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Using Descriptive Assessment in the Treatment of Bite Acceptance and Food RefusalThe Pennsylvania State University, Sdc14{at}psu.edu
The Ohio State University
Wesley College
Helping Hands Center
The New Jersey Department of Education
Howard University The feeding behaviors of two children who maintained failure to thrive diagnoses and displayed food refusal are assessed in their homes. Descriptive assessments are used to identify schedules of consequence provided by each child’s care providers for bite acceptance and food refusal behaviors. Assessments reveal rich schedules of praise and access to social interaction and preferred activities for bite acceptance and escape for food refusal. These schedule arrangements result in hypotheses that modifications to the schedule of praise and access to social interaction and preferred activities for bite acceptance would result in little to no effect and that modifications to the schedule of escape for food refusal would be necessary for treatment success. Successful interventions are subsequently implemented by manipulating the existing schedules of escape for food refusal by each child’s care providers. Implications for the use of descriptive assessments for feeding problems are discussed.
Key Words: descriptive assessment • failure to thrive • feeding disorder • schedules of reinforcement
This version was published on September
1, 2009 Behavior Modification, Vol. 33, No. 5,
537-558 (2009) |
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