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101676 Human Learning

Question:

How to Increase Moisturiser Application with Positive Reinforcement?

Introduction:

There are various people who suffer from a skin disorder known as dermatitis, with symptoms often involving severe dry skin and eczematous lesions (Kikuchi & Tagami, 2008). An area commonly affected is the hands, often due to the constant contact the skin experiences daily (Moyle, Keegel, Noonan & Nixon, 2006). An essential form of treatment is the use of a lipid rich moisturiser (Moyle et al., 2006). By using an appropriate moisturiser the diseased skin will become more hydrated, subsequently leading to a smoother and softer skin surface (Kikuchi & Tagami, 2008). Hence, this study will employ a self-control program aimed to increase daily moisturiser application to hands experiencing symptoms of dermatitis. The study will follow Skinner’s (1953) recommendation of including positive reinforcement to strengthen behaviour.

Repeated application, as often as 15 times per day, of a moisturiser to the hands has been recommended to control symptoms of dermatitis (Moyle et al., 2006). However, there are short-term consequences which may reduce the frequency of application. For instance, through personal experience I have noted that once applying moisturiser to the hands, it takes time for the product to be absorbed by the skin. As a result, my hands are often left with a temporary sticky, unpleasant sensation. Furthermore, I must remember to constantly reapply the product, which can be proved difficult by the distraction of daily tasks. Therefore, in order to benefit from the use of hand moisturiser, which is not immediately rewarding, the immediate consequences must be overcome (Watson & Tharp, 2007). One way of achieving this is through methods of positive reinforcement, first described by Skinner (1953) as the addition of a pleasant or desirable stimulus to increase a specified behaviour.

Wiegand & Geller (2004) suggest that to successfully modify behaviour it is necessary to set goals that are specific, motivational, achievable, relevant and trackable Results from the program indicate that the use of a contingent reinforcer was successful in increasing daily moisturiser application to the hands (Skinner, 1953). The enticement of being able to play 5 games of Candy Crush at the end of each day if the set goal was reached was an effective motivator in the short-term. However, it was the $100 MYER gift card that enabled long-term motivation to complete each daily goal for the week. I was therefore able to successfully overcome the short-term consequences of moisturiser application and complete each daily goal. Thinking about how much I desired the positive reinforcers enabled me to remember to carry my moisturiser on person and continuously reapply the product. As a result, my hands did not experience any symptoms of dermatitis during the program week and my skin became considerably softer and smoother.

Program to increase exercise through temptation bundling Many people in developed countries live a sedentary life-style. This lack of exercise results from competition with other activities, e.g., watching TV, driving a car, and the fact that most work involves little overt activity. An increase in exercise would lead to improvements in muscle tone, cardiovascular fitness, and greater resistance to stressors (Conner, Sandberg, & Norman, 2010; Whyte & Laughlin, 2010).

Most of the activities that compete with exercising provide immediate reinforcement. In contrast, the short-term consequences of exercising are negative, e.g., takes time, , have to shower after it, and you feel sore. The benefits take some time to occur and are not immediately rewarding (Watson & Tharp, 2007). Thus, any program aimed at increasing exercise needs to overcome these negative consequences. Skinner (1953) argues that such a program needs to employ positive reinforcers presented as closely as possible following the required behaviour.

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