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Using a fading procedure to increase fluid consumption in a child with feeding problems.

M R Patel1, C C Piazza, L Kelly

  • 1The Marcus Institute, Atlanta, Georgia 30324-3268, USA.

Journal of Applied Behavior Analysis
|October 27, 2001
PubMed
Summary

This study used stimulus fading, differential reinforcement, and extinction to help a child with feeding issues increase fluid intake. The method gradually introduced new ingredients into a preferred fluid, successfully increasing consumption.

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Area of Science:

  • Behavioral Psychology
  • Pediatric Feeding Disorders
  • Applied Behavior Analysis

Background:

  • Feeding problems in children can lead to nutritional deficiencies and developmental issues.
  • Behavioral interventions are crucial for addressing pediatric feeding disorders.
  • Applied Behavior Analysis (ABA) offers effective strategies for modifying feeding behaviors.

Observation:

  • A 6-year-old child exhibited significant feeding problems, specifically with fluid intake.
  • The child would only drink plain water, limiting nutritional intake.
  • Existing feeding strategies were insufficient for this child.

Findings:

  • Combining stimulus fading with differential reinforcement and extinction successfully increased the child's intake of a calorie-dense fluid.
  • The stimulus fading procedure involved gradually adding ingredients (Carnation Instant Breakfast, then milk) to water.
  • This gradual introduction led to increased acceptance and consumption of the enriched fluid.

Implications:

  • This combined behavioral intervention approach is effective for treating pediatric feeding problems.
  • Stimulus fading offers a viable method for increasing the variety and nutritional density of fluids consumed by children with feeding difficulties.
  • Further research can explore the adaptability of this intervention for other food-related challenges in children.