Use of Texture Fading in the Treatment of Food Selectivity

Shore, Bridget A.; Babbitt, Roberta L.; Williams, KA Kevin; Coe, Dan; Snyder, Angela M.

doi:10.1901/jaba.1998.31-621

Cited by 82 publications

(63 citation statements)

References 7 publications

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“…Modeling (demonstration of a desired feeding behavior and then praising when the behavior is exhibited by the child) and shaping and fading (reinforcing successive approximations of a more complex or higher-order behavior) are commonly used in discrimination training [46]. Texture fading, a procedure in which food textures are systematically increased [47], and graduated guidance for self-feeding [48] and least to most prompts for self-feeding [49], methods to help children progress to age-appropriate self-feeding, are techniques which rely on discrimination training methods. Given the potential complexity of these strategies, consultation with a psychologist and a speech-language pathologist and/or occupational therapist is typically recommended prior to attempts to implement these techniques in the home.…”

Section: Behavioral Treatmentmentioning

confidence: 99%

Behavioral Management of Feeding Disorders of Childhood

Silverman

2015

Ann Nutr Metab

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Feeding disorders, characterized by suboptimal intake and/or lack of age-appropriate eating habits, are common and may be seen in up to 45% of children. Feeding disorders are a significant concern to both the affected families and to the providers who treat them. Fortunately, there are well-established behavioral treatments which have been shown to be highly efficacious. This article provides an overview of behavioral assessment and treatment of pediatric feeding disorders, provides guidance in treatment planning, and provides information which may be useful in considering if additional psychological consultation may be beneficial.

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Section: Behavioral Treatmentmentioning

confidence: 99%

Behavioral Management of Feeding Disorders of Childhood

Silverman

2015

Ann Nutr Metab

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“…As an alternative to a NRS procedure or other escape extinction method, many studies have evaluated the use of various antecedent manipulations such as stimulus, bite, and texture fading techniques to increase food consumption by systematically changing antecedent stimuli (Johnson & Babbitt, 1993;Shore, Babbitt, Williams, Coe, & Snyder, 1998). Antecedent manipulations have been encouraged especially within feeding interventions due to procedures such as fading feeding devices, altering the thickness of liquids or foods, and other stimulus fading methods possibly facilitating the consumption of non-preferred foods as well as potentially reducing problem behavior induced by consequence interventions (Babbitt, Shore, Smith, Williams, & Coe, 2001).…”

Section: Alternative Treatmentsmentioning

confidence: 99%

The Effects of Choice Between Nonpreferred Foods on the Food Consumption of Individuals with Food Selectivity

Fernand

Penrod

et al. 2015

Behavioral Interventions

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Previous research has concluded that presenting individuals with the opportunity to choose is a viable treatment for general escape-maintained behavior. Considering food refusal has been generally described as avoidant behavior, the present study aimed to evaluate the role of choice between non-preferred foods on the food consumption and problematic mealtime behavior of two children with food selectivity. Each participant was allowed to choose between four non-preferred foods in the choice condition and was not allowed to choose in the no-choice condition. Further, the role of choice as an antecedent manipulation in mediating the negative effects of escape extinction was evaluated when choice alone was demonstrated to be ineffective in increasing consumption. Results indicated that providing choices is an effective non-aversive intervention strategy in increasing the food consumption of individuals with food vi selectivity as well as advantageous in decreasing the negative side-effects of more intrusive consequence interventions when necessary to implement.

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“…The literature on pathological aspects of food refusal mainly derives from case study reports in which the authors offer practical guidance on a successful intervention with one or few patients 13,[15][16][17][18] . Published papers on food refusal that are not based on single or few case studies often fall into one of three camps.…”

Section: Grouping the Various Terms For Food Refusalmentioning

confidence: 99%

“…Rejection characteristics may extend further into the realm of the texture of food 13 . This texture stimulus, determined by the mouth or the hand, will inform decision-making of whether to continue eating or even try the food.…”

Section: Medical Complications-related Food Refusalmentioning

confidence: 99%

When Does Food Refusal Require Professional Intervention?

Dovey¹,

Farrow²,

Martin³

et al. 2009

CNF

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Food refusal can have the potential to lead to nutritional deficiencies, which increases the risk of a variety of communicable and non-communicable diseases. Deciding when food refusal requires professional intervention is complicated by the fact that there is a natural and appropriate stage in a child's development that is characterised by increased levels of rejection of both previously accepted and novel food items. Therefore, choosing to intervene is difficult, which if handled badly can lead to further food refusal and an even more limited diet. Food refusal is often based on individual preferences; however, it can also be defined through pathological behaviours that require psychological intervention. This paper presents and discusses several different types of food refusal behaviours; these are learningdependent, those that are related to a medical complication, selective food refusal, fear-based food refusal and appetite-awareness-autonomy-based food refusal. This paper describes the behaviours and characteristics that are often associated with each; however, emphasis is placed on the possibility that these different types of food refusal can often be co-morbid. The decision to offer professional intervention to the child and their family should be a holistic process based on the level of medical or psychological distress resulting from the food refusal.

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Use of Texture Fading in the Treatment of Food Selectivity

Cited by 82 publications

References 7 publications

Behavioral Management of Feeding Disorders of Childhood

Behavioral Management of Feeding Disorders of Childhood

The Effects of Choice Between Nonpreferred Foods on the Food Consumption of Individuals with Food Selectivity

When Does Food Refusal Require Professional Intervention?

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