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