Caretaker-Child Interactions At Bedtime: A Bidirectional Analysis of Noncompliant Bedtime Behavior

The purpose of this investigation was to (a) use the positive routines procedure to decrease child noncompliance and the time it takes the child to comply (latency) at bedtime, (b) to assess treatment fidelity, and (c) to record objectively parent behavior. Research was conducted with four children and five parents in their homes. The treatment was explained to each parent and introduced to each child after the baseline phase. Positive routines requires the parent to implement a low-stimulation “routine” at the time the child naturally gets sleepy. The routine gradually begins earlier so that by the end of treatment, it is completed at the time the parent originally attempted to establish bedtime. The data reveal that with high treatment fidelity, the treatment was effective in reducing bedtime noncompliance, latency, and parental reinforcing behaviors. The data also supported the notion that parent behavior can be controlled by child behavior