary Prompting and Modeling of Behavior-Based Labor Strategies |
ASHLEY EDEN GREENWALD (University of Nevada, Reno) |
Abstract: The Cesarean Epidemic is categorized by the increasing cesarean section rate in the U.S., currently 30.8% (Boyle et al., 2013), which is in stark contrast to the 5% cesarean rate during the early 1970’s (Goer & Romano, 2012). The “cascade of interventions” resulting from an otherwise healthy women utilizing the non-medically-necessary but often routine pain medications during labor contribute to the U.S.’s poor outcomes in maternal and infant health. A troubling statistic released by the United Nations in September of 2010 placed the U.S. 50th in the world for maternal mortality, higher than almost all European countries (WHO, 2010; Coeytaux, Bingham & Langer, 2011). In a report summarizing the World Health Organization’s principles of perinatal care, appropriate methods for pain relief are all suggested to be behavioral (Chalmers, Mangiaterra & Porter, 2001). However, skills learned during childbirth education are difficult to generalize and the unavailability of ongoing labor support are major contributing factors in high requests for pain medication (Goer & Ramano, 2012). This talk addresses these concerns using a contingency analysis as well as results from an empirical study utilizing a behavior analytic software program for labor support during unmedicated labor. |
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The Importance of Addressing Motivating Operations in Programming for the Client with Brain Injury |
CHRIS M. SCHAUB (ReMed), Christina M. Peters (University of Nevada, Reno) |
Abstract: For many years behavior analysts within the field of brain injury rehabilitation have noted the efficacy of antecedent based interventions, especially in situations where responding may remain variable secondary to altered brain structure or function. But what happens when that is not enough? This talk will explore the necessity of taking yet another step back within the four term contingency and emphasizing the role of interventions focused on motivating operation. A specific tool designed to help an interdisciplinary team monitor and manage health related issues such as pain, continence and sleep will be reviewed. |
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