Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-26T14:53:27.307Z Has data issue: false hasContentIssue false
  • English
  • Français

Treatment for Younger Siblings of Participants in a Home-Based Intensive Paediatric Feeding Programme in Australia

Published online by Cambridge University Press:  26 November 2020

Tessa Taylor Open the ORCID record for Tessa Taylor [Opens in a new window]  and
Alayna Haberlin
Tessa Taylor*
Affiliation:
Paediatric Feeding International is in Double Bay, Sydney, NSW, Australia
Alayna Haberlin
Affiliation:
Paperbark Solutions, University of New England, Armidale, New South Wales2350, Australia
*
*Corresponding author: Tessa Taylor, Private Bag 4800, Christchurch 8140, New Zealand. Email: [email protected]
Get access

Abstract

Early childhood feeding problems can be challenging. Children who limit their food consumption may significantly impact multiple critical areas of development. Effective treatment should be accessed as early as possible but has been limited to a handful of US hospital programmes. Feeding problems affect both children with and without disability, and families may struggle with multiple children having feeding difficulties. We provided short-term (less than 2 weeks), in-home, intensive, behaviour-analytic feeding intervention to two children with typical development who were younger siblings of children already in the programme. We used a withdrawal/reversal design to assess the effects of nonremoval of the spoon, re-presentation, contingent and noncontingent access to tangibles, differential attention, and response cost. This multi-component intervention was effective in increasing the consumption of a wide variety of foods at regular texture and self-feeding for both participants. Variety was increased to over 60 foods from all food groups. Admission goals were met (100%). We trained caregivers to high procedural integrity and generalised the protocol. We provided actual plate picture examples of family meals consumed where the brothers and parents ate the same meal. Caregiver satisfaction and social acceptability were high. Gains were maintained at 3-year follow-up where parents reported problems were fully resolved.

Keywords

inappropriate mealtime behaviourpaediatric feeding disordersfood selectivityavoidant/restrictive food intake disorder (ARFID)siblingstypical developmentselective eatingfamily meals
Type
Standard Paper
Information
Behaviour Change , Volume 37 , Issue 4 , December 2020 , pp. 206 - 218
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Addison, LR, Piazza, CC, Patel, MR, Bachmeyer, MH, Rivas, KM, Milnes, SM and Oddo, J (2012). A comparison of sensory integrative and behavioral therapies as treatment for pediatric feeding disorders. Journal of Applied Behavior Analysis, 45, 455–471. doi:10.1901/jaba.2012.45-455.CrossRefGoogle ScholarPubMed
Borrero, CSW, England, JD, Sarcia, B and Woods, JN (2016). A comparison of descriptive and functional analyses of inappropriate mealtime behavior. Behavior Analysis in Practice, 9, 364–379. doi:10.1007/s40617-016-0149-5.CrossRefGoogle ScholarPubMed
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
Girolami, PA and Scotti, JR (2001). Use of analog functional analysis in assessing the function of mealtime behavior problems. Education and Training in Mental Retardation and Developmental Disabilities, 36, 207–223.Google Scholar
González, ML, Rubio, EK and Taylor, T (2014). Inappropriate mealtime behavior: The effects of noncontingent access to preferred tangibles on responding in functional analyses. Research in Developmental Disabilities, 35, 3655–3664. doi:10.1016/j.ridd.2014.08.016.CrossRefGoogle ScholarPubMed
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
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
Kerwin, MLE (1999). Empirically supported treatments in pediatric psychology: Severe feeding problems. Journal of Pediatric Psychology, 24, 193–214. doi:10.1093/jpepsy/24.3.193.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
Lukens, CT and Silverman, AH (2014). Systematic review of psychological interventions for pediatric feeding problems. Journal of Pediatric Psychology, 39, 903–917. doi:10.1093/jpepsy/jsu040.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 and Piazza, CC (2013). Feeding disorders. In Hastings, Richard and Rojahn, Johannes (eds), International review of research in developmental disabilities (vol. 44, pp. 143–166). CA, USA: San Diego.Google Scholar
Peterson, KM, Piazza, CC and Volkert, VM (2016). A comparison of a modified sequential oral sensory approach to an applied behavior-analytic approach in the treatment of food selectivity in children with autism spectrum disorder. Journal of Applied Behavior Analysis, 49, 485–511. doi:10.1002/jaba.332.CrossRefGoogle Scholar
Piazza, CC, Fisher, WW, Brown, KA, Shore, BA, Patel, MR, Katz, RM, … Blakely-Smith, A (2003). Functional analysis of inappropriate mealtime behaviors. Journal of Applied Behavior Analysis, 36, 187–204. doi:10.1901/jaba.2003.36-187.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). Cambridge, MA, USA: Academic Press.CrossRefGoogle Scholar
Schwarzenberg, SJ and Georgieff, MK (2018). Advocacy for improving nutrition in the first 1000 days to support childhood development and adult health. Pediatrics, 141, e20173716.CrossRefGoogle ScholarPubMed
Seiverling, L, Anderson, K, Rogan, C, Alaimo, C, Argott, P and Panora, J (2018). A comparison of a behavioral feeding intervention with and without pre-meal sensory integration therapy. Journal of Autism and Developmental Disorders, 48, 3344–3353.CrossRefGoogle ScholarPubMed
Sharp, WG, Jaquess, DL, Morton, JF and Herzinger, CV (2010). Pediatric feeding disorders: A quantitative synthesis of treatment outcomes. Clinical Child and Family Psychology Review, 13, 348–365. doi:10.1007/s10567-010-0079-7.CrossRefGoogle ScholarPubMed
Sharp, WG, Volkert, VM, Scahill, L, McCracken, CE and McElhanon, B (2017). A systematic review and meta-analysis of intensive multidisciplinary intervention for pediatric feeding disorders: How standard is the standard of care? The Journal of Pediatrics, 181, 116–124. doi:10.1016/j.jpeds.2016.10.002.CrossRefGoogle ScholarPubMed
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, S and Taylor, T (2021). The distance between empirically-supported treatment and actual practice for paediatric feeding problems: An international clinical perspective. International Journal of Child and Adolescent Health.Google Scholar
Taylor, T and Taylor, S (2021). Let's not wait and see: The substantial risks of paediatric feeding problems. International Journal of Child and Adolescent Health.Google Scholar
Taylor, T, Kozlowski, AM and Girolami, PA (2017). Comparing behavioral treatment of feeding difficulties and tube dependence in children with cerebral palsy and autism spectrum disorder. NeuroRehabilitation, 41, 395–402. doi:10.3233/NRE-162071.CrossRefGoogle ScholarPubMed
Taylor, SA, Virues-Ortega, J and Anderson, R (2019). Transitioning children from tube to oral feeding: A systematic review of current treatment approaches. Speech, Language and Hearing, 1–14. doi:10.1080/2050571X.2019.1684068.CrossRefGoogle Scholar
Taylor, T, Haberlin, A and Haberlin, J (2019). Treatment of avoidant/restrictive food intake disorder for a teenager with typical development within the home setting. Journal of Adolescence, 77, 11–20. doi:10.1016/j.adolescence.2019.09.007.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
Volkert, VM and Piazza, CC (2012). Pediatric feeding disorders. In Sturmey, P and Hersen, M (Eds.), Handbook of evidence-based practice in clinical psychology (vol. 1, pp. 323–338). Hoboken, New Jersey: John Wiley & Sons.Google Scholar
Whelan, CM and Penrod, B (2019). An evaluation of sequential meal presentation with picky eaters. Behavior Analysis in Practice, 12, 301–309. doi:10.1007/s40617-018-00277-7.CrossRefGoogle ScholarPubMed
Zucker, N, Copeland, W, Franz, L, Carpenter, K, Keeling, L, Angold, A and Egger, H (2015). Psychological and psychosocial impairment in preschoolers with selective eating. Pediatrics, 136, e582–e590. doi:10.1542/peds.2014-2386.CrossRefGoogle ScholarPubMed
Supplementary material: File

Taylor and Haberlin supplementary material

Taylor and Haberlin supplementary material

Download Taylor and Haberlin supplementary material(File)
File 108.9 KB