Melanie H. Bachmeyer, Cathleen C. Piazza, Laura D. Fredrick, Gregory K. Reed, Kristi D. Rivas, & Heather J. Kadey. (2009)
Functional analysis and treatment of multiply controlled inappropriate mealtime behavior.
Journal of Applied Behavior Analysis,
Functional analyses identified children whose inappropriate mealtime
behavior was maintained by escape and adult attention. Function-based
extinction procedures were tested individually and in combination.
Attention extinction alone did not result in decreases in inappropriate
mealtime behavior or a significant increase in acceptance. By contrast,
escape extinction alone resulted in a decrease in inappropriate mealtime
behavior and an increase in acceptance. However, inappropriate mealtime
behavior did not decrease to clinically acceptable levels. A combined
extinction technique (i.e., escape and attention extinction) resulted in a
decrease in inappropriate mealtime behavior to clinically acceptable levels
and high and stable acceptance.
DESCRIPTORS: escape extinction, food refusal, food selectivity, negative reinforcement, pediatric feeding disorders