The present article is a case report in which a boy with spina bifida and pervasive developmental disorder-ot otherwise specified who had found it difficult to learn the catheterization skill was given catheterization skill training. After a task analysis was conducted, the following procedures were implemented: presentation of task analysis, feedback on the duration of performing, and, when catheterization skill training was implemented, introducing high value reinforcers. After catheterization skill training was implemented by the boy's mother following those procedures, the boy acquired the target behaviors, including (a) holding the catheter and inserting the tube of jelly, (b) pulling the catheter out of the tube and holding the catheter, (c) inserting the catheter into the urethra, and (d) inserting the catheter into the bottom of the urethra. Moreover, he performed catheterization with support from the nurses and teachers at his school. Discussion considered establishment of supported catheterization and characteristics of combined disabilities.
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