Interventions to Support Feeding in People with Intellectual and Developmental Disabilities

Penrod, Becky; Silbaugh, Bryant C.; Page, Scott V.; Moseman, Melissa

doi:10.1007/978-3-030-66441-1_2

Cited by 4 publications

(4 citation statements)

References 91 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While not a focus of the paper, all children in this sample achieved clinically significant levels of increases in consumption, food variety, feeding skills, and age‐appropriate eating. The overall course of treatment and the procedures implemented (see Taylor et al., 2020 for further detail) align with current best practice as identified by multiple reviews (e.g., Penrod et al., 2021; Sharp, Volkert, et al., 2017). For example, procedures of higher intrusiveness (e.g., finger prompt) were only implemented following prior procedures, and were combined with reinforcement and demand fading.…”

Section: Discussionmentioning

confidence: 83%

Social validity of pediatric feeding treatment components across time

Taylor

2022

Behavioral Interventions

View full text Add to dashboard Cite

There is limited research on the social validity of treatment for pediatric feeding disorders. When it is assessed, the evaluation of treatment acceptability may focus on a few specific procedures or the entire program post‐treatment. This report took place within a home‐based behavior‐analytic treatment model in Australia. Caregivers of eight children (aged 3–11) with pediatric feeding disorders provided treatment acceptability ratings for the full range of treatment procedures, at pre‐ and post‐treatment. Caregivers were also provided the opportunity to provide open‐ended responses. Results showed that caregivers unanimously gave strong ratings of the importance of goals, and preferred that treatment be effective and quick, over minimizing side effects. Procedures experienced by all caregivers (differential attention, tangible reinforcement, nonremoval of the spoon, and re‐presentation) were rated highly at admission and increased at discharge, with the exception of tangible electronics. Caregivers of children receiving additional procedures for acceptance or clean mouth also provided high acceptability ratings for these at both timepoints. This report is the first to examine pre‐ and post‐acceptability measures on the full range of treatment procedures with caregivers experiencing treatment. Results inform future research and will serve to improve efforts to disseminate behavior analysis as an acceptable and effective treatment for pediatric feeding disorders.

show abstract

Section: Discussionmentioning

confidence: 83%

Social validity of pediatric feeding treatment components across time

Taylor

2022

Behavioral Interventions

View full text Add to dashboard Cite

show abstract

“…Children with a diagnosis of autism spectrum disorder have been reported to present with feeding difficulties of between 30% and 84% ( x̃ = 62%; Mayes & Zickgraf, 2019). However, we also know that this is not a stable prevalence rate in these children and changes in feeding are common in periods of change or traumatic life events (Penrod et al, 2021).…”

Section: Introductionmentioning

confidence: 96%

“…However, children can and do present with a continuum of needs from moderate (selectivity) to severe (refusal) and this can vary over time (Silbaugh et al, 2016). Including a continuum of need acknowledges that not all children will have difficulties in each of the four WHO domains and that clinicians may need to be mindful of the range of possible presentations and thus sensitive to differing presenting needs of children and families (Penrod et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…This has led to sensible recommendations, for example, presenting preferred and unpreferred foods simultaneously, matching preferred food with contingent reinforcement and avoiding blending preferred and unpreferred food together (Bachmeyer, 2009). A more recent systematic review of the behavioural literature proposes a series of interventions to guide practitioners in that field, specifically the use of “differential reinforcement” and “escape extinction” (Penrod et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A reflective evaluation of a feeding clinic intervention—Parents as a reflecting team

Moynihan

Illsley

2022

Brit J Learn Disabil

View full text Add to dashboard Cite

Background This feeding clinic engaged parents as active participants in a group intervention. Parents' participated behind a two‐way mirror. This novel approach to practice in this domain largely evolved from an integration of theory, service user feedback, service development and the local context. This review sought to understand how parents experienced being part of a reflecting team in this way. Methods Semi‐structured interviews were completed and analysed using thematic analysis. The researchers took a critical realist approach to the research, data analysis and report writing. Findings Parents talked about benefiting from perspective taking that enabled them to see the child in context, which in part supported novel understandings of their child's feeding and their relationship to it. Three themes were identified: “Connection and Distance” explored parents' experience of being behind the screen in terms of the dialectic potential that was created by being simultaneously close to and distanced from their children and the other parents. “Playing with Techniques” describes the way parents valued learning in the group through discussion and working on techniques between sessions. In particular, they moved from looking for techniques to thinking about how and when to use “techniques” that is, second‐order change. “Unexpected Gains” describes how parents came to new and unexpected insights about their understanding of their children, the presenting issues and their relationships to these issues. Conclusion Parents' experiences suggest that there is merit in engaging parents in a reflecting team in a feeding clinic. This way of working with parents supports their engagement in change and positions them as active agents of this change. Parents taking up this position has the advantage of moving from passive consumers of health care to active and critical collaborators.

show abstract

Further evaluation of contingency modeling to increase consumption of nutritive foods in children with autism and food selectivity

Flanagan

Penrod

Silbaugh³

2021

Behavioral Interventions

Self Cite

View full text Add to dashboard Cite

Research suggests contingency modeling with differential reinforcement of alternative behavior can increase consumption of nonpreferred foods in some children with feeding problems. The current study further evaluated the effectiveness of this treatment with three children with food selectivity and autism. Participants first observed a positive reinforcement contingency in which the confederate model accessed preferred items and edibles contingent on consuming all of the target foods on their plate. If the participant imitated the model and consumed all of their food, they too received access to the same preferred items and edibles. When this contingency was ineffective for two participants, the confederate and feeder modeled nonremoval of the spoon, which increased consumption for both participants. We conclude with a discussion of potential underlying mechanisms for the effects and future research.

show abstract

Interventions to Support Feeding in People with Intellectual and Developmental Disabilities

Cited by 4 publications

References 91 publications

Social validity of pediatric feeding treatment components across time

Social validity of pediatric feeding treatment components across time

A reflective evaluation of a feeding clinic intervention—Parents as a reflecting team

Further evaluation of contingency modeling to increase consumption of nutritive foods in children with autism and food selectivity

Contact Info

Product

Resources

About