Relapse during the treatment of pediatric feeding disorders

Sarah D. Haney, Brian D. Greer, Daniel R. Mitteer, Kayla R. Randall

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Resurgence and renewal are treatment-relapse phenomena in which previously extinguished behavior returns after the conditions for an alternative response worsen or the context changes, respectively. Recently, researchers have evaluated the prevalence of resurgence and renewal when treating destructive behavior with functional communication training. However, resurgence of inappropriate mealtime behavior has yet to be evaluated; perhaps because treatments involve qualitatively different resurgence opportunities (e.g., increased bite-presentation rate). We evaluated the prevalence of resurgence and renewal of inappropriate mealtime behavior across 22 and 25 applications of extinction-based treatments, respectively. Resurgence occurred in 41% (9/22) of applications, most often following presentation-rate increases. Renewal occurred in 52% (13/25) of applications, most often following feeder changes from therapist to caregiver. We discuss these findings in terms of their ability to inform relapse-mitigation strategies for resurgence and renewal of inappropriate mealtime behavior.

Original languageEnglish (US)
Pages (from-to)704-726
Number of pages23
JournalJournal of applied behavior analysis
Volume55
Issue number3
DOIs
StatePublished - Jun 1 2022
Externally publishedYes

Keywords

  • inappropriate mealtime behavior
  • pediatric feeding disorder
  • renewal
  • resurgence
  • treatment relapse

ASJC Scopus subject areas

  • Applied Psychology
  • Sociology and Political Science
  • Philosophy

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