An evaluation of a high-probability instructional sequence to increase acceptance of food and decrease inappropriate behavior in children with pediatric feeding disorders

Meeta R. Patel, Gregory K. Reed, Cathleen C. Piazza, Melanie H. Bachmeyer, Stacy A. Layer, Ryan S. Pabico

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

We evaluated the effects of escape extinction with and without a high-probability (high-p) instructional sequence on food acceptance and inappropriate behavior for children diagnosed with feeding problems. The high-p sequence consisted of three presentations of a response that was similar topographically (i.e., presentations of an empty nuk®, liquid on a spoon, and a preferred liquid on a spoon) to the low-p response (i.e., presentation of a nuk with food, liquid from a cup, and presentation of a nonpreferred food). Acceptance of food increased in the presence and not the absence of the high-p sequence during initial withdrawals for two of the three children. In addition, the high-p sequence plus escape extinction was associated with reduced levels of inappropriate behavior relative to escape extinction alone for two children. Data are discussed in relation to behavioral momentum, motivating operations, and the relative contributions of the high-p instructional sequence and escape extinction in the treatment of feeding problems.

Original languageEnglish (US)
Pages (from-to)430-442
Number of pages13
JournalResearch in Developmental Disabilities
Volume27
Issue number4
DOIs
StatePublished - Jul 1 2006

Fingerprint

Child Behavior
Pediatrics
Food
Feeding and Eating Disorders
Psychological Extinction

Keywords

  • Behavioral momentum
  • Food refusal
  • High-p instructional sequence
  • Motivating operations
  • Pediatric feeding disorders

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

Cite this

An evaluation of a high-probability instructional sequence to increase acceptance of food and decrease inappropriate behavior in children with pediatric feeding disorders. / Patel, Meeta R.; Reed, Gregory K.; Piazza, Cathleen C.; Bachmeyer, Melanie H.; Layer, Stacy A.; Pabico, Ryan S.

In: Research in Developmental Disabilities, Vol. 27, No. 4, 01.07.2006, p. 430-442.

Research output: Contribution to journalArticle

@article{0c299a9491734c98a8ed3d8ab1dae865,
title = "An evaluation of a high-probability instructional sequence to increase acceptance of food and decrease inappropriate behavior in children with pediatric feeding disorders",
abstract = "We evaluated the effects of escape extinction with and without a high-probability (high-p) instructional sequence on food acceptance and inappropriate behavior for children diagnosed with feeding problems. The high-p sequence consisted of three presentations of a response that was similar topographically (i.e., presentations of an empty nuk{\circledR}, liquid on a spoon, and a preferred liquid on a spoon) to the low-p response (i.e., presentation of a nuk with food, liquid from a cup, and presentation of a nonpreferred food). Acceptance of food increased in the presence and not the absence of the high-p sequence during initial withdrawals for two of the three children. In addition, the high-p sequence plus escape extinction was associated with reduced levels of inappropriate behavior relative to escape extinction alone for two children. Data are discussed in relation to behavioral momentum, motivating operations, and the relative contributions of the high-p instructional sequence and escape extinction in the treatment of feeding problems.",
keywords = "Behavioral momentum, Food refusal, High-p instructional sequence, Motivating operations, Pediatric feeding disorders",
author = "Patel, {Meeta R.} and Reed, {Gregory K.} and Piazza, {Cathleen C.} and Bachmeyer, {Melanie H.} and Layer, {Stacy A.} and Pabico, {Ryan S.}",
year = "2006",
month = "7",
day = "1",
doi = "10.1016/j.ridd.2005.05.005",
language = "English (US)",
volume = "27",
pages = "430--442",
journal = "Research in Developmental Disabilities",
issn = "0891-4222",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - An evaluation of a high-probability instructional sequence to increase acceptance of food and decrease inappropriate behavior in children with pediatric feeding disorders

AU - Patel, Meeta R.

AU - Reed, Gregory K.

AU - Piazza, Cathleen C.

AU - Bachmeyer, Melanie H.

AU - Layer, Stacy A.

AU - Pabico, Ryan S.

PY - 2006/7/1

Y1 - 2006/7/1

N2 - We evaluated the effects of escape extinction with and without a high-probability (high-p) instructional sequence on food acceptance and inappropriate behavior for children diagnosed with feeding problems. The high-p sequence consisted of three presentations of a response that was similar topographically (i.e., presentations of an empty nuk®, liquid on a spoon, and a preferred liquid on a spoon) to the low-p response (i.e., presentation of a nuk with food, liquid from a cup, and presentation of a nonpreferred food). Acceptance of food increased in the presence and not the absence of the high-p sequence during initial withdrawals for two of the three children. In addition, the high-p sequence plus escape extinction was associated with reduced levels of inappropriate behavior relative to escape extinction alone for two children. Data are discussed in relation to behavioral momentum, motivating operations, and the relative contributions of the high-p instructional sequence and escape extinction in the treatment of feeding problems.

AB - We evaluated the effects of escape extinction with and without a high-probability (high-p) instructional sequence on food acceptance and inappropriate behavior for children diagnosed with feeding problems. The high-p sequence consisted of three presentations of a response that was similar topographically (i.e., presentations of an empty nuk®, liquid on a spoon, and a preferred liquid on a spoon) to the low-p response (i.e., presentation of a nuk with food, liquid from a cup, and presentation of a nonpreferred food). Acceptance of food increased in the presence and not the absence of the high-p sequence during initial withdrawals for two of the three children. In addition, the high-p sequence plus escape extinction was associated with reduced levels of inappropriate behavior relative to escape extinction alone for two children. Data are discussed in relation to behavioral momentum, motivating operations, and the relative contributions of the high-p instructional sequence and escape extinction in the treatment of feeding problems.

KW - Behavioral momentum

KW - Food refusal

KW - High-p instructional sequence

KW - Motivating operations

KW - Pediatric feeding disorders

UR - http://www.scopus.com/inward/record.url?scp=33745812053&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745812053&partnerID=8YFLogxK

U2 - 10.1016/j.ridd.2005.05.005

DO - 10.1016/j.ridd.2005.05.005

M3 - Article

C2 - 16139474

AN - SCOPUS:33745812053

VL - 27

SP - 430

EP - 442

JO - Research in Developmental Disabilities

JF - Research in Developmental Disabilities

SN - 0891-4222

IS - 4

ER -