Assessing compliance to home relaxation: A simple technology for a critical problem

A simple, low-cost, and reliable technology for assessing compliance with relaxation practice in the natural environment is presented. Brief, audible cue tones are overdubbed onto selected client relaxation tapes, which are ordered by the therapist and then played in sequence by the client. The presence/absence or number of cue tones on each tape in the sequence is self-monitored, thereby providing the therapist with a record for objectively assessing whether or not the tapes were used as instructed. A clinical case example is presented to illustrate use of the procedure. Finally, advantages and limitations of the procedure are discussed.A portion of this paper (clinical case study) was presented at the meeting of the Association for Advancement of Behavior Therapy, November 1980, New York. This research was partly supported by the Medical Research Service of the Veterans Administration. The authors wish to express their appreciation to Leonard H. Epstein for his support and stimulation in the early development of this and related projects.