Motivating children with feeding disorders to self-feed: An evaluation of using differential reinforcement and manipulation of establishing operations to increase self-feeding

Bethany A. Hansen, Laura E. Phipps, Amy K. Drayton, Nicole C. Demchuk, Rachel M. Knight, Lindsey A. Elson

Research output: Contribution to journalArticlepeer-review

Abstract

Self-feeding is a behavioral cusp vital to independence, growth, and development. Previous studies demonstrate that interventions like escape extinction in the form of physical guidance are effective at increasing self-feeding in children with feeding disorders. However, these interventions may not be effective for all children. In the present study, we evaluated the effects of a treatment package that involved increasing the quality of feeder attention and access to tangibles to decrease the comparative value of escape from the self-feeding demand for two children with feeding disorders using a nonconcurrent multiple baseline design. Despite demonstrating the skills to self-feed preferred foods and consume target foods, neither child self-fed target foods independently. Following differential reinforcement with the manipulation of establishing operations, both children demonstrated improvement in self-feeding bites of target foods. In addition, caregivers were trained to implement the protocol with high procedural integrity.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalBehavioral Interventions
Volume38
Issue number4
DOIs
StatePublished - Nov 2023

Keywords

  • behavior problems
  • feeding disorders
  • multiple baseline design
  • nutrition
  • single case design

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

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