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Updated: Dec 20, 2025
A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Controlled case series demonstrates how parents can be trained to treat paediatric feeding disorders at home
Tessa Taylor1,2, Neville Blampied2, Nikolas Roglić1
1Paediatric Feeding International, Sydney, NSW, Australia.
Insights
Parents trained in specialized clinics can successfully manage paediatric feeding disorders at home. This approach ensures long-term maintenance of treatment gains for children with avoidant/restrictive food intake disorder.
Area of Science:
- Pediatric Gastroenterology
- Behavioral Therapy
- Child Psychology
Background:
- Paediatric feeding disorders often require intensive management in specialist clinics.
- Limited research exists on the long-term maintenance of treatment gains when programs are continued at home by parents.
Purpose of the Study:
- To investigate if treatment gains for paediatric feeding disorders are maintained when parents continue the program at home.
- To assess the effectiveness of parent-led home-based treatment for children with avoidant/restrictive food intake disorder.
Main Methods:
- A controlled consecutive case series of 26 children (mean age 6 years) with avoidant/restrictive food intake disorder was conducted.
- Children received intensive, individualized, behavior-analytic treatment, followed by parent training for home-based continuation.
- Primary outcomes included the range and amount of food consumed and mealtime behavior, with follow-up at a mean of 2.3 years.
Main Results:
- All children achieved their agreed therapeutic goals, eating a mean of 92 different foods.
- Significant improvements were observed in food intake, eating, drinking, and mealtime behavior.
- Treatment gains were maintained at a mean follow-up of 2.3 years, with high parental satisfaction.
Conclusions:
- Specially trained parents can effectively continue paediatric eating disorder treatment at home.
- Parent-led home-based interventions are successful in maintaining treatment gains for children with feeding disorders.
Aim:
Paediatric feeding disorders are normally managed by specialist clinics. We examined whether treatment gains were maintained when trained parents continued the programme at home and during meals out.
Methods:
This controlled consecutive case series recruited 26 children (22 boys) with avoidant/restrictive food intake disorder, from a private paediatric feeding disorders practice in New South Wales, Australia. Their mean age was six (2-13) years. All had severe feeding problems and mealtime skill deficits, and most had autism and developmental delays or intellectual disabilities. The children received intensive, individualised, behaviour-analytic treatment for 11 (6-21.5) days, and the parents were trained to continue it at home. The primary treatment outcomes included the range and amount of food eaten and mealtime behaviour.
Results:
The children met all of the therapeutic goals agreed at the treatment outset. They ate a mean of 92 different foods and improved how they ate, drank and behaved during mealtimes. The mean differences before and after treatment were clinically and statistically significant, and the gains were maintained during follow-up at a mean of 2.3 years. Parental satisfaction and treatment acceptability were high.
Conclusion:
Specially trained parents successfully continued paediatric eating disorder treatment at home and maintained treatment gains.
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