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Behavior Modification, Vol. 31, No. 5, 573-594 (2007)
DOI: 10.1177/0145445506298723

Behavioral Treatment of Drooling

A Methodological Critique of the Literature With Clinical Guidelines and Suggestions for Future Research

Jan J. W. Van der Burg, PhD

Radboud University

Robert Didden

Radboud University

Peter H. Jongerius, MD, PhD

Radboud University

Jan J. Rotteveel, MD, PhD

Radboud University

Many children with mental retardation and developmental disabilities suffer from the consequences of chronic drooling. Behavioral treatment for drooling should be considered before other, more intrusive treatments such as medication and surgery are implemented. However, empirical studies on behavioral procedures are scarce. This article reviews 19 behavioral studies published since 1970. Treatment procedures are (a) instruction, prompting, and positive reinforcement; (b) negative social reinforcement and declarative procedures; (c) cueing techniques; and (d) self-management procedures. Although these procedures yield positive results, critical examination of experimental methodology of the studies reveals several methodological shortcomings. Guidelines for clinical use of behavioral treatment for drooling are presented, and recommendations are given for future research in this area.

Key Words: drooling • behavioral treatment


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G. E. Lancioni, N. N. Singh, M. F. O'Reilly, J. Sigafoos, S. Pichierri, D. Iaffaldano, A. Latrofa, and D. Oliva
Use of a Mouth-Wiping Response to Reduce Drooling by Two Persons With Profound Developmental Disabilities
Behav Modif, July 1, 2008; 32(4): 540 - 547.
[Abstract] [PDF]