Combining Stimulus Fading with Simultaneous Stimulus Presentation in a School Setting for Food Selectivity in a Child with Autism Spectrum Disorder

Práticas e comportamentos alimentares de famílias de crianças com perturbação do espectro autista

“…All families who participated in this study reported recognizing several eating problems in their children, which relate to atypical eating behaviors, also observed in other studies (Paula et al, 2020;Kirby et al, 2019). This is due to the atypical characteristics of children with ASD, mainly due to their unusual responses to sensory stimuli (Cho & Sonoyama, 2020;Kirby et al, 2019). Food selectivity also stands out and is understood by the occurrence of behaviors, such as food refusal, delaying the consumption of new foods, and eating little variety of foods (Cho & Sonoyama, 2020).…”

“…This is due to the atypical characteristics of children with ASD, mainly due to their unusual responses to sensory stimuli (Cho & Sonoyama, 2020;Kirby et al, 2019). Food selectivity also stands out and is understood by the occurrence of behaviors, such as food refusal, delaying the consumption of new foods, and eating little variety of foods (Cho & Sonoyama, 2020). In the families' daily life, this selective behavior can lead to other difficulties and reflect on the activities carried out inside and outside the home, alone and in community, and on activities of leisure, self-care, urban mobility, and social interaction for developing friendship relationships and coexisting with other people (Cho & Sonoyama, 2020).…”

“…Food selectivity also stands out and is understood by the occurrence of behaviors, such as food refusal, delaying the consumption of new foods, and eating little variety of foods (Cho & Sonoyama, 2020). In the families' daily life, this selective behavior can lead to other difficulties and reflect on the activities carried out inside and outside the home, alone and in community, and on activities of leisure, self-care, urban mobility, and social interaction for developing friendship relationships and coexisting with other people (Cho & Sonoyama, 2020). There is the need to identify as soon as possible the factors related to the sensory sensitivity of children with ASD to allow individualized guidance and treatment addressing the main characteristics that affect children's occupational performance and their families' dynamics (Kirby et al, 2019).…”

An Evaluation of a Telehealth Caregiver Training Package to Treat Food Selectivity

“…Importantly, these modifications did not include the addition of escape extinction as in earlier studies (Ahearn, 2003; Piazza et al, 2002) and may have helped us avoid needing escape extinction or nonremoval of the spoon. Rather than implementing escape extinction or nonremoval of the spoon at some point in the post-training phase, we incorporated additional antecedent strategies to increase overall consumption of new or non-preferred foods, similar to Cho and Sonoyama (2020) in which a simultaneous presentation component was added to a stimulus fade-in of non-preferred foods when outcomes were initially unfavorable. The researchers then reported 100% consumption of three non-preferred foods following the addition of a second antecedent strategy.…”

“…However, the researchers reported inappropriate mealtime behaviors rarely occurred. Other successful alternatives have included shaping (Cosbey & Muldoon, 2016), shaping combined with differential reinforcement (Hodges et al, 2017), simultaneous presentation (Whipple et al, 2019), simultaneous presentation combined with stimulus fading (Cho & Sonoyama, 2020), as well as modeling (Hillman, 2019; O’Connor et al, 2020).…”