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Treating Food Selectivity in Adolescents and Adults with Autism: A Systematic Replication
Mara L Vanderzell1, Holly C Gover2,3, Sean A Badger1
1Upstate Caring Partners, Utica, New York, USA.
Behavior Analysis in Practice
|January 12, 2026
Summary
This study improved food selectivity in adolescents and adults with autism spectrum disorder (ASD) using a behavioral intervention. The intervention successfully increased consumption of nutritious foods and reduced challenging behaviors in a residential setting.
Area of Science:
- Behavioral Science
- Developmental Psychology
- Autism Spectrum Disorder Research
Background:
- Food selectivity is a common challenge for individuals with autism spectrum disorder (ASD).
- Limited diets consisting of low-nutritional foods can negatively impact health and well-being.
- Challenging behaviors often accompany attempts to introduce nonpreferred, nutritious foods.
Purpose of the Study:
- To replicate and extend previous findings on improving food selectivity in individuals with ASD.
- To implement and evaluate a synthesized reinforcer intervention for food selectivity in adolescents and adults with ASD.
- To reduce challenging behaviors associated with food consumption in a congregate care setting.
Main Methods:
- Applied a behavioral intervention based on synthesized reinforcers.
- Intervention contingent on participant-selected, successive food-related behaviors.
- Utilized a comprehensive assessment prior to intervention.
Main Results:
- Participants showed significant increases in consuming targeted, nutritious foods (80%, 60%, 100%).
- Challenging behaviors were absent during the consumption of targeted foods.
- The intervention was effective in a congregate care setting for adolescents and adults with ASD.
Conclusions:
- Behavioral interventions utilizing synthesized reinforcers are effective for improving food selectivity in individuals with ASD.
- This approach can successfully increase the intake of nutritious foods and decrease challenging behaviors.
- Findings support the application of this intervention in residential care settings for individuals with autism spectrum disorder.
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