Exploration of Treatment Response in Parent Training for Children with Autism Spectrum Disorder and Moderate Food Selectivity

Burrell, T. Lindsey; Scahill, Lawrence David; Nuhu, Nadratu; Gillespie, Scott; Sharp, William G.

doi:10.1007/s10803-021-05406-w

Cited by 10 publications

(18 citation statements)

References 24 publications

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“…Case one demonstrates the application and reliance on FBT, while Case two draws upon UP to facilitate behavioral change in the patient. Finally, the Managing Eating Aversions and Limited Variety (MEAL) Plan is a structured parent-mediated intervention for children with ASD and moderate food selectivity [ 132 ]. A reported group-based clinical trial revealed a positive treatment response rate of 47.3%.…”

Section: Clinical Interventionsmentioning

confidence: 99%

Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions

Esposito

Mirizzi

Fadda

et al. 2023

IJERPH

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Autisms Spectrum Disorders (ASD) are characterized by core symptoms (social communication and restricted and repetitive behaviors) and related comorbidities, including sensory anomalies, feeding issues, and challenging behaviors. Children with ASD experience significantly more feeding problems than their peers. In fact, parents and clinicians have to manage daily the burden of various dysfunctional behaviors of children at mealtimes (food refusal, limited variety of food, single food intake, or liquid diet). These dysfunctional behaviors at mealtime depend on different factors that are either medical/sensorial or behavioral. Consequently, a correct assessment is necessary in order to program an effective clinical intervention. The aim of this study is to provide clinicians with a guideline regarding food selectivity concerning possible explanations of the phenomenon, along with a direct/indirect assessment gathering detailed and useful information about target feeding behaviors. Finally, a description of evidence-based sensorial and behavioral strategies useful also for parent-mediated intervention is reported addressing food selectivity in children with ASD.

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Section: Clinical Interventionsmentioning

confidence: 99%

Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions

Esposito

Mirizzi

Fadda

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Behavioral interventions, including backward food chaining, stimulus fading, repeated taste exposure, escape extinction, and positive reinforcement may help autistic children, but these techniques are still based on limited research [12 ▪▪ ]. Managing Eating Aversions and Limited Variety (MEAL) Plan is an evidence-based structured parent-mediated intervention for children with autism spectrum disorder and moderate food selectivity [32 ▪ ]. Based on studies conducted so far, 47.3% of participating families benefited from this approach [32 ▪ ].…”

Section: Support Strategiesmentioning

confidence: 99%

“…Managing Eating Aversions and Limited Variety (MEAL) Plan is an evidence-based structured parent-mediated intervention for children with autism spectrum disorder and moderate food selectivity [32 ▪ ]. Based on studies conducted so far, 47.3% of participating families benefited from this approach [32 ▪ ].…”

Section: Support Strategiesmentioning

confidence: 99%

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Avoidant-restrictive food intake disorder and autism: epidemiology, etiology, complications, treatment, and outcome

Keski-Rahkonen,

Ruusunen

2023

Current Opinion in Psychiatry

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Purpose of review There is considerable overlap between the features of avoidant-restrictive food intake disorder (ARFID) and autism. The purpose of this scoping review is to provide an overview of studies published on ARFID and autism in 2022 and the first half of 2023. Recent findings ARFID and autism are highly heritable conditions that often co-occur. In a large autism cohort, 21% of participants and 17% of their parents presented with avoidant-restrictive features. Of children diagnosed with ARFID, 8.2–54.8% are autistic. More than half of individuals with ARFID also have other neurodevelopmental, psychiatric, or somatic diagnoses. Anxiety, depression, sleep disorders, and learning difficulties are particularly common co-occurring issues. Various strategies have been developed to support autistic children with feeding difficulties. It appears that their feeding difficulties, particularly sensory sensitivities, food preferences, and mealtime rituals and routines frequently persist into adolescence and adulthood, but research on optimal support for adults and adolescents is still scarce. Untreated ARFID in autistic individuals may lead to serious complications. Summary Individuals seeking specialist care for autism, eating disorders, or gender dysphoria should be screened for ARFID. More research is needed on how to support autistic adolescents and adults with features of ARFID.

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“…Children who are liquid-dependent (LD) are those who eat no solid foods or limited volumes of solids and most of their nutrition and calories come from a liquid substance [ 7 ]. Food-selective (FS) children often have a limited repertoire of foods they consume or are dependent on lower textured foods, such as jarred baby food or pureed foods, at inappropriate ages [ 8 , 9 , 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating Outcome Measure Data for an Intensive Interdisciplinary Home-Based Pediatric Feeding Disorders Program

Patel

Patel²,

Andersen³

et al. 2022

Nutrients

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Background: The purpose of this study was to evaluate the effectiveness of an interdisciplinary home-based feeding program, which is a unique service delivery model. Methods: Data were provided on oral intake, tube feeding elimination, and weight for patients who were dependent on tube feedings (n = 78). Weight data were collected for patients who showed failure to thrive (n = 49). Number of foods consumed and percentage of solids were collected for patients who were liquid-dependent (n = 23), and number of foods consumed were collected for patients who were food-selective (n = 61). Results: Data were analyzed using paired sample t-test with 95% confidence interval. For patients dependent on tube feedings, 81% achieved tube feeding elimination. Tube elimination was achieved after 8 months of treatment on average. All failure-to-thrive patients showed weight gain from baseline to discharge. For liquid-dependent patients, there was an increase in foods consumed from 2 foods at admission to 32 foods at discharge. For food selective patients, there was an increase from 4 foods at admission to 35 foods at discharge. For all dependent variables, results showed statistical significance and a large-sized effect. Conclusions: These data show that an intensive interdisciplinary home-based program can be successful in treating complex feeding problems in children.

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Exploration of Treatment Response in Parent Training for Children with Autism Spectrum Disorder and Moderate Food Selectivity

Cited by 10 publications

References 24 publications

Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions

Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions

Avoidant-restrictive food intake disorder and autism: epidemiology, etiology, complications, treatment, and outcome

Evaluating Outcome Measure Data for an Intensive Interdisciplinary Home-Based Pediatric Feeding Disorders Program

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