Erratum to: Further Manipulations in Response Effort or Magnitude of an Aversive Consequence to Increase Self-Feeding in Children with Feeding Disorders

Evaluation of Practice Trials to Increase Self-Drinking in a Child with a Feeding Disorder

“…Given that her appointment also involved work with solids, we were limited with how many sessions we could conduct. Although Volkert et al (2016) found practice trials ineffective to increase self-feeding with two participants, we successfully increased self-drinking from an open cup with one child diagnosed with a severe feeding disorder using practice trials. This treatment may potentially address a serious problem with overfeeding when manipulating the quantity of bites or drinks the therapist or caregiver feeds the child after refusing to self-feed.…”

“…There are only a few studies that have evaluated effective treatments to increase self-drinking (e.g., Collins et al, 1991;Peterson et al, 2015;Stimbert et al, 1977;Volkert et al, 2016), and our study adds to a small but growing body of literature. One notable feature of the current study was that parents served as the feeders.…”

“…Although most children begin self-drinking independently or with some guidance from parents, children with feeding disorders often fail to progress to age-typical eating (e.g., self-drinking) in the absence of treatment (Peterson et al 2015;Rivas et al 2014;Vaz, Volkert, & Piazza, 2011). This is frequently true even after successful treatment of liquid refusal in a nonselfdrinking context in which a therapist or caregiver feeds the child (Volkert et al 2016). …”

“…In both studies, participants were given the choice to self-feed one bite or be fed multiple bites (up to six). Volkert et al (2016) described one challenge that a practitioner may face when implementing the procedures outlined by Vaz et al and Rivas et al as overfeeding related to increases in volume of food fed by the therapist. For example, a child may become too full, too fast and motivation to selffeed may decrease rapidly and, in some cases, vomiting may occur when a child consumes over a certain volume of food.…”

“…In the current study, we used a similar strategy as Volkert et al (2016) to increase self-drinking and avoid over-feeding. More specific, if the child did not take the drink independently, the child's parent guided her to practice self-feeding one drink and with an empty cup five times.…”