Behavioral Interventions to Increase Success Rates of Blood Draw

Behavioral Interventions to Increase Success Rates of Blood Draw.Kendra Robbins-Monteith, BSEllen Hanson, PhD

Overview Autism Spectrum Disorders

Blood Draw KitResults Limitations

Troubleshooting

Autism Spectrum Disorders Neurodevelopmental Disorder

Great variability of symptoms

Can be comorbid with other disorders

Blood Draw Kit

Social Story Consistent with Gray and Garand

(1993)

Picture Schedule

Methods Procedure

Encourage practice for 2 weeks prior to blood draw

Broken down into parent-led practice sessions describing a portion of the blood draw

Systematic desensitization culminates with administration of pretend blood draw

Flexible and individualized for the child Salient reward

Parents receive a survey of their experience

Outcomes Decrease in non-compliance rates after offering intervention35/245 (14.29%) compared to 7/142 (4.92%)

Logistic regression to test the coefficient of the intervention effect, p=.006

OR=3.5, 95%CI [1.43, 8.71]

Qualitative Observations Researcher observation

Repeating language from the story during their blood draw

Bring kit with them to the appointment Parent survey (n = 9)

Majority found kit somewhat to significantly helpful

Prep kit of materials was most helpful part

Potential Limitations Not representative of the population of children with ASDConvenience sample

Quasi-experimentalNot randomizedBased on the availability of the intervention

Troubleshooting

Proper use of kit Fear/anxiety Non compliance