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Using a Flipped Spoon to Decrease Packing in Children with Feeding Disorders
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Volkert, Valerie M.; Vaz, Petula C. M.; Piazza, Cathleen C.; Frese, Jana; Barnett, Lara – Journal of Applied Behavior Analysis, 2011
We evaluated the effects of redistribution and swallow facilitation with a flipped spoon on packing in 2 children with a feeding disorder. For both participants, packing decreased when we implemented the flipped spoon treatment package. Mechanisms responsible for behavior change and areas of future research are discussed. (Contains 1 figure.)
Descriptors: Counseling Techniques, Behavior Modification, Eating Disorders, Children
A Comparison of Sensory Integrative and Behavioral Therapies as Treatment for Pediatric Feeding Disorders
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Addison, Laura R.; Piazza, Cathleen C.; Patel, Meeta R.; Bachmeyer, Melanie H.; Rivas, Kristi M.; Milnes, Suzanne M.; Oddo, Jackie – Journal of Applied Behavior Analysis, 2012
We compared the effects of escape extinction (EE) plus noncontingent reinforcement (NCR) with sensory integration therapy as treatment for the feeding problems of 2 children. Results indicated that EE plus NCR was more effective in increasing acceptance, decreasing inappropriate behavior, and increasing amount consumed relative to sensory…
Descriptors: Behavior Modification, Therapy, Sensory Integration, Comparative Analysis
Functional Analysis and Treatment of Multiply Controlled Inappropriate Mealtime Behavior
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Bachmeyer, Melanie H.; Piazza, Cathleen C.; Fredrick, Laura D.; Reed, Gregory K.; Rivas, Kristi D.; Kadey, Heather J. – Journal of Applied Behavior Analysis, 2009
Functional analyses identified children whose inappropriate mealtime behavior was maintained by escape and adult attention. Function-based extinction procedures were tested individually and in combination. Attention extinction alone did not result in decreases in inappropriate mealtime behavior or a significant increase in acceptance. By contrast,…
Descriptors: Young Children, Social Development, Functional Behavioral Assessment, Antisocial Behavior
Using Food Redistribution to Reduce Packing in Children with Severe Food Refusal
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Gulotta, Charles S.; Piazza, Cathleen C.; Patel, Meeta R.; Layer, Stacy A. – Journal of Applied Behavior Analysis, 2005
Positive- and negative-reinforcement-based procedures typically have targeted acceptance for children with severe food refusal; however, these procedures do not always result in successful swallowing. Once acceptance is achieved, some children expel the food repeatedly or pack (hold or pocket) it in their mouths for extended periods of time. This…
Descriptors: Behavior Modification, Children, Eating Disorders, Psychological Patterns
An Evaluation of a High-Probability Instructional Sequence to Increase Acceptance of Food and Decrease Inappropriate Behavior in Children with Pediatric Feeding Disorders
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Patel, Meeta R.; Reed, Gregory K.; Piazza, Cathleen C.; Bachmeyer, Melainie H.; Layer, Stacy A.; Pabico, Ryan S. – Research in Developmental Disabilities: A Multidisciplinary Journal, 2006
We evaluated the effects of escape extinction with and without a high-probability (high-p) instructional sequence on food acceptance and inappropriate behavior for children diagnosed with feeding problems. The high-p sequence consisted of three presentations of a response that was similar topographically (i.e., presentations of an empty nuk[R],…
Descriptors: Pediatrics, Probability, Children, Food
On the Effectiveness of and Preference for Punishment and Extinction Components of Function-Based Interventions
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Hanley, Gregory P.; Piazza, Cathleen C.; Fisher, Wayne W.; Maglieri, Kristen A. – Journal of Applied Behavior Analysis, 2005
The current study describes an assessment sequence that may be used to identify individualized, effective, and preferred interventions for severe problem behavior in lieu of relying on a restricted set of treatment options that are assumed to be in the best interest of consumers. The relative effectiveness of functional communication training…
Descriptors: Discipline, Positive Reinforcement, Punishment, Developmental Disabilities