Paper 2 - Chaney et al on Funhaler Flashcards
What is the funhaler ?
- It is a paediatric device that makes it easier for young children to take asthma medication by improving compliance of young children as the funhaler is fun and functional.
- It is based on operant conditioning, positive reinforcement.
- The spacer device contains a spinning disk and a whistle which is activated by the child breathing in the funhaler and therefore taking their medication.
- All components are designed with bright colours to make it look like a toy.
What is the aim of this study ?
Chaney wanted to compare an inhaler against a funhaler and see whether positive reinforcement increases compliance within children with asthma.
What type of study is this ?
- A field experiment
- conducted in the children’s homes in Australia
Describe the sample
- 22 males and 10 females
- age range 1.5 - 6 years old.
- average duration of asthma is 2.2 years
- repeated measures design
- opportunity sampling for people within a 51Km radius of the clinic
What is the IV ?
Use of a standard inhaler or a funhaler when giving asthma medication to young children
What is the DV ?
Level of adherence to prescribed medical regime measures by a self report questionnaire and a phone call from parents
Describe the procedure
- parents of the children completed a questionnaire on compliance levels to their children’s current medical device.
- Parents were then shown the funhaler and given it to use with their children over 2 weeks, to be used under adult supervision.
- The amount of usage was assesed by a random phone call once during the study to ask the parent if their child had used the funhaler the day before.
- Parents were visited at the end of the 2 weeks and given a second questionnaire.
What did the questionnaires include ?
- The items on each questionnaire were equal but different - they were matched and validated by a psychologist.
- They consisted mainly of yes/no questions or fixed choice questions
- They measured attitudes about the use of a spacer device, including behaviour, problems with the medication and compliance
Describe the results of this study
- When surveyed at random, 38% more parents found to have medicated their child the previous day using the funhaler compared to the regular inhaler.
- 60% more children took the dosage correctly when using the funhaler compared to the regular inhaler.
- 22/32 parents were ‘always successful in medicating their child’ with the funnhaler, compared to 3/32 parents with the regular inhaler.
- Overall, the funhaler improved parental child compliance
Describe the conclusions
- The improved adherence combined with the effective delivery characteristics suggests that the funhaler is more useful in medicating young children.
- positive reinforcement is an affective way of changing behaviour in children.
- The functional device has health improvements
Evaluate the method used
- The use of field experiment means that ecological validity is high due to the every day life environment.
- Extraneous variables are not controlled as there will be many distractions in the home, this reduces validity and reliability of the study.
- Self report may cause the social desirability effect which decreases validity.
- repeated measures design means there’s no participant variables, however, it allows for order effects
Evaluate the data used
- The self report collected quantitative data using fixed questions. These lack detail as there’s a predetermined answer and it suggests there are simple answers to the questions. Also, parents may interpret the questions differently.
- The data is objective and easy to draw conclusions from
Evaluate the ethics of this study
- Indirect informed consent as the children cannot give consent themselves.
- The children didn’t know they were in a study so they were deceived, however, the health benefits to the children may justify this.
Evaluate the validity
- Order effects and extraneous variables are not controlled
- This study is not over a long period so the effect of positive reinforcement may wear off.
- Self report may cause social desirability or the questions may confuse the parent
Evaluate the reliability
- The house is not a controlled environment, the closed questions and instructions are replicable and standardised.
- the questions may be perceived differently