2015
DOI: 10.1007/s40617-015-0098-4
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Evaluating the High-Probability Instructional Sequence to Increase the Acceptance of Foods with an Adolescent with Autism

Abstract: This study evaluates the effectiveness of a variation of the high-probability (high-p) sequence involving bites of food as high-p tasks on the acceptance of low-probability (low-p) foods in an adolescent with autism spectrum disorder. After demonstrating the effectiveness of the high-p sequence using a reversal design, the participant's mother implemented the intervention. Intervention effects were partially maintained during 7-month maintenance probes. Implications for research and practice are provided.

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Cited by 22 publications
(26 citation statements)
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“…The authors found that the procedure was effective to increase acceptance of three different foods, supporting the notion that topographic similarity may be an important factor in the effectiveness of the sequence. More recently, Ewry and Fryling () replicated Patel et al with an adolescent boy with autism. The results indicated that the high‐p instructional sequence was effective to increase compliance to the low‐p instruction.…”
mentioning
confidence: 85%
“…The authors found that the procedure was effective to increase acceptance of three different foods, supporting the notion that topographic similarity may be an important factor in the effectiveness of the sequence. More recently, Ewry and Fryling () replicated Patel et al with an adolescent boy with autism. The results indicated that the high‐p instructional sequence was effective to increase compliance to the low‐p instruction.…”
mentioning
confidence: 85%
“…Thus, it is possible that successful applications of the Hi P sequence, as well as other antecedent interventions, depend upon the presence or absence and severity of IMB. Indeed, successful applications of the Hi P sequence in the feeding literature have involved participants who do not engage IMB (e.g., Ewry & Fryling, ; Meier et al, ; Patel et al, ). The present study is consistent with this, as John engaged in very little IMB throughout the evaluation.…”
Section: Discussionmentioning
confidence: 99%
“…Results showed that the Hi P sequence improved acceptance across three foods and that acceptance remained high, whereas the Hi P sequence was faded for two of the three foods. Recently, the results of Meier et al were systematically replicated by Ewry and Fryling () with an adolescent with ASD. Again, a Hi P sequence involving bites of preferred food (i.e., a topographically similar Hi P sequence) was used and found to improve feeding behavior.…”
Section: Introductionmentioning
confidence: 92%
“…This approach is similar to the interspersal method except the high-p sequence typically appears before any low-p sequence. For example, Ewry and Fryling (2016) wanted to increase the acceptance of different food with an adolescent with autism by first giving him high-p foods followed by low-p foods, but the request was the same in each condition: "take a bite." The third approach is the only one that exclusively uses successively different high-p requests (i.e., directions) before the low-p request is presented and is much more difficult to implement effectively than is often portrayed in the literature.…”
Section: Momentum Of Compliance Techniquesmentioning
confidence: 99%