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Updated: Aug 6, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Pediatric feeding disorders
S O'Brien1, A C Repp, G E Williams
1Educational Research and Services Center, DeKalb, IL 60115.
Children with feeding problems, including failure to thrive and developmental disabilities, benefit from an interdisciplinary evaluation and behavioral treatments. Research should further explore parent-child interactions and treatment implementation.
Area of Science:
- Pediatrics
- Developmental Psychology
- Behavioral Therapy
Background:
- Feeding problems are prevalent in children, affecting those with normal development, failure to thrive, and developmental disabilities.
- This review specifically addresses feeding issues in children experiencing failure to thrive or developmental disabilities.
- Key developmental concerns encompass family dynamics, parent-child interactions, cognitive, and oral-motor development.
Purpose of the Study:
- To outline the characteristics and developmental concerns associated with feeding problems in specific pediatric populations.
- To describe an interdisciplinary approach for evaluating children with feeding difficulties.
- To present evidence-based behavioral treatments for pediatric feeding problems.
Main Methods:
- A review of literature focusing on pediatric feeding problems, developmental concerns, and treatment strategies.
- Emphasis on an interdisciplinary evaluation including medical, nutritional, occupational therapy, and behavioral assessments.
- Discussion of behavioral interventions such as the Premack principle, time-out with reinforcement, and negative reinforcement.
Main Results:
- Feeding problems in children with failure to thrive and developmental disabilities are multifactorial, involving family, cognitive, and oral-motor aspects.
- An interdisciplinary approach is crucial for comprehensive evaluation and effective treatment planning.
- Behavioral therapies demonstrate efficacy in managing pediatric feeding issues.
Conclusions:
- Children with failure to thrive and developmental disabilities require specialized, interdisciplinary care for feeding problems.
- Behavioral interventions offer effective strategies for addressing pediatric feeding challenges.
- Future research should investigate parent-child interactions and the practical implementation of treatment protocols by caregivers and educators.
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