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Clinical Pediatrics
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Behavioral Intervention to Reduce Child Distress During Self-Injection

Kathryn E. Moore, Ph.D.

Professional Psychological Services, Tampa, Florida, Gainesville

Gary R. Geffken, Ph.D.

University of Florida, Jacksonville, Florida

George P. Royal, Ph.D.

Baptist Hospital, Jacksonville, Florida

We investigated the effects of a cognitive-behavioral treatment package on reduction of anticipatory fear of pain during self-administered insulin injections. Two patients diagnosed with insulin-dependent diabetes mellitus participated. An ABAB design was employed; the intervention conditions consisted of cue-controlled breathing, filmed modeling, pacing, and reinforcement. A substantial reduction in the mean time for injection and a reduction in behaviors indicative of anticipatory distress were achieved under intervention conditions. The clinical importance of the study is discussed and areas for future research are identified.

Clinical Pediatrics, Vol. 34, No. 10, 530-534 (1995)
DOI: 10.1177/000992289503401004
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