Inappropriate mealtime behavior (IMB) is a type of feeding challenge within the broader class of food refusal. The purpose of this study was to critically analyze the efficacy of interventions for the treatment of IMB through a meta-analysis of research using single-case experimental designs. We examined the extent to which different interventions…

The prevalence of obesity continues to increase in the United States (Gordon-Larsen, The, & Adair, 2010). Obesity can be attributed, in part, to overconsumption of energy-dense foods. Given that overeating plays a role in the development of obesity, interventions that teach individuals to identify and consume appropriate portion sizes are…

The current study examined the effects of bite placement with a flipped versus upright spoon on expulsion and mouth clean (product measure of swallowing) in the treatment of 3 children diagnosed with a pediatric feeding disorder and oral-motor deficits. For all 3 participants, extinction in the form of nonremoval of the spoon led to improvements…

Packing is a problematic mealtime behavior that is characterized by pocketing or holding solids or liquids in the mouth without swallowing. In the current study, we examined the effects of a chaser, a liquid or solid consistently accepted and swallowed by the child, to decrease packing of solid foods in 3 children with feeding disorders. During…

Little is known about the characteristics of meals that serve as motivating operations (MOs) for escape behavior. In the current investigation, we showed that the distance at which a therapist held a spoon from a child's lips served as an MO for escape behavior. Based on these results, we implemented spoon distance fading, compared fading with and…

Given the effectiveness of putative escape extinction as treatment for feeding problems, it is surprising that little is known about the effects of escape as reinforcement for appropriate eating during treatment. In the current investigation, we examined the effectiveness of escape as reinforcement for mouth clean (a product measure of…

We treated a child with intestinal failure who consumed solids on a spoon but not liquids from a cup. We used spoon-to-cup fading, which consisted of taping a spoon to a cup and then gradually moving the bowl of the spoon closer to the edge of the cup. Spoon-to-cup fading was effective for increasing consumption of liquids from a cup. (Contains 2…

This study assessed the effects of a vibrating pager for increasing the duration of meal consumption in 3 teenagers with autism who were observed to eat too quickly. Participants were taught to take a bite only when the pager vibrated at predetermined intervals. A reversal design indicated that the vibrating pager successfully increased the total…

The purpose of the current study was to replicate the use of parents as therapists for experimental functional analyses of inappropriate mealtime behavior with multiple participants while measuring procedural integrity. Clear functions were identified, and high percentages of procedural integrity were obtained. (Contains 1 figure.)

Chronic food refusal of four handicapped children (one-three years old) was modified by a procedure involving the delivery of reinforcement (social praise, access to preferred foods, brief toy play periods) contingent upon consumption of a targeted food item. (CL)

Three adults with severe/profound mental retardation consumed regular portions of food that varied between phases from normal to high caloric levels. The data showed a clear but modest inverse relationship between the caloric value of the diet and the rates of postmeal ruminating. (Author/JDD)

This study examined packing (pocketing or holding accepted food in the mouth) in 3 children who were failing to thrive or had inadequate weight gain due to insufficient caloric intake. The results of an analysis of texture indicated that total grams consumed were higher when lower textured foods were presented than when higher textured foods were…

The present study replicates and extends previous research on the treatment of food selectivity by implementing pairing and fading procedures to increase a child's milk consumption during regularly scheduled preschool meals. The treatment involved mixing a small amount of chocolate syrup into a glass of milk and gradually eliminating the…

The study evaluated a program for teaching family-style mealtime skills to four profoundly retarded institutionalized adolescents. The program used forward chaining with a less-to-more intrusive prompting sequence and contingent reinforcement to teach the skills. (Author/DB)

A study investigated the efficacy of texture fading in the treatment of food selectivity displayed by four children (ages 2-5). Successful treatment involved the gradual addition of higher textures based on results of periodic probes. Food acceptance and swallowing were reinforced, while food refusal and expulsion were placed on extinction.…