Spoon-to-Cup Fading as Treatment for Cup Drinking in a Child With Intestinal Failure

Groff, Rebecca A.; Piazza, Cathleen C.; Zeleny, Jason R.; Dempsey, John V.

doi:10.1901/jaba.2011.44-949

Cited by 19 publications

(8 citation statements)

References 6 publications

(11 reference statements)

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“…Within the emerging body of literature on fading treatments for feeding problems, procedures have been limited to fading across food texture (Shore et al, ), food volume (Freeman & Piazza, ; Hagopian et al, ; Najdowski et al, ), food and liquid type (Mueller et al, 2004; Patel et al, ; Tiger & Hanley, ), feeding utensil (Groff et al, ), and spoon distance (Rivas et al, ). There are numerous antecedent variables within the mealtime context that may influence the occurrence of mealtime behavior, and we cannot assume that results with particular antecedent dimensions (e.g., spoon distance) in the extant literature can be generalized across other antecedent dimensions (e.g., consistency) of the mealtime context.…”

Section: Discussionmentioning

confidence: 99%

“…Patel et al gradually introduced a high calorie additive and milk to the water until the child was consuming the high calorie beverage. Investigators have used similar stimulus fading procedures to increase the volume of food consumed (Freeman & Piazza, ; Hagopian, Farrell, & Amari, ; Najdowski, Wallace, Doney, & Ghezzi, ), increase consumption of non‐preferred solids (Mueller et al, 2004) and liquids (Tiger & Hanley, ), increase consumption of liquids from a cup (Groff, Piazza, Zeleny, & Dempsey, ), and decrease spoon distance (Rivas, Piazza, Patel, & Bachmeyer, ).…”

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confidence: 99%

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Liquid to Baby Food Fading in the Treatment of Food Refusal

Bachmeyer

Gulotta

Piazza

2013

Behavioral Interventions

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In the current investigation, we identified two young children who consistently consumed liquids, but not baby food, after treatment with positive reinforcement for mouth clean (an indirect measure of swallowing) and physical guidance with re‐presentation of food. We examined the effects of an 11‐step stimulus fading procedure that involved gradually altering the concentration of liquid by adding baby food to the liquid. High levels of mouth clean were maintained in both children throughout fading, and increased mouth clean during probes of 100% baby food was obtained after conducting all 11 fading steps with one child and 6 of 11 fading steps with the second child. Negative vocalizations decreased during probes of 100% baby food after conducting the remaining fading steps with the second child. Gram intake of 100% baby food increased with both children after we completed all fading steps. Copyright © 2013 John Wiley & Sons, Ltd.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Liquid to Baby Food Fading in the Treatment of Food Refusal

Bachmeyer

Gulotta

Piazza

2013

Behavioral Interventions

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“…However, the experimental design used could not rule out the possibility that the effects of the treatment were influenced by a preceding sensory-integrative treatment. In contrast, Groff, Piazza, Zeleny, and Dempsey (2011) compared the effects of NRC and nonremoval of the spoon combined with representation, praise contingent on mouth clean, and verbal prompts to swallow the drink on acceptance of raspberry-flavored Elecare® with fiber and mouth clean in a boy with food and liquid refusal. Nonremoval of the spoon and NRC increased acceptance, but a spoon-to-cup fading procedure was required to eliminate the spoon and increase mouth cleans during NRC sessions.…”

Section: Research Highlightsmentioning

confidence: 99%

Brief Experimental Evaluation of Nonremoval of the Cup to Increase Water Consumption

Silbaugh

Corley

Maldonado

2020

Behav Analysis Practice

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We describe a novel, brief evaluation of the effects of nonremoval of the cup on the consumption of water in a boy with autism and liquid refusal associated with a feeding disorder. The evaluation demonstrated that nonremoval of the cup, added to noncontingent reinforcement, increased water consumption compared to noncontingent reinforcement alone. This finding replicates prior research and provides practitioners with a brief experimental method for quickly determining a client's responsiveness to nonremoval of the cup.Keywords Autism . Feeding disorders . Food refusal . Noncontingent reinforcement . Nonremoval of the cup Children with feeding disorders may reject not only foods but also liquids. Treating liquid refusal can decrease the risk of tube dependence, improve some medical conditions such as constipation, and promote hydration and sufficient caloric and nutritive intake (Kozlowski, Taylor, Pichardo, & Girolami, 2016). Increasing water consumption in the treatment of liquid refusal may be particularly important in children with autism spectrum disorder because restricting fluid consumption to * Bryant C. Silbaugh

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“…This protocol is used to rule in or out social and nonsocial factors that occasion problem behaviors such as escape or avoidance of low-preference activities or social attention from people (Iwata et al, 1982) and to develop a hypothesis-based treatment. The majority of research studies that have examined the efficacy of behavioral interventions for feeding problems have been conducted in hospital-based programs (Groff, Piazza, Zeleny, & Dempsey, 2011; Rivas, Piazza, Kadey, Volkert, & Stewart, 2011). Typically, these programs use experienced well-trained staff members who are very familiar with the assessment and treatment protocols.…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

Assessment and Treatment of Feeding-Related Problem Behaviors of a 16-Year-Old Girl With PDD-NOS

Knapp

Simmons

Verstraete

et al. 2012

Clinical Case Studies

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This case study describes the successful implementation of a behavioral intervention for the mealtime problem behaviors of a 16-year-old girl with Pervasive Developmental Disorder Not Otherwise Specified attending a private school for students with developmental disabilities. Initially, an analogue-functional analysis using a pairwise single-case experimental design was conducted, and based on the results of this assessment, a multicomponent function-based intervention was developed. The results obtained demonstrated that interventions for problem behaviors developed in hospital-based clinics can be implemented in community-based educational settings successfully. The results also demonstrated that behavioral intervention strategies shown to be effective with young children with developmental disabilities also work for a teenager with an autism spectrum disorder, illustrating the generality of a behavioral approach to feeding difficulties. Methodological limitations of the case study, advantages of a communitybased treatment approach, and recommendations for clinicians are provided.

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Spoon-to-Cup Fading as Treatment for Cup Drinking in a Child With Intestinal Failure

Cited by 19 publications

References 6 publications

Liquid to Baby Food Fading in the Treatment of Food Refusal

Liquid to Baby Food Fading in the Treatment of Food Refusal

Brief Experimental Evaluation of Nonremoval of the Cup to Increase Water Consumption

Assessment and Treatment of Feeding-Related Problem Behaviors of a 16-Year-Old Girl With PDD-NOS

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