Kozlowski Alison M, Clark Racheal, Workman Brittney, Chumney Kathryn, Birmingham Taylor
Kennedy Krieger Institute, 707 North Broadway, 2nd Floor, Baltimore, MD 21205 USA.
Johns Hopkins University School of Medicine, Baltimore, MD USA.
Behav Anal Pract. 2024 Feb 23;17(3):893-907. doi: 10.1007/s40617-024-00911-7. eCollection 2024 Sep.
Escape extinction is an empirically supported treatment to increase food and drink acceptance in children with feeding difficulties. However, nonremoval of the spoon or cup may not be effective in isolation when children press their lips closed or clench their teeth. Physical guidance procedures may circumvent this concern, though this is not always the case and may require the bite or drink be deposited with an alternate utensil. Previous research has demonstrated the effectiveness of spoon-to-cup, syringe-to-cup, and syringe-to-spoon fading in typically developing children with gastrostomy tube dependence. The current study extends the existing research literature by replicating spoon-to-cup fading with a child with autism spectrum disorder who was an oral feeder, and by demonstrating the effectiveness of finger-to-spoon fading. We also provide an additional clinical example for syringe-to-cup fading for a child with autism spectrum disorder who was an oral feeder.
The online version contains supplementary material available at 10.1007/s40617-024-00911-7.
消退逃避是一种经实证支持的治疗方法,用于提高有进食困难儿童对食物和饮料的接受度。然而,当儿童紧闭嘴唇或咬紧牙关时,单纯不拿走勺子或杯子可能并不有效。身体引导程序可能会规避这一问题,不过情况并非总是如此,可能需要用另一种器具放置食物或饮料。先前的研究已证明,在有胃造口管依赖的典型发育儿童中,勺子到杯子、注射器到杯子以及注射器到勺子的渐隐法是有效的。本研究通过对一名口饲的自闭症谱系障碍儿童重复勺子到杯子的渐隐法,并证明手指到勺子渐隐法的有效性,扩展了现有研究文献。我们还为一名口饲的自闭症谱系障碍儿童提供了注射器到杯子渐隐法的另一个临床实例。
在线版本包含可在10.1007/s40617-024-00911-7获取的补充材料。