Utensil manipulation during initial treatment of pediatric feeding problems

Jonathan W. Wilkins, Cathleen C Piazza, Rebecca A. Groff, Valerie M. Volkert, Jennifer M. Kozisek, Suzanne M. Milnes

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Children with feeding disorders exhibit a variety of problem behaviors during meals. One method of treating problem mealtime behavior is to implement interventions sequentially after the problem behavior emerges (e.g., Sevin, Gulotta, Sierp, Rosica, & Miller, 2002). Alternatively, interventions could target problem behavior in anticipation of its emergence. In the current study, we implemented nonremoval and re-presentation of bites either on a spoon or on a Nuk for 12 children with feeding problems. The nonremoval and re-presentation treatment improved feeding behavior for 8 of 12 children. Of those 8 children, 5 had lower levels of expulsions, and 4 of the 8 children had higher levels of mouth clean with the Nuk than with the spoon. We describe the subsequent clinical course of treatment and present follow-up data for 7 of the 8 children who responded to the nonremoval and re-presentation treatment with the spoon or Nuk. The data are discussed in terms of potential reasons why the utensil manipulation improved feeding behavior for some children.

Original languageEnglish (US)
Pages (from-to)694-709
Number of pages16
JournalJournal of applied behavior analysis
Volume47
Issue number4
DOIs
StatePublished - Dec 1 2014

Fingerprint

manipulation
Pediatrics
Feeding Behavior
Therapeutics
Meals
Carbaryl
expulsion
meals
Bites and Stings
Utensils
Manipulation
Mouth
Behavior Problems
present
Problem Behavior
Spoon

Keywords

  • Nuk
  • escape extinction
  • expulsion
  • feeding disorder
  • pediatric feeding disorders
  • re-presentation

ASJC Scopus subject areas

  • Philosophy
  • Applied Psychology
  • Sociology and Political Science

Cite this

Wilkins, J. W., Piazza, C. C., Groff, R. A., Volkert, V. M., Kozisek, J. M., & Milnes, S. M. (2014). Utensil manipulation during initial treatment of pediatric feeding problems. Journal of applied behavior analysis, 47(4), 694-709. https://doi.org/10.1002/jaba.169

Utensil manipulation during initial treatment of pediatric feeding problems. / Wilkins, Jonathan W.; Piazza, Cathleen C; Groff, Rebecca A.; Volkert, Valerie M.; Kozisek, Jennifer M.; Milnes, Suzanne M.

In: Journal of applied behavior analysis, Vol. 47, No. 4, 01.12.2014, p. 694-709.

Research output: Contribution to journalArticle

Wilkins, Jonathan W. ; Piazza, Cathleen C ; Groff, Rebecca A. ; Volkert, Valerie M. ; Kozisek, Jennifer M. ; Milnes, Suzanne M. / Utensil manipulation during initial treatment of pediatric feeding problems. In: Journal of applied behavior analysis. 2014 ; Vol. 47, No. 4. pp. 694-709.
@article{1edd10cebf7748af9f81e9b556d69ad3,
title = "Utensil manipulation during initial treatment of pediatric feeding problems",
abstract = "Children with feeding disorders exhibit a variety of problem behaviors during meals. One method of treating problem mealtime behavior is to implement interventions sequentially after the problem behavior emerges (e.g., Sevin, Gulotta, Sierp, Rosica, & Miller, 2002). Alternatively, interventions could target problem behavior in anticipation of its emergence. In the current study, we implemented nonremoval and re-presentation of bites either on a spoon or on a Nuk for 12 children with feeding problems. The nonremoval and re-presentation treatment improved feeding behavior for 8 of 12 children. Of those 8 children, 5 had lower levels of expulsions, and 4 of the 8 children had higher levels of mouth clean with the Nuk than with the spoon. We describe the subsequent clinical course of treatment and present follow-up data for 7 of the 8 children who responded to the nonremoval and re-presentation treatment with the spoon or Nuk. The data are discussed in terms of potential reasons why the utensil manipulation improved feeding behavior for some children.",
keywords = "Nuk, escape extinction, expulsion, feeding disorder, pediatric feeding disorders, re-presentation",
author = "Wilkins, {Jonathan W.} and Piazza, {Cathleen C} and Groff, {Rebecca A.} and Volkert, {Valerie M.} and Kozisek, {Jennifer M.} and Milnes, {Suzanne M.}",
year = "2014",
month = "12",
day = "1",
doi = "10.1002/jaba.169",
language = "English (US)",
volume = "47",
pages = "694--709",
journal = "Journal of Applied Behavior Analysis",
issn = "0021-8855",
publisher = "Society for the Experimental Analysis of Behavior Inc.",
number = "4",

}

TY - JOUR

T1 - Utensil manipulation during initial treatment of pediatric feeding problems

AU - Wilkins, Jonathan W.

AU - Piazza, Cathleen C

AU - Groff, Rebecca A.

AU - Volkert, Valerie M.

AU - Kozisek, Jennifer M.

AU - Milnes, Suzanne M.

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Children with feeding disorders exhibit a variety of problem behaviors during meals. One method of treating problem mealtime behavior is to implement interventions sequentially after the problem behavior emerges (e.g., Sevin, Gulotta, Sierp, Rosica, & Miller, 2002). Alternatively, interventions could target problem behavior in anticipation of its emergence. In the current study, we implemented nonremoval and re-presentation of bites either on a spoon or on a Nuk for 12 children with feeding problems. The nonremoval and re-presentation treatment improved feeding behavior for 8 of 12 children. Of those 8 children, 5 had lower levels of expulsions, and 4 of the 8 children had higher levels of mouth clean with the Nuk than with the spoon. We describe the subsequent clinical course of treatment and present follow-up data for 7 of the 8 children who responded to the nonremoval and re-presentation treatment with the spoon or Nuk. The data are discussed in terms of potential reasons why the utensil manipulation improved feeding behavior for some children.

AB - Children with feeding disorders exhibit a variety of problem behaviors during meals. One method of treating problem mealtime behavior is to implement interventions sequentially after the problem behavior emerges (e.g., Sevin, Gulotta, Sierp, Rosica, & Miller, 2002). Alternatively, interventions could target problem behavior in anticipation of its emergence. In the current study, we implemented nonremoval and re-presentation of bites either on a spoon or on a Nuk for 12 children with feeding problems. The nonremoval and re-presentation treatment improved feeding behavior for 8 of 12 children. Of those 8 children, 5 had lower levels of expulsions, and 4 of the 8 children had higher levels of mouth clean with the Nuk than with the spoon. We describe the subsequent clinical course of treatment and present follow-up data for 7 of the 8 children who responded to the nonremoval and re-presentation treatment with the spoon or Nuk. The data are discussed in terms of potential reasons why the utensil manipulation improved feeding behavior for some children.

KW - Nuk

KW - escape extinction

KW - expulsion

KW - feeding disorder

KW - pediatric feeding disorders

KW - re-presentation

UR - http://www.scopus.com/inward/record.url?scp=84915789452&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84915789452&partnerID=8YFLogxK

U2 - 10.1002/jaba.169

DO - 10.1002/jaba.169

M3 - Article

C2 - 25345577

AN - SCOPUS:84915789452

VL - 47

SP - 694

EP - 709

JO - Journal of Applied Behavior Analysis

JF - Journal of Applied Behavior Analysis

SN - 0021-8855

IS - 4

ER -