Reidy T J
Arch Phys Med Rehabil. 1979 May;60(5):226-30.
The study demonstrates an effective operant conditioning treatment technique to train appropriate eating behavior in a child with brain damage. The child, a 7-year-old boy, received the training during brief hospitalization in a pediatric rehabilitation unit. The principal treatment modality consisted of verbal commands, praise, and manual guidance. During 2 baseline meals the child ate appropriately on the average of 21% of the time. Rapid improvement in correct eating responses occurred during the first week of treatment, reaching a level of 100% in 2 of the last 4 training meals. Following withdrawal of treatment, correct responses decreased to an average of 69%. When treatment was resumed the child reached a correct eating response level of more than 90% on the fifth meal. This level of performance was maintained when hospital staff and the child's mother were introduced into the program. The child's teacher was trained in the technique prior to his discharge from the hospital. School follow-up of more than 15 weeks indicated proper performance had been maintained at more than 90%. High levels of appropriate eating behavior can be learned in the hospital and generalized to the home and school if parents and teachers are actively engaged in rehabilitation efforts.
该研究展示了一种有效的操作性条件反射治疗技术，用于训练一名脑损伤儿童的恰当进食行为。这名儿童是一名7岁男孩，在儿科康复病房短暂住院期间接受了训练。主要治疗方式包括言语指令、表扬和手动引导。在2次基线进餐期间，该儿童平均有21%的时间进食恰当。在治疗的第一周，正确进食反应迅速改善，在最后4次训练进餐中的2次达到了100%的水平。停止治疗后，正确反应降至平均69%。当恢复治疗时，该儿童在第5次进餐时正确进食反应水平超过了90%。当医院工作人员和孩子的母亲加入该项目时，这一表现水平得以维持。该儿童的教师在其出院前接受了该技术的培训。超过15周的学校随访表明，恰当表现一直维持在90%以上。如果家长和教师积极参与康复工作，高水平的恰当进食行为可以在医院习得，并推广到家庭和学校。
