Food Refusal
- An evaluation of two differential reinforcement procedures with escape extinction to treat food refusal
Abstract: Consumption of solids and liquids occurs as a chain of behaviors that may include accepting, swallowing, and retaining the food or drink. In the current investigation, weevaluated the relative effectiveness of differential reinforcement of the first behavior in the chain (acceptance) versus differential reinforcement for the terminal behavior in the chain (mouth clean). - Escape contingency and token economy
Abstract: Escape (termination of a meal) and token-based differential reinforcement of alternative behavior were used as reinforcement to increase acceptance of food. Using a changing criterion design, the number of bites accepted and consumed was gradually increased to 15 bites per meal. These data suggest that, in some cases, escape may be a potent reinforcer for food acceptance. - Functional analysis of inappropriate mealtime behaviors
Abstract: The purpose of the current investigation was to apply the functional analysis described by Iwata, Dorsey, Slifer, Bauman, and Richman (1982/1994) to the inappropriate mealtime behaviors of 15 children who had been referred to an intensive program for the assessment and treatment of severe feeding disorders. - Home based parent training and food refusal
Abstract: We trained mothers to initiate regular offerings of previously rejected (target) foods and to provide contingent attention (i.e., specific prompts, positive reinforcement) to increase their child’s acceptance of nonpreferred foods. - Increasing variety of foods consumed
Abstract: A treatment with differential or noncontingent reinforcement and nonremoval of the spoon increased the acceptance of one or two of 16 foods for 2 participants with severe food refusal. These differential levels of acceptance were demonstrated empirically in an ABAB design in which A was the presentation of the accepted (preferred) foods and B was the presentation of foods the participants refused (nonpreferred foods). Subsequently, we implemented a blending treatment that consisted of mixing (blending) nonpreferred foods into preferred foods in various ratios (e.g., 10% nonpreferred/90% preferred, 20% nonpreferred/80% preferred). - Noncontingent reinforcement and escape extinction
Abstract: In the current investigation, we evaluated the relative effects of noncontingent reinforcement (NCR), escape extinction, and a combination of NCR and escape extinction as treatment for the feeding problems exhibited by 4 children. - Parental influences on childrens eating behavior and relative weight
Abstract: We investigated the relationship between selected parent behaviors, child mealtime behavior, and infant relative weight. - Severe feeding problems
Abstract: In the present study, behavioural treatment is described of three school-aged children with severe feeding problems caused by (surgically corrected) anatomical disorders of the digestive system. Two children showed food refusal and were tube-fed whereas the third child showed extreme food electivity. - Simultaneous vs sequential food offering
Abstract: In the current investigation, we compared two methods of food presentation (simultaneous vs. sequential) to increase consumption of nonpreferred food for 3 children with food selectivity. In the simultaneous condition, preferred foods were presented at the same time as nonpreferred food (e.g., a piece of broccoli was presented on a chip). In the sequential condition, acceptance of the nonpreferred food resulted in presentation of the preferred food. - Stimulus fading, reinforcement and extinction on food refusal – fading food in
Abstract: The food refusal of a 6-year-old girl with destructive behavior was treated using stimulus fading, reinforcement, and escape extinction. Intake increased and compliance with prompting procedures remained relatively stable despite the increased consumption requirement. - Treating total liquid refusal with backward chaining and fading not printed yet
Abstract: In this study, we report on a 12-year-old boy with autism, mental retardation, and a history of severe gastrointestinal problems who presented with total liquid and food refusal. Backward chaining was used to shape drinking from a cup, and a fading procedure was used to increase the quantity of water he was required to drink. - Use of the high probability instructional sequence and escape extinction in a child with food refusal
Abstract: We used the high-probability (high-p) instructional sequence with and without escape extinction in the treatment of food refusal. Acceptance increased and refusal decreased only with the introduction of escape extinction. These results raise important questions about the high-p sequence in the treatment of food refusal. - Small Quick-Reference Liturature Review
This is a literature review in ‘Word’ format that I did for parent education and treatment plan development.


