A seven year follow-up of treating rumination with dietary satiation

Dunn, J. A.; Lockwood, Kirk; Williams, David E.; Peacock, Shavon

doi:10.1002/(sici)1099-078x(199710)12:4<163::aid-brt175>3.0.co;2-x

Cited by 10 publications

(6 citation statements)

References 14 publications

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“…A small number of less aversive procedures (e.g., starch satiation) have also been demonstrated to be effective. Starch satiation involves giving an individual unlimited access to starchy foods, typically immediately after meals, and has been demonstrated to be an effective treatment in several studies (e.g., Rast, Johnston, Drum, & Conrin, 1981), in some cases producing longlasting effects (Dunn, Lockwood, Williams, & Peacock, 1997). In the current study, we evaluated the effects of a novel treatment procedure, access to chewing gum, on the rumination of a young boy with autism for whom starch satiation was ineffective.…”

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confidence: 99%

Chewing Gum as a Treatment for Rumination in a Child With Autism

Rhine

Tarbox

2009

J of App Behav Analysis

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Rumination involves regurgitation of previously ingested food, rechewing the food, and reswallowing it. In the current study, a child with autism displayed chronic rumination, resulting in the decay and subsequent removal of several teeth. After several treatments failed, including thickened liquids and starch satiation, the participant was taught to chew gum. His rumination decreased significantly when gum was made available. Results suggest that access to chewing gum may be an effective treatment for rumination in some individuals.

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confidence: 99%

Chewing Gum as a Treatment for Rumination in a Child With Autism

Rhine

Tarbox

2009

J of App Behav Analysis

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“…However, it should be noted here that Jon did not have unlimited bread. Other research with participants who followed operational satiation procedures (i.e., ad libitum access) often ate three to eight times the normal meal proportions (Rast et al, 1981) or 70 extra ounces of food per day (Dunn, Lockwood, Williams, & Peacock, 1997), further suggesting that functional satiation might not explain the reductions in this study. Rumination was measured in the absence of bread, after the sessions were complete or after a meal; so matched stimulation or alternative consumption behavior also cannot explain reductions immediately after SSF.…”

Section: Resultsmentioning

confidence: 76%

Reduction of Rumination Using a Supplemental Starch Feeding Procedure

Darling

Otto

Buckner

2011

Behavioral Interventions

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A supplemental starch feeding (SSF) procedure was used to decrease rumination in a 27-year-old man. A multiple baseline across mealtimes design determined treatment efficacy, followed by 26 months of maintenance and fading implemented by direct-care staff. Following intermittent meals, four slices of bread were offered in a paced manner, after which the frequency of rumination was measured. Subsequent to the SSF sessions, the participant's rumination reduced 47%, from 0.19 per minute (8.5 per session) after baseline sessions to 0.09 per minute (4.1 per session) after treatment sessions. Ongoing measures in the natural setting continued to show reductions through maintenance and fading of the supplemental feeding. No weight gain was noted during the time the procedure was in place.

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“…The provision of free attention may prevent or reduce occurrences of problem behavior sensitive to attention as a reinforcer, may have distracted Marsha, or may have signaled the presence of a staff member (who would interrupt the behavior). Finally, the provision of edible items on a DRO schedule may have provided alternative means of obtaining oral and edible stimulation (e.g., Dunn, Lockwood, Williams, & Peacock, 1997). We were able to spend time evaluating the individual contribution of each component because Marsha was no longer at risk of developing severe health problems during those stages.…”

Section: Discussionmentioning

confidence: 99%

A multi‐component approach to the treatment of chronic rumination

Wrigley¹,

Kahn²,

Winder³

et al. 2010

Behavioral Interventions

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A multi-component intervention was used to treat chronic rumination exhibited by an adult female diagnosed with a developmental disability. The intervention consisted of: (a) interruption of precursor behavior, (b) the alternation of 10-min periods of continued instruction that involved walking and working with (c) 10-min periods in which instructions were not delivered but a variable time 5-s schedule of noncontingent attention was programmed, and (d) a 1-min differential reinforcement of other behavior (DRO) schedule. During the intervention, rumination decreased by 82% relative to baseline. Next, components of the multi-component intervention were systematically removed to evaluate their individual contribution. Results suggested that each individual component contributed to the overall treatment effects.

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A seven year follow-up of treating rumination with dietary satiation

Cited by 10 publications

References 14 publications

Chewing Gum as a Treatment for Rumination in a Child With Autism

Chewing Gum as a Treatment for Rumination in a Child With Autism

Reduction of Rumination Using a Supplemental Starch Feeding Procedure

A multi‐component approach to the treatment of chronic rumination

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