Children's Compliance with Progressive Relaxation Procedures for Improving Headache Control

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Abstract
Compliance has been an overlooked area in occupational therapy practice and research. Compliance with progressive relaxation training for recurrent headache relief was determined for 10 children. A multiple baseline across subjects design was used. Baseline periods were assigned randomly and ranged from 7 to 25 days with treatment introduced in a time-staggered fashion. Subjects received a 6-week program that included weekly training sessions supplemented with daily home practice. Compliance was determined by the subject's correct recording of a password randomly placed on a cassette relaxation tape. Mean compliance across subjects was 84% (range: 36% to 100%). Noncompliance occurred 74% of the time when subjects reported being headache-free for that day. Eight of the subjects had a 2% to 30% (mean: 15%) increase in headache-free days. This study indicated that compliance with relaxation training does not result consistently in headache relief. Guidelines for the occupational therapist's assessment of patient compliance with treatment regimens are provided. Results and implications for future research also are discussed.