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BEHAVIORAL ASSESSMENT AND TREATMENT OF CHRONIC FOOD REFUSAL IN HANDICAPPED CHILDREN
Authors:Mary M. Riordan  Brian A. Iwata  Jack W. Finney  Marianne K. Wohl  Alison E. Stanley
Affiliation:JOHN F. KENNEDY INSTITUTE AND JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Abstract:In this study, we examined the eating behavior of four handicapped children, none of whom exhibited self-feeding skills. All children had a history of food refusal and were nutritionally at risk; one child received all nourishment by way of a gastrostomy tube. Baseline data taken during mealtimes indicated that all children accepted very little food, expelled food frequently, and engaged in a number of disruptive behaviors. Treatments consisted of one or more of the following contingent events: social praise, access to preferred foods, brief periods of toy play, and forced feeding. Results of multiple-baseline and reversal designs showed marked behavioral improvement for each child and increases in the amount of food consumed. Further improvements were noted at follow-up, which ranged from 7 to 30 months posttreatment.
Keywords:behavioral assessment  behavioral medicine  feeding
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