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A Review of Strategies to Increase Comfort and Compliance with Medical/Dental Routines in Persons with Intellectual and Developmental Disabilities

  • Sara Kupzyk
  • Keith D. AllenEmail author
REVIEW ARTICLE
  • 71 Downloads

Abstract

Noncompliance with basic health care can have profound effects on long term health and well-being for everyone, but especially for individuals with intellectual and developmental disabilities (IDD). Perhaps the factor most responsible for noncompliance is the fear associated with medical and dental procedures. We reviewed the research literature to identify the empirical support for interventions designed to address noncompliance with medical routines in the IDD population. Across 32 studies that were reviewed, the most common components used in treatment of fear avoidance and noncompliance with medical/dental routines were graduated exposure and contingent reinforcement. Promising alternative and supplemental treatments are discussed. Step-by-step practice recommendations for preventing the need for treatment, preparing for treatment of noncompliance, and implementing treatment are included.

Keywords

Medical nonadherence Graduated exposure Fear Avoidance Noncompliance 

Notes

Compliance with Ethical Standards

Conflict of Interest

Both authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The current investigation was approved by an Institutional Review Board.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Munroe Meyer Institute for Genetics and RehabilitationOmahaUSA

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