Training parents to implement pediatric feeding protocols

Michael M. Mueller, Cathleen C. Piazza, James W. Moore, Michael E. Kelley, Stephanie A. Bethke, Angela E. Pruett, Amanda J. Oberdorff, Stacy A. Layer

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


Four different multicomponent training packages were evaluated to increase the treatment integrity of parents implementing pediatric feeding protocols. In Study 1 we exposed 3 parents to a training package that consisted of written protocols (baseline), verbal instructions, therapist modeling, and rehearsal training. Results suggested that the package was successful in increasing treatment integrity of the feeding protocols to high levels. Study 2 investigated three different parent-training packages comprised of components used in Study 1. Two parents were exposed to written protocols, verbal instructions, and modeling; 2 parents were exposed to written protocols, verbal instructions, and rehearsal; and 2 parents were exposed to written protocols and verbal instructions. Results of Study 2 showed that each parent-training package produced very high treatment integrity. Follow-up data in the clinic and home for 5 participants suggested that the results were durable for up to 3 months. These results demonstrate a first step in the transfer and application of research findings into routine clinical practice because we evaluated several methods for training parents to implement behavioral feeding protocols, and we demonstrated that these methods resulted in high levels of treatment integrity in a controlled clinical setting.

Original languageEnglish (US)
Pages (from-to)545-562
Number of pages18
JournalJournal of applied behavior analysis
Issue number4
StatePublished - 2003
Externally publishedYes


  • Parent training
  • Pediatric feeding disorders
  • Translational research
  • Treatment integrity

ASJC Scopus subject areas

  • Philosophy
  • Applied Psychology
  • Sociology and Political Science


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