Riordan M M, Iwata B A, Finney J W, Wohl M K, Stanley A E
J Appl Behav Anal. 1984 Fall;17(3):327-41. doi: 10.1901/jaba.1984.17-327.
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 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.
在本研究中，我们观察了四名残疾儿童的进食行为，他们均未表现出自主进食技能。所有儿童都有拒食史且存在营养风险；其中一名儿童通过胃造瘘管获取所有营养。用餐时间采集的基线数据表明，所有儿童接受的食物极少，频繁吐出食物，并出现了一些破坏性行为。治疗措施包括以下一种或多种伴随事件：社会赞扬、提供喜爱的食物、短时间玩玩具以及强制喂食。多基线和反转设计的结果显示，每个儿童的行为都有显著改善，食物摄入量也有所增加。在治疗后7至30个月的随访中发现了进一步的改善。
