Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-05T04:55:28.047Z Has data issue: false hasContentIssue false

Using Escape Extinction and Reinforcement to Increase Eating in a Young Child with Autism

Published online by Cambridge University Press:  25 March 2013

Lilly T. D. Bui*
Affiliation:
Monash University, Melbourne, Victoria, Australia
Dennis W. Moore
Affiliation:
Monash University, Melbourne, Victoria, Australia
Angelika Anderson
Affiliation:
Monash University, Melbourne, Victoria, Australia
*
Address for correspondence: Lilly Bui, Krongold Centre, Faculty of Education, Clayton Campus, Monash University, Melbourne, Victoria 3800, Australia. Email: [email protected]
Get access

Abstract

Feeding problems that can lead to associated nutritionally related medical conditions and often cause stress and difficulties for parents are prevalent in children with autism. It is therefore important to target these problem behaviours through effective interventions. The present study was designed to trial a procedure comprised of escape extinction combined with positive reinforcement with the aim to reduce food refusals and increase eating in a child with autism. It was predicted that the intervention package would significantly reduce food refusals and increase eating and that any increase in food acceptance would be maintained and generalised to other behaviours related to feeding on termination of the intervention. The research design was a multiple baseline across settings. The results confirmed our predictions. It was concluded that the treatment package was effective at increasing food acceptance.

Type
Standard Papers
Copyright
Copyright © The Authors 2013

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

Ahearn, W.H. (2002). Effect of two methods of introducing foods during feeding treatment on acceptance of previously rejected items. Behavioral Interventions, 17 (3), 111127. doi:10.1102/bin.112Google Scholar
Ahearn, W.H. (2003). Using simultaneous presentation to increase vegetable consumption in a mildly selective child with autism. Journal of Applied Behavior Analysis, 36 (3), 361365. doi:10.1901/jaba.2003.36-361CrossRefGoogle Scholar
Ahearn, W.H., Castine, T., Nault, K., & Green, G. (2001). An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified. Journal of Autism and Developmental Disorders, 31 (5), 505511. doi:10.1023/A:1012221026124CrossRefGoogle ScholarPubMed
Elliott, S.N., & Von Brock Treuting, M. (1991). The Behavior Intervention Rating Scale: Development and validation of a pretreatment acceptability and effectiveness measure. Journal of School Psychology, 29, 4351. doi:10.1016/0022-4405(91)90014-IGoogle Scholar
Hagopian, L.P., Farrell, D.A., & Amari, A. (1996). Treating total liquid refusal with backward chaining and fading. Journal of Applied Behavior Analysis, 29 (4), 573575. doi:10.1901/jaba.1996.29-573Google Scholar
Ibrahim, S.H., Voigt, R.G., Katusic, S.K., Weaver, A.L., & Barbaresi, W.J. (2009). Incidence of gastrointestinal symptoms in children with autism: A population-based study. Pediatrics, 124 (2), 680686. doi:10.1542/peds.2008-2933Google Scholar
Kitfield, E.B., & Masalsky, C.J. (2000). Negative reinforcement-based treatment to increase food intake. Behavior Modification, 24 (4), 600608. doi:10.1177/0145445500244007CrossRefGoogle ScholarPubMed
Kodak, T., & Piazza, C.C. (2008). Assessment and behavioral treatment of feeding and sleeping disorders in children with autism spectrum disorders. Child and Adolescent Psychiatric Clinics of North America, 17 (4), 887905. doi:10.1016/j.chc.2008.06.005Google Scholar
Laud, R.B., Girolami, P.A., Boscoe, J.H., & Gulotta, C.S. (2009). Treatment outcomes for severe feeding problems in children with autism spectrum disorder. Behavior Modification, 33 (5), 520536. doi:10.1177/0145445509346729Google Scholar
Ledford, J.R., & Gast, D.L. (2006). Feeding problems in children with autism spectrum disorders: A review. Focus on Autism and Other Developmental Disabilities, 21 (3), 153166. doi:10.1177/10883576060210030401Google Scholar
Lukens, C.T., & Linscheid, T.R. (2008). Development and validation of an inventory to assess mealtime behavior problems in children with autism. Journal of Autism and Developmental Disorders, 38 (2), 342352. doi:10.1007/s10803-007-0401-5Google Scholar
Martins, Y., Young, R.L., & Robson, D.C. (2008). Feeding and eating behaviors in children with autism and typically developing children. Journal of Autism and Developmental Disorders, 38 (10), 18781887. doi:10.1007/s10803-008-0583-5CrossRefGoogle ScholarPubMed
Matson, J.L., & Fodstad, J.C. (2009). The treatment of food selectivity and other feeding problems in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3 (2), 455461. doi:10.1016/j.rasd.2008.09.005CrossRefGoogle Scholar
Matson, J.L., Fodstad, J.C., & Dempsey, T. (2009). The relationship of children's feeding problems to core symptoms of autism and PDD-NOS. Research in Autism Spectrum Disorder, 3 (3), 759766. doi:10.1016/j.rasd.2009.02.005Google Scholar
Patel, M.R., Piazza, C.C., Martinez, C.J., Volkert, V.M., & Santana, C.M. (2002). An evaluation of two differential reinforcement procedures with escape extinction to treat food refusal. Journal of Applied Behavior Analysis, 35 (4), 363374. doi:10.1901/jaba.2003.36-309Google Scholar
Schreck, K.A., & Williams, K. (2006). Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Research in Developmental Disabilities, 27 (4), 353363. doi:10.1016/j/ridd.2005.03.005Google Scholar
Schreck, K.A., Williams, K., & Smith, A.F. (2004). A comparison of eating behaviors between children with and without autism. Journal of Autism and Developmental Disorders, 34 (4), 433438. doi:10.1023/B:JADD.0000037419.78531.86Google Scholar
Scruggs, T., & Mastropieri, M. (1998). Summarizing single-subject research: Issues and applications. Behavior Modification, 22, 221242. doi:10.1177/01454455980223001Google Scholar
Scruggs, T., Mastropieri, M., & Castro, G. (1987). The quantitative synthesis of single-subject research: methodology and validation. Remedial and Special Education, 8, 2433. doi:10.1177/074193258700800206Google Scholar
Sharp, W. G., & Jaquess, D. L. (2009). Bite size and texture assessments to prescribe treatment for severe food selectivity in autism. Behavioral Interventions, 24 (3), 157170. doi:10.1002/bin.282Google Scholar
Twachtman-Reilly, J., Amaral, S.C., Zebrowski, P.P. (2008). Addressing feeding disorder in children on the autism spectrum in school-based settings: Physiological and behavioral issues. Language, Speech, and Hearing Services in Schools, 39, 261272. doi:10.1044/0161-1461CrossRefGoogle ScholarPubMed
Volkert, V.M., & Vaz, P.C.M. (2010). Recent studies on feeding problems in children with autism. Journal of Applied Behavior Analysis, 43, 155159. doi:10.1901/jaba.2010.43-155Google Scholar
Williams, P.G., Dalrymple, N., & Neal, J. (2000). Eating habits of children with autism. Pediatric Nursing, 26 (3), 259264. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12026389Google Scholar