Using food redistribution to reduce packing in children with severe food refusal

Charles S. Gulotta, Cathleen C Piazza, Meeta R. Patel, Stagy A. Layer

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Positive- and negative-reinforcement-based procedures typically have targeted acceptance for children with severe food refusal; however, these procedures do not always result in successful swallowing. Once acceptance is achieved, some children expel the food repeatedly or pack (hold or pocket) it in their mouths for extended periods of time. This study evaluated the effects of using food redistribution with a bristled massaging toothbrush to reduce packing and increase consumption in 4 children with severe feeding disorders. Packing was reduced for all children. In addition, latency to clean mouth (the duration of time from acceptance to food no longer being present in the child's mouth in the absence of expulsion) for 2 children decreased when the food-redistribution procedure was used. Results are discussed in terms of the potential operant functions of the food-redistribution procedure.

Original languageEnglish (US)
Pages (from-to)39-50
Number of pages12
JournalJournal of applied behavior analysis
Volume38
Issue number1
DOIs
StatePublished - Mar 1 2005

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Food
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Deglutition
reinforcement
Redistribution
Acceptance

Keywords

  • Food redistribution
  • Negative reinforcement
  • Packing
  • Pediatric feeding disorders

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology

Cite this

Using food redistribution to reduce packing in children with severe food refusal. / Gulotta, Charles S.; Piazza, Cathleen C; Patel, Meeta R.; Layer, Stagy A.

In: Journal of applied behavior analysis, Vol. 38, No. 1, 01.03.2005, p. 39-50.

Research output: Contribution to journalArticle

Gulotta, Charles S. ; Piazza, Cathleen C ; Patel, Meeta R. ; Layer, Stagy A. / Using food redistribution to reduce packing in children with severe food refusal. In: Journal of applied behavior analysis. 2005 ; Vol. 38, No. 1. pp. 39-50.
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