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Making the System Work

Training Pediatric Oncology Patients to Cope and Their Parents to Coach them during BMAILP Procedures

University of Georgia

Scort W. Powers

Brown University

Melanie W. Cotter

University of Alabama

Suzanne Swan

University of Illinois

Kay Free

Children's Hospital of Alabwna

Three 4-to 7-year-old pediatric oncology patients were taught to engage in distraction prior to painful bone marrow asporations and limber puncture and to use party blowers as a breathing technique during the painful procedures. Parents were taught to coach their children to use these coping behavior. Using a multiple baseline across subjects design, results indicated that all of the parents increased their rate of coaching. Each child responded with increased coping and decreased observable distress on the next two sessions. The other two children maintained their high rates of coping and low rates of observable distress during the remaining treatment and during the maintenance sessions. Parents' coaching of theri children to use coping behaviors also remained high during maintenance sessions.

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