Related Experiment Video
Updated: May 31, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Sequential treatment of a feeding problem using a pacifier and flipped spoon
Kristi D Rivas1, Cathleen C Piazza, Heather J Kadey
1University of Nebraska Medical Center, Munroe-Meyer Institute, Omaha, Nebraska, USA.
Treating feeding disorders in chronically ill children can be challenging due to distressed behavior. This study shows a sequential treatment approach, using a pacifier and flipped spoon, effectively managed a child's feeding disorder and crying.
Area of Science:
- Pediatric Gastroenterology
- Behavioral Pediatrics
- Child Health
Background:
- Feeding disorders are common in chronically ill children.
- Distressed behavior during feeding can deter parental intervention.
- Parental reluctance to treat may stem from observing the child's distress.
Purpose of the Study:
- To investigate the efficacy of a sequential treatment approach for a pediatric feeding disorder.
- To address parental concerns regarding crying during feeding interventions.
- To manage complex medical and behavioral issues in a pediatric feeding disorder case.
Main Methods:
- A case study of a child with chronic medical problems and a feeding disorder was conducted.
- Treatment components were introduced sequentially to manage crying and improve feeding.
- Interventions included the use of a pacifier to reduce crying and a flipped spoon to enhance mouth clean.
Main Results:
- The sequential treatment approach successfully reduced crying during feeding.
- The flipped spoon intervention improved mouth clean.
- The child's feeding disorder was effectively managed through this tailored strategy.
Conclusions:
- A sequential, component-based treatment strategy can be effective for pediatric feeding disorders.
- Addressing parental concerns, such as crying, is crucial for successful intervention.
- This approach offers a viable solution for complex pediatric feeding and behavioral challenges.
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