Werle M A, Murphy T B, Budd K S
Illinois Institute of Technology, Chicago.
J Appl Behav Anal. 1993 Winter;26(4):421-33. doi: 10.1901/jaba.1993.26-421.
We evaluated the effects of behavioral parent training program on parent and child feeding-related behaviors in the home. We trained mothers to initiate regular offerings of previously rejected (target) foods and to provide contingent attention (i.e., specific prompts, positive reinforcement) to increase their child's acceptance of nonpreferred foods. For 1 subject, we also directed training at increasing self-eating. Results of a nonconcurrent multiple baseline design across 3 mother-child dyads demonstrated that, with training, all mothers increased offerings of target foods and use of specific prompts, and 2 mothers increased levels of positive attention. In turn, children increased their acceptance of target foods and self-eating, thus demonstrating the functional effects of parent training on in-home meal times. Temporary increases in food refusals occurred when treatment was initiated but declined as treatment continued. We discuss the results in terms of the potential benefits and limitations of a home-based treatment model.
我们评估了行为家长培训计划对家庭中家长和儿童与喂养相关行为的影响。我们训练母亲开始定期提供之前被拒绝的（目标）食物，并提供有条件的关注（即特定提示、积极强化），以增加孩子对不喜欢食物的接受度。对于1名受试者，我们还针对增加自主进食进行了培训。对3对母婴二元组进行的非同期多重基线设计结果表明，通过培训，所有母亲都增加了目标食物的提供量和特定提示的使用，2名母亲增加了积极关注的程度。相应地，孩子增加了对目标食物的接受度和自主进食，从而证明了家长培训对家庭用餐时间的功能性影响。开始治疗时食物拒绝情况暂时增加，但随着治疗的持续而下降。我们从家庭治疗模式的潜在益处和局限性方面讨论了结果。
