MODIFYING SELF CARE BEHAVIOR

By Using

P O S I T I V E R E I N F O RC E M EN T S C H E D U L E

O F F I X E D RAT I O

Presents By

Syeda Khadija FatimaBS VIII

• Abstract• Aim of the Study

• Operational Definition• Case History

• Functional Analysis of Behavior• Method and Procedure

• Result• Conclusion• References

CONTENT

Abstract

The aim of the present study is to modify the client’s behavior by using Behavioral

Intervention of Positive Reinforcement Fixed ratio schedule. Client do not clean her drool because of which her chin was getting

infected. Due to which this behavior was targeted. She was observed at pre

intervention phase and baseline mean recorded as 0.2 frequency of cleaning drool which increased by 3.7 in the intervention

phase. In post intervention her mean frequency was recorded as 3.5

Aim of the StudyThe purpose of the study is to increase

the client’s behavior of cleaning the drool

Operational Definition‘Client does not clean the drool that is

saliva from mouth’

Case History• 40 years old woman belongs to Sindhi family. Her care taker

reported that approximately 20 years back she brought there and remain undiagnosed.

• Her aggression has been reported by many observers there which also end up in big disputes among roommates of her. She understands everything but speaks only few words.

• Her current medicines are as Tagral and Kemadrin.

• Due to drooling her chin is getting infected day by day. Her caretaker showed concern about her this issue. That is why I targeted her behavior of not cleaning the drool to modify her self-care.

Functional Analysis of Behavior

Done through interview and direct observation.

Method and Procedure

• Consent form signed from the caretaker . Then case history of client from two caretakers, roommates and two medical staff personnel was taken. The complete study has been done in three phases

PRE-INTERVENTION:• A base line was recorded by Event Recording method that is how

many times event (behavior) occurs within the three hours of observation.

INTERVENTION:• First day researcher asked her to clean the drool. She was

reinforced immediately. Gradually the frequency of prompting becomes lesser till zero. Hence at each time she was reinforced from low valued reinforcer to the higher valued reinforcers.

POST-INTERVENTION:• The event recording was made and no reinforcement in this

phase was given to the client. At last two follow-ups were conducted.

Results

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10

0

0.2

0.4

0.6

0.8

1

1.2

PRE-INTERVENTIONMean = 0.2

FREQ

UEN

CY

Results

Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10

012345678

INTERVENTIONMean= 3.7

FREQ

UEN

CY

Results

DAY 1

DAY 2

DAY 3

DAY 4

DAY 5

DAY 6

DAY 7

DAY 8

DAY 9

DAY 10

0

1

2

3

4

5

6

POST-INTERVENTIONMean= 3.5

FREQ

UEN

CY

Comparison

Pre-intervention Intervention Post-intervention Follow-ups0

0.5

1

1.5

2

2.5

3

3.5

4

ConclusionThe technique of positive

reinforcement Fixed ratio has shown affirmative change in the client behavior of cleaning the drool.

Thanks For

Your Attention