An experimental nursing study: a behavior modification approach to nursing therapeutics in body positioning of spinal cord-injured patients.

Ten spinal cord-injured patients at a rehabilitation center were randomly assigned to two groups: one group received behavior modification training in body positioning, the other group received customary body positioning nursing care. Body positioning behaviors were modified through demonstration of body positions and shaping of body position moves with attention from the nurse as the positive reinforcer. Following treatment, the behavior modification group showed significant change in increased frequencies of daily changes of position and patient-initiated changes of position; in decreases assistance needed for change of position, and in decreased frequencies of intervals of prolonged skin pressure. There was no significant change in frequency of face lying or participation in ward activities of daily living. Replications of the study are needed for confirmation of findings.