The behavior contract as a positive patient experience.

Behavior contracts are being used more and more in renal settings as a way to address problematic patient behavior. While behavior contracts can be very effective tools for modifying self-destructive or aggressive behavior, a poorly written or implemented behavior contract may lead to a patient’s refusal to cooperate and/or continued or increased problematic behavior. Appropriate use of a behavior contract can, however, be a positive learning experience leading to mutual understanding and improved relations between patients and staff. In fact, a well written, mutually agreed upon contract could be the singular most effective way to help a patient change behavior.