ABSTRACT

Objective : This study aimed to examine the effects of three-step guided compliance training through positivereinforcement on occupational therapy for enhancing the engagement in children with a developmentaldisorder. Methods : The participants of this study were two children with a developmental disorder, and a multiplebaselineacross the tasks in single- subject experimental research was used. In this process, the level ofoccupation engagement was measured by conducting existing occupational therapy-I. Guided compliancetraining was then conducted using three-step guided compliance training through positive reinforcement. Next, the level of occupation engagement was measured by conducting occupational therapy-Ⅲ whileapplying reinforcement together. Results : In the case of participant 1, the level of occupation engagement increased more during occupationaltherapy-Ⅱ after guided compliance training than in occupational therapy-Ⅰ; and in occupational therapy-Ⅲwhen applying a reinforcement, the level of occupation engagement decreased somewhat compared tooccupational therapy-Ⅱ. In the case of participant 2, there were few changes in the level of occupationengagement between occupational therapy-Ⅰ and occupational therapy-Ⅱ, but in occupational therapy-Ⅲwhen applying a reinforcement, the level of occupation engagement increased significantly. Conclusion : For participant 1, it was more effective to perform occupational therapy after guided compliancetraining, whereas for participant 2, a positive effect on enhancing the level of occupation engagement wasshown when applying reinforcement with guided compliance training during occupational therapy.