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ABSTRACT
Background: While positive reinforcement is perhaps the most common component in interventions for feeding problems, the literature suggests it is not sufficient to address more severe problems.
Method: An ABACDB reversal design was used to evaluate the effectiveness of praise, in-session reinforcement, and a visual cue + post-session reinforcement to increase solid food consumption in a nine-year-old boy with an intellectual disability who was completely dependent upon gastrostomy tube feeds.
Results and Discussion: A combination of praise, in-session reinforcement, and the visual cue + post-session reinforcement was more effective at increasing bites consumed than praise combined with either one of the other two components. The results suggested a multiplicative effect. Multiple reinforcement components may be considered in the treatment of persons with feeding problems as either an alternative to escape extinction or a method of minimizing escape extinction.
Disclosures
The authors have no disclosures, financial or otherwise, to report.
This study has been approved by the IRB.
Supplementary material
Supplemental data for this article can be accessed publisher’s website.
