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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
EAT-UP™ Family-Centered Feeding Intervention to Promote Food Acceptance and Decrease Challenging Behaviors: A
Joanna Cosbey1, Deirdre Muldoon2,3
1Division of Occupational Therapy, Department of Pediatrics, University of New Mexico, HSSB Room 140, MSC09 5240, 1 University of New Mexico, Albuquerque, NM, 87131, USA. jcosbey@salud.unm.edu.
Abstract:
This study evaluated the effectiveness of a family-centered feeding intervention, Easing Anxiety Together with Understanding and Perseverance (EAT-UP™), for promoting food acceptance of children with autism spectrum disorder at home. A concurrent multiple-baseline design was used with systematic replication across three families. Baseline was followed by an 'Intervention-Coaching' phase and then an 'Intervention-Independent' phase. Using direct observation and pre- and post-intervention questionnaires, data on acceptance of less preferred foods and challenging mealtime behaviors were collected. Procedural fidelity was monitored throughout all study phases. Data were analyzed using visual analysis and measures of effect size. All children demonstrated increases in food acceptance (effect size >0.90) and dietary diversity and decreased challenging behaviors. Implications for practice and research are discussed.
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