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Updated: May 26, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
A flipped spoon and chin prompt to increase mouth clean
Jack Dempsey1, Cathleen C Piazza, Rebecca A Groff
1University of Nebraska Medical Center's, Munroe-Meyer Institute, USA.
Abstract:
We treated the liquid refusal of a 15-month-old girl using 2 antecedent manipulations: flipped spoon and chin prompt. Use of the chin prompt in the absence of the flipped spoon failed to produce increases in mouth clean (a product measure of swallowing). By contrast, modest increases in mouth clean resulted from the implementation of the flipped spoon alone. The greatest increases in mouth clean resulted from the combination of the 2 manipulations.
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