Reinforcement is intended to reward and motivate the child for his or her cooperation during medical procedures. Reinforcement may include verbal praise, stickers or small toys, or other incentives. By pairing a positive outcome (e.g., sticker, toy) with an aversive stimulus (e.g., venipuncture), the child develops a positive association with the aversive event. In addition, by providing an incentive to engage in cooperative behaviors, the likelihood that the child will perform the behaviors again in the future is increased.

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