Noncontingent and differential reinforcement in the treatment of pediatric feeding problems

Berth, Diane P.; Bachmeyer, Melanie H.; Kirkwood, Caitlin A.; Mauzy, Courtney R.; Retzlaff, Billie J.; Gibson, Amanda Leigh

doi:10.1002/jaba.562

Cited by 23 publications

(16 citation statements)

References 26 publications

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“…Tangible access procedures have been shown in the past to reduce inappropriate mealtime behaviour during extinction bursts (e.g., Berth et al, 2019;Piazza, Patel, Gulotta, Sevin, & Layer, 2003;Reed et al, 2004). Noncontingent access did not reduce negative vocalisations for Préjean in the treatment evaluation.…”

Section: Discussionmentioning

confidence: 69%

Error/Old: Redistribution with Regular Texture Food for Clinical Cases In-Home

Taylor¹

2020

Preprint

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Research has shown effectiveness of a redistribution procedure for decreasing packing and increasing swallowing. Redistribution has been done using lower manipulated-texture foods on an infant gum brush in specialised United States hospitals. We extended this by using regular texture bites of food in a short-term (1-2 weeks) home-based programme in Australia, showing decreased then absent use of the procedure, and following up. Two children with autism spectrum disorder participated. We used a withdrawal/reversal design. Latency to swallow decreased. Participants increased variety to 90 and 122 regular texture foods across food groups. All goals were met including increasing independence in self-feeding. Both parents were trained. Gains maintained to 6 months and redistribution was no longer needed.

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Section: Discussionmentioning

confidence: 69%

Error/Old: Redistribution with Regular Texture Food for Clinical Cases In-Home

Taylor¹

2020

Preprint

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“…It is possible that the use of EE may have resulted in more efficient treatment effects relative to NCR alone without any of the previously described side effects (e.g., extinction bursts). For example, Berth et al (2019) showed that positive reinforcement (i.e., DRA and NCR) enhanced the effects of extinction. Third, we did not evaluate DRA without NCR.…”

Section: Discussionmentioning

confidence: 99%

“…Previous researchers have examined the effects of positive reinforcement (e.g., differential reinforcement [DRA] and noncontingent reinforcement [NCR]) both in conjunction with and in the absence of EE during the treatment of pediatric feeding disorders. Although findings have been mixed (Berth et al, 2019;Reed et al, 2004), results of a number of studies have shown that positive reinforcement may be effective in the treatment of pediatric feeding disorders in the absence of EE for some individuals. For example, Wilder et al (2005) evaluated NCR without EE as treatment for food refusal and escape-maintained self-injurious behavior (SIB) emitted by a 3-year-old female diagnosed with ASD.…”

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confidence: 99%

“…Results showed that NCR without EE was effective in increasing food acceptance and reducing SIB. In a more recent study, Berth et al (2019) evaluated the effects of DRA and NCR with and without EE for five children with feeding disorders. Berth et al found that positive reinforcement in the form of preferred toys and adult interaction (both DRA and NCR) without EE produced decreases in problem behavior and increases in food acceptance for one of the participants.…”

mentioning

confidence: 99%

“…In a more recent study, Berth et al. (2019) evaluated the effects of DRA and NCR with and without EE for five children with feeding disorders. Berth et al.…”

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confidence: 99%

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Further evaluation of noncontingent reinforcement to treat mealtime problem behavior

Luis

Leon

Campos

2021

Behavioral Interventions

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We evaluated the effects of noncontingent reinforcement (NCR) without escape extinction (EE) on problem behavior emitted by a young boy with autism spectrum disorder during meals. Results indicated that NCR (i.e., continuous access to a highly preferred activity) was effective in reducing problem behavior and moderately increasing food acceptance. Subsequently, we evaluated a total sessionbased thinning of the NCR schedule. Although problem behavior remained low during schedule thinning, differential reinforcement was necessary to maintain adequate levels of food acceptance.

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Social validity of pediatric feeding treatment components across time

Taylor

2022

Behavioral Interventions

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There is limited research on the social validity of treatment for pediatric feeding disorders. When it is assessed, the evaluation of treatment acceptability may focus on a few specific procedures or the entire program post‐treatment. This report took place within a home‐based behavior‐analytic treatment model in Australia. Caregivers of eight children (aged 3–11) with pediatric feeding disorders provided treatment acceptability ratings for the full range of treatment procedures, at pre‐ and post‐treatment. Caregivers were also provided the opportunity to provide open‐ended responses. Results showed that caregivers unanimously gave strong ratings of the importance of goals, and preferred that treatment be effective and quick, over minimizing side effects. Procedures experienced by all caregivers (differential attention, tangible reinforcement, nonremoval of the spoon, and re‐presentation) were rated highly at admission and increased at discharge, with the exception of tangible electronics. Caregivers of children receiving additional procedures for acceptance or clean mouth also provided high acceptability ratings for these at both timepoints. This report is the first to examine pre‐ and post‐acceptability measures on the full range of treatment procedures with caregivers experiencing treatment. Results inform future research and will serve to improve efforts to disseminate behavior analysis as an acceptable and effective treatment for pediatric feeding disorders.

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Noncontingent and differential reinforcement in the treatment of pediatric feeding problems

Cited by 23 publications

References 26 publications

Error/Old: Redistribution with Regular Texture Food for Clinical Cases In-Home

Error/Old: Redistribution with Regular Texture Food for Clinical Cases In-Home

Further evaluation of noncontingent reinforcement to treat mealtime problem behavior

Social validity of pediatric feeding treatment components across time

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