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Using a chaser to decrease packing in children with feeding disorders.

Petula C M Vaz1, Cathleen C Piazza, Victoria Stewart

  • 1University of Nebraska Medical Center's Munroe-Meyer Institute, USA. pvaz@bloomu.edu

Journal of Applied Behavior Analysis
|March 10, 2012
PubMed
Summary
This summary is machine-generated.

This study found that using a "chaser" — a preferred food or drink — effectively reduced packing, a feeding disorder where children hold food in their mouths. This intervention shows promise for improving mealtimes for children with feeding difficulties.

Keywords:
chaserfeeding disorderspackingpediatric feeding disorders

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Area of Science:

  • Pediatric feeding disorders
  • Behavioral interventions
  • Childhood nutrition

Background:

  • Packing, characterized by oral retention of food, is a common feeding disorder in children.
  • This behavior can lead to nutritional deficits and mealtime challenges.
  • Effective interventions are needed to address packing and improve oral intake.

Purpose of the Study:

  • To investigate the efficacy of a chaser strategy in reducing solid food packing in children with feeding disorders.
  • To evaluate the impact of immediate or delayed chaser presentation on packing behavior.

Main Methods:

  • A case study approach was used with 3 children diagnosed with feeding disorders exhibiting packing behavior.
  • A chaser (a preferred liquid or solid) was introduced immediately or after a 15-second delay following each bite of solid food.
  • The frequency of packing behavior was measured during the intervention phases.

Main Results:

  • The chaser intervention was effective in decreasing packing behavior for all 3 participating children.
  • Consistent swallowing of the chaser was observed across participants.
  • The strategy demonstrated a positive impact on managing oral food retention.

Conclusions:

  • The use of a chaser is a clinically viable and effective strategy for reducing packing behavior in children with feeding disorders.
  • This intervention offers a practical approach for therapists and parents to manage feeding difficulties.
  • Further research is warranted to explore variations in chaser type, timing, and generalization of the effect.