An evaluation of a high-probability instructional sequence to increase acceptance of food and decrease inappropriate behavior in children with pediatric feeding disorders

Treatment of Selective and Inadequate Food Intake in Children: A Review and Practical Guide

“…It should be noted, however, that several of the strategies reviewed in this paper have also been shown to be ineffective in the absence of EE (e.g., Najdowski, Wallace, Doney, & Ghezzi, 2003;Patel, Reed, Piazza, Bachmeyer, & Layer, 2005;Reed et al, 2004). It is hoped, however, that these guidelines will assist practitioners in selecting caregiver-friendly treatments that can be implemented in community settings as first line treatments, thus reducing the need for tertiary care for some children.…”

Evaluating the High-Probability Instructional Sequence to Increase the Acceptance of Foods with an Adolescent with Autism

“…Dawson et al (2003) evaluated the high-p sequence with a 3-year-old girl who engaged in total food refusal and found that the high-p sequence had no impact when used in isolation and, moreover, that the high-p sequence did not add to the effectiveness of escape extinction (EE). Patel et al (2006) evaluated the effects of the high-p sequence on the acceptance of foods and inappropriate behavior with three young children with feeding difficulties. Patel et al (2006) found that, relative to EE alone, the high-p sequence increased acceptance for two out of the three participants when combined with EE and that the addition of the high-p sequence further reduced inappropriate mealtime behavior relative to EE alone.…”

“…Patel et al (2006) evaluated the effects of the high-p sequence on the acceptance of foods and inappropriate behavior with three young children with feeding difficulties. Patel et al (2006) found that, relative to EE alone, the high-p sequence increased acceptance for two out of the three participants when combined with EE and that the addition of the high-p sequence further reduced inappropriate mealtime behavior relative to EE alone.…”

“…1 Patel et al (2006) evaluated the high-p sequence in isolation with one of the three participants and found it to be ineffective towards increasing acceptance.…”

“…Patel et al (2007) further evaluated the high-p sequence, in the absence of EE, with a 4-yearold boy who engaged in food selectivity and found the high-p sequence to be effective at increasing the acceptance of foods. Interestingly, the studies by Patel et al (2006Patel et al ( , 2007 used high-p tasks that were topographically similar to the lowprobability (low-p) tasks (rather than high-p tasks that were topographically dissimilar to the low-p tasks, e.g., "touch your shoulder"). Specifically, Patel et al (2006) used bites from an empty Nuk® brush, spoons with liquid, and spoons with a preferred liquid as the high-p tasks, and Patel et al (2007) used bites from an empty spoon as the high-p task.…”