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Abigail B.

Basao BS Psychology 3

Mrs. Florence Nawew- Bahni Theories of Learning

BEHAVIOR MODIFICATION INTERVENTION Code Name: Jebebs Sex: Female Age: 19 Strengths: r e s ponds positively to suggestions enjoys praise and positive, social reinforcement self internalization, likes to live a healthy lifestyle determined to change Target behavior: Not drinking enough water Definition of behavior: Average of drinking 1-2 glasses only in a day (1 glass= 250 ml) Goal behavior: Client will drink even just a minimum of 5 and more glasses of water already in a day Behavior reasoned out by client: Client reports she is not thirsty so she does not drink Client says she does not feel anything even if she does not drink a lot Client explains she want to drink but she feels like she does not because she feels like she does not need it Sometimes, tends to forget to drink- because anyway, she feels like she does not have the need to drink anymore because she is not thirsty Rationale for the intervention to be done: Not drinking enough water may cause disastrous effects to ones body. They involve dehydration, kidney problems, skin dryness, constipation, even death, and the like (Redburn, 2008; Flaks as cited in Perry, 2010; Perry, 2010). Living healthily at a young age is key to more prosperous and bountiful living later on in life. Intervention: Time Span: 10 days Persons involved:

Client Close friend of the client (since the client is currently living with her best friend in a boarding house) Person doing the intervention Things needed: Contract note- a contract paper that the client will sign to carry out the planned intervention A piece of paper where the client could see that the desired intervention is taking place (contained checkbox in which the client checked in such if she has drank water) Notes and pictures of undesirable effects due to not drinking enough water Rewards: Praise and motivation (from the intervener and the friend) Scrap things as tangible reward (to be given by the intervener at a variable interval schedule; intervener asked friend of the client of what is her favorite thing or anything which makes the client happy) Techniques: Operant conditioning -praise and motivation-> given in a continuous reinforcement manner, that is when the client has drunk enough water for the whole day, praise was given. Motivation was given everyday, too. (even if client wasnt able to drink enough, motivation was also given, praise nor punishment were not) -motivation (texting the client during the night when they are not together) -> -monetary reward and the scrap things-> given in a variable interval schedule (client does not know when the reward is given) Classical conditioning->picture of an undesirable image showing what could be the result in the body the if a person does not drink water/excessive no drinking of water was given -> every time she tends to forget to drink, looks at that picture and text the intervener gave -> picture was placed in the clients door so that she may see it as frequent as possible Social cognitive therapy-> giving of praises and words of encouragement ( i.e. you can do it, thats a good thing to do everytime, congratulations) Procedure: Day 1: (A.M.) 1. Intervener talked to the client. Gave the contract note and piece of paper (see Appendix B). Explained what has to be done with such. Boxes should be filled with mark check if she drank 1 glass of water, 2nd glass, and so on. Intervener said client should bring the paper everyday so that intervener can check how many glasses she have already drank after every day. A brief lecture on what is to happen if one does not drink enough water was given. Moreover, replacement behaviors were suggested, if ever she does not feel the urge to drink because she is not thirsty or something. Let her see the undesirable picture about the person who lived such an unhealthy lifestyle of not drinking water, listen to music or call/text the intervener, or have her friend or

someone to talk to about the benefits of drinking water (i.e. she may ask or let others say that drinking is good for the body)- since client is all fond to these activities. 2. Intervener asked friend of the client to observe client if not drink water and give reminder when ever she was not able to do it. Since intervener cant be with the client during meal times and night times, friend was asked to guide and the client. Friend was asked to just be a guide and not to command the client every time so that the client will be able to do it in her own. Praise and motivation was asked to be rendered. 3. Intervener and client agreed she will start after lunch. (P.M.) 4. At school, intervener saw 2 checks on the boxes meaning that the client has drank 2 glasses. Praise and motivation were then given. 5. Friend was asked to do her job on guiding client. Day 2: (A.M.) 1. Client reported she drank 5 glasses of water during the 1st day. It was proven by the paper she intervener gave her to check. Also, client reported that her drinking of such amount of water, made her feel hassle since she was going to the comfort room every now and after. Intervener then said it was normal and by the time, she will do it every time or everyday, her body (kidney) can then adjust with the processes happening in her body. (P.M.) 2. Intervener motivated and gave praise once again to the client for drinking 3 glasses already by noon. Day 3: (A.M.) 1. Client reported she drank 5 glasses in day 2 and by the middle of the morning, she has already drank 1 glass. 2. Praise and motivation were given, again. 3. Client promised to drink again later on. (P.M.) 4. Client reported she has already drunk 4 glasses of water by the end of the class hours. 5. Praise was given. 6. Intervener gave scrap material as reward for her job well done drinking of water. 7. Client was surprised and was seen to be more motivated to drink. 8. Stories by the client (about her struggles in drinking; she was somewhat not used to it, and other things were talked about) Day 4- Day 8 Highlights * Same routine was done each and every morning client and intervener see each other in the class.

* Friend was also asked and reported that the client is doing a good job in doing the drinking of water in her own. * Stories by the client in which how is her experience in doing the intervention was given importance. * Motivation and praise was given. * During 4th and 6th day, at night, intervener texted client to dont forget drinking water. * During 7th day, client reported she was really happy for what she was doing. Intervener noticed intrinsic motivation was really high. * Intervener said, even after that week of intervention, she should still drink enough water, in her own, without any motivation from others already. Day 9: * Same routine was done each and every morning client and intervener see each other in the class. * Scrap materials were given as reward, again. Intervener also said she should have to continue such behavior of drinking water in an indefinite length of time- as in forever in her life . Without any reward and motivation already from others, she still should still continue. Intervener congratulated and thanked the client since they were already near the end of the intervention. Day 10: * Same routine was done each and every morning client and intervener see each other in the class. * During 10th day, intervener congratulated client once again for a job well done. Letting the client know drinking enough water was also mentioned again to the client. Make it a habit and soon she will get use to it. Remarks: Every after the client got successful, praise was given. Important thing considered done were also the giving of support and words of encouragement, giving of warm response from the intervener and the friend and even the sharing of the experience by the client. Since intervener was not able to observe and be with the client during the night, intervener relied on the clients oral and paper report and friends report. It was not her usual way of living thats why it was not that easy at first. It was good the friend helped in motivating the client especially during meal times and night times. The intervention was not also that perfect, since, maybe it was not that at all a modification because compulsion to do the thing the client was tasked to do was in her mind. Although, improvement was seen in her and it was a big factor that her internal willingness and motivation to change and do the activity was there.

For the whole 10 days of the intervention, client showed marked improvement. Although in such span of time, amount of water drank was not constant.

Recommendations: It is good to check on the clients determination to change. It is in here that an intervener would start. It is like the baseline data and the basis whether what and how reward will be carried out. Check clients weaknesses, too, so that s/he can do the intervention within his/her capability. Longer time should be required to fully assess effectiveness of intervention. It is important to see implication of giving or not giving rewards nor punishment when everytime client feels the need not to drink anymore water because she feels not thirsty. Consult other more knowledgeable persons. =)

Appendix A Summary of drank water in the whole 10 days (in glasses/ml): Day 1: client drank 5 glasses of water Day 2: client drank 5 glasses of water Day 3: client drank 6 glasses of water Day 4: client drank 7 glasses of water Day 5: client drank 6 glasses of water Day 6: client drank 7 glasses of water Day 7: client drank 7 glasses of water Day 8: client drank 6 glasses of water Day 9: client drank 6 glasses of water Day 10: client drank 7 glasses of water Average: 6.2 glasses Appendix B