CONTINGENT SOCIAL-REINFORCEMENT FOR FLUID COMPLIANCE IN A HEMODIALYSIS PATIENT

Two approaches, (a) patient education and (b) compliance-contingent so cial reinforcement, were employed to improve compliance with fluid res trictions in a chronically noncompliant hemodialysis patient of border line intellectual functioning. Results indicated that only social rein forcement led to improved compliance (i.e., decreased intersession wei ght gain). Treatment effects were well maintained at both 3- and 6-mon th follow-ups. Contingency management strategies are recommended as a potentially cost effective treatment for noncompliance in hemodialysis patients.