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Use of a Move-on Component to Increase Consumption for a Clinical Paediatric Feeding Case In-Home

Published online by Cambridge University Press:  14 September 2021

Tessa Taylor Open the ORCID record for Tessa Taylor [Opens in a new window]
Tessa Taylor*
Affiliation:
Department of Psychology, Speech & Hearing; Department of Health Sciences, University of Canterbury/Te Whare Wānanga o Waitaha, Christchurch, New Zealand Paediatric Feeding International, Sydney, New South Wales, Australia
*
*Corresponding author: Tessa Taylor, Department of Psychology, Speech & Hearing; Department of Health Sciences, University of Canterbury/Te Whare Wānanga o Waitaha, Private Bag 4800, Christchurch 8140, New Zealand. Email: [email protected]
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Abstract

Research from specialised hospital feeding programmes in the United States has shown effectiveness of a variety of treatments for packing (not swallowing food or liquid in the mouth) to increase swallowing and consumption. One potential component used in clinical practice has not been evaluated in the literature to our knowledge. This component is move-on and involves moving on to the next bite presentation rather than waiting for swallowing (i.e., clean mouth). A 5-year-old female with autism spectrum disorder and avoidant/restrictive food intake disorder participated in a home setting in Australia. We used a withdrawal/reversal single-case experimental design for a move-on component added to a treatment package. With move-on added, latency to clean mouth decreased and consumption increased to 100%. After the treatment evaluation, additional procedures (interspersal, redistribution) were needed in full plate and portion meals. Food variety was increased to 116 regular texture foods across all food groups. All (100%) of admission goals were met. Parents were trained to high procedural integrity, and the protocol was generalised to the community. Gains maintained to 1-month follow-up.

Keywords

packingmove-oninappropriate mealtime behaviourpaediatric feeding disordersfood selectivityavoidant/restrictive food intake disorder (ARFID)autism spectrum disorder
Type
Standard Paper
Information
Behaviour Change , Volume 39 , Issue 1 , April 2022 , pp. 51 - 63
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of the Australian Association for Cognitive and Behaviour Therapy

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References

Borrero, CSW, Schlereth, GJ, Rubio, EK and Taylor, T (2013). A comparison of two physical guidance procedures in the treatment of pediatric food refusal. Behavioral Interventions, 28, 261–280. doi:10.1002/bin.1373.CrossRefGoogle Scholar
Bullock, CE, Fisher, WW and Hagopian, LP (2017). Description and validation of a computerized behavioral data program: “BDatapro”. The Behavior Analyst, 40, 275–285. doi:10.1007/s40614-016-0079-0.CrossRefGoogle ScholarPubMed
Fisher, WW, Piazza, CC, Bowman, LG, Hagopian, LP, Owens, JC and Slevin, I (1992). A comparison of two approaches for identifying reinforcers for persons with severe and profound disabilities. Journal of Applied Behavior Analysis, 25, 491–498. doi:10.1901/jaba.1992.25-491.CrossRefGoogle ScholarPubMed
Friman, PC and Piazza, C (2011). Behavioral pediatrics. In Fisher, W Piazza, CC and Roane, HS (eds), Handbook of applied behavior analysis (pp. 433–450). New York: The Guilford Press.Google Scholar
González, ML, Mulderink, TD and Girolami, PA (2018). Avoidant restrictive food intake disorder. In Maragakis, A and O'Donohue, WT (eds), Principle-based stepped care and brief psychotherapy for integrated care settings (pp. 53–64). Cham, Switzerland: Springer.CrossRefGoogle Scholar
Gulotta, CS, Piazza, CC, Patel, MR and Layer, SA (2005). Using food redistribution to reduce packing in children with severe food refusal. Journal of Applied Behavior Analysis, 38, 39–50. doi:10.1901/jaba.2005.168-03.CrossRefGoogle ScholarPubMed
Hoch, TA, Babbitt, RL, Coe, DA, Krell, DM and Hackbert, L (1994). Contingency contacting: Combining positive reinforcement and escape extinction procedures to treat persistent food refusal. Behavior Modification, 18, 106–128. doi:10.1177/01454455940181007.CrossRefGoogle ScholarPubMed
Hoch, TA, Babbitt, RL, Coe, DA, Ducan, A and Trusty, EM (1995). A swallow induction avoidance procedure to establish eating. Journal of Behavior Therapy and Experimental Psychiatry, 26, 41–50.CrossRefGoogle ScholarPubMed
Kadey, HJ, Piazza, CC, Rivas, KM and Zeleny, J (2013). An evaluation of texture manipulations to increase swallowing. Journal of Applied Behavior Analysis, 46, 539–543. doi:10.1002/jaba.33.CrossRefGoogle ScholarPubMed
Kerwin, MLE, Ahearn, WH, Eicher, PS and Burd, DM (1995). The costs of eating: A behavioral economic analysis of food refusal. Journal of Applied Behavior Analysis, 28, 245–260. doi:10.1901/jaba.1995.28-245.CrossRefGoogle ScholarPubMed
Kozlowski, AM, Taylor, T, González, ML and Girolami, PA (2015). Feeding disorders. In Matson, JL and Matson, ML (eds), Comorbid conditions in individuals with intellectual disabilities (pp. 109–143). Cham, Switzerland: Springer.CrossRefGoogle Scholar
Kunkel, KR, Kozlowski, AM, Taylor, T and González, ML (2018). Validating a food avoidance assessment for children with food selectivity. Behavioral Development, 23, 89–105. doi:10.1037/bdb0000078.CrossRefGoogle Scholar
Levin, DS, Volkert, VM and Piazza, CC (2014). A multi-component treatment to reduce packing in children with feeding and autism spectrum disorders. Behavior Modification, 38, 940–963. doi:10.1177/0145445514550683.CrossRefGoogle ScholarPubMed
Martens, BK, Witt, JC, Elliott, SN and Darveaux, DX (1985). Teacher judgments concerning the acceptability of school-based interventions. Professional Psychology: Research and Practice, 16, 191–198. doi:10.1037/0735-7028.16.2.191.CrossRefGoogle Scholar
Milnes, SM, Piazza, CC, Ibañez, VF and Kozisek, JM (2019). A comparison of Nuk presentation and Nuk redistribution to treat packing. Journal of Applied Behavior Analysis, 52, 476–490. doi:10.1002/jaba.532.CrossRefGoogle ScholarPubMed
Piazza, CC, Milnes, SM and Shalev, RA (2015). A behavior-analytic approach to the assessment and treatment of pediatric feeding disorders. In Roane, HS, Ringdahl, JE and Falcomata, TS (Eds.), Clinical and organizational applications of applied behavior analysis (pp. 69–94). Academic Press. doi:10.1016/C2013-0-09993-8.CrossRefGoogle Scholar
Rivero, AM and Borrero, CS (2019). Evaluation of empirical pretreatment assessments for developing treatments for packing in pediatric feeding disorders. Behavior Analysis in Practice, 13, 137–151. doi:10.1007/s40617-019-00372-3.CrossRefGoogle ScholarPubMed
Rubio, EK, Borrero, CSW and Taylor, T (2015). Use of a side deposit to increase consumption in children with food refusal. Behavioral Interventions, 30, 231–246. doi:10.1002/bin.1404.CrossRefGoogle Scholar
Rubio, EK, McMahon, MX and Volkert, VM (2021). A systematic review of physical guidance procedures as an open-mouth prompt to increase acceptance for children with pediatric feeding disorders. Journal of Applied Behavior Analysis, 54, 144–167. doi:10.1002/jaba.782.CrossRefGoogle ScholarPubMed
Sevin, BM, Gulotta, CS, Sierp, BJ, Rosica, LA and Miller, LJ (2002). Analysis of response covariation among multiple topographies of food refusal. Journal of Applied Behavior Analysis, 35, 65–68. doi:10.1901/jaba.2002.35-65.CrossRefGoogle Scholar
Stubbs, KH, Volkert, VM, Rubio, EK and Ottinger, E (2018). A comparison of flipped-spoon presentation and redistribution to decrease packing in children with feeding disorders. Learning and Motivation, 62, 103–111. doi:10.1016/j.lmot.2017.03.007.CrossRefGoogle Scholar
Taylor, T (2018). Intensive paediatric feeding treatment and the use of a side deposit for a clinical case within the home setting in Australia. European Journal of Behavior Analysis, 19, 208–227. doi:10.1080/15021149.2018.1472852.CrossRefGoogle Scholar
Taylor, T (2020a). Increasing food texture and teaching chewing for a clinical case in-home in Australia. Learning and Motivation. doi:10.1016/j.lmot.2020.101651.CrossRefGoogle Scholar
Taylor, T (2020b). Side deposit with regular texture food for clinical cases in-home. Journal of Pediatric Psychology, 45, 399–410. doi:10.1093/jpepsy/jsaa004.CrossRefGoogle Scholar
Taylor, T (2020c). Use of an exit criterion for a clinical paediatric feeding case in-home. Journal of Developmental and Physical Disabilities. doi:10.1007/s10882-020-09759-5.Google Scholar
Taylor, T (2021). Packing treatment comparison and use of a liquid chaser to increase swallowing for a clinical case. Journal of Autism and Developmental Disorders. doi:10.1007/s10803-021-05176-5.CrossRefGoogle ScholarPubMed
Taylor, T and Taylor, SA (2021). A review of treatment processes and outcomes for paediatric feeding problems. Manuscript Submitted for Publication.Google Scholar
Taylor, T, Blampied, N and Roglić, N (2020). Consecutive controlled case series demonstrates how parents can be trained to treat paediatric feeding disorders at home. Acta Paediatrica. doi:10.1111/apa.15372.Google ScholarPubMed
Vaz, PCM, Piazza, CC, Stewart, V, Volkert, VM, Groff, RA and Patel, MR (2012). Using a chaser to decrease packing in children with feeding disorders. Journal of Applied Behavior Analysis, 45, 97–105. doi:10.1901/jaba.20l2.45-97.CrossRefGoogle ScholarPubMed
Volkert, VM, Vaz, PCM, Piazza, CC, Frese, J and Barnett, L (2011). Using a flipped spoon to decrease packing in children with feeding disorders. Journal of Applied Behavior Analysis, 44, 617–621. doi:10.1901/jaba.2011.44-617.CrossRefGoogle ScholarPubMed
Volkert, VM, Piazza, CC, Vaz, PCM and Frese, J (2013). A pilot study to increase chewing in children with feeding disorders. Behavior Modification, 37, 391–408. doi:10.1177/0145445512474295.CrossRefGoogle ScholarPubMed
Volkert, VM, Peterson, KM, Zeleny, JR and Piazza, CC (2014). A clinical protocol to increase chewing and assess mastication in children with feeding disorders. Behavior Modification, 38, 705–729. doi:10.1177/0145445514536575.CrossRefGoogle ScholarPubMed
Volkert, VM, Patel, MR and Peterson, KM (2016). Food refusal and selective eating. In Luiselli, JK (ed.), Behavioral health promotion and intervention in intellectual and developmental disabilities (pp. 137–161). Cham, Switzerland: Springer.CrossRefGoogle Scholar
Volkert, VM, Sharp, WG, Clark, MC, Ormand, H, Rubio, EK, McCracken, C and Bryan, L (2019). Modified-bolus placement as a therapeutic tool in the treatment of pediatric feeding disorders: Analysis from a retrospective chart review. Journal of Speech, Language, and Hearing Research, 62, 3123–3134. doi:10.1044/2019_jslhr-s-18-0268.CrossRefGoogle ScholarPubMed
Yeung, KA, Taylor, T, Scheimann, A, Carvalho, R, Reinhardt, E, Girolami, P and Wood, R (2015). The prevalence of food allergies in children referred to a multidisciplinary feeding program. Clinical Pediatrics, 54, 1081–1086. doi:10.1177/0009922815593499.CrossRefGoogle ScholarPubMed
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