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On the Efficacy and Efficiency of Treating Pediatric Feeding Disorder

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Title: On the Efficacy and Efficiency of Treating Pediatric Feeding Disorder
Language: English
Authors: Victoria Scott (ORCID 0000-0001-8918-2522), Valdeep Saini (ORCID 0000-0002-4616-6677), Micaela Totino
Source: Journal of Applied Behavior Analysis. 2024 57(4):859-878.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 20
Publication Date: 2024
Document Type: Journal Articles
Reports - Research
Descriptors: Eating Disorders, Eating Habits, Behavior Disorders, Behavior Modification, Response to Intervention, Intervention, Pediatrics, Child Health, Children, Outcomes of Treatment, Negative Reinforcement, Positive Reinforcement
DOI: 10.1002/jaba.2912
ISSN: 0021-8855
1938-3703
Abstract: Inappropriate mealtime behavior (IMB) is a type of feeding challenge within the broader class of food refusal. The purpose of this study was to critically analyze the efficacy of interventions for the treatment of IMB through a meta-analysis of research using single-case experimental designs. We examined the extent to which different interventions resulted in decreases in IMB while also producing increases in food acceptance. This meta-analysis was also used to examine the efficiency of different interventions in achieving clinical significance. We identified 38 studies involving 266 cases in which IMB was treated with a behavioral intervention. The results indicated interventions that combined escape extinction and non-escape extinction had greater effect sizes for both reducing IMB and increasing food acceptance than either escape extinction alone or non-escape extinction alone. However, interventions that included escape extinction were slightly less efficient at decreasing IMB than were interventions that did not include escape extinction. We discuss the implications of these findings and provide recommendations for future research.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1444380
Database: ERIC
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  Data: On the Efficacy and Efficiency of Treating Pediatric Feeding Disorder
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  Data: English
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Victoria+Scott%22">Victoria Scott</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-8918-2522">0000-0001-8918-2522</externalLink>)<br /><searchLink fieldCode="AR" term="%22Valdeep+Saini%22">Valdeep Saini</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-4616-6677">0000-0002-4616-6677</externalLink>)<br /><searchLink fieldCode="AR" term="%22Micaela+Totino%22">Micaela Totino</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Applied+Behavior+Analysis%22"><i>Journal of Applied Behavior Analysis</i></searchLink>. 2024 57(4):859-878.
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: 20
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  Data: 2024
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Eating+Disorders%22">Eating Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+Habits%22">Eating Habits</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Disorders%22">Behavior Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Modification%22">Behavior Modification</searchLink><br /><searchLink fieldCode="DE" term="%22Response+to+Intervention%22">Response to Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Health%22">Child Health</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Negative+Reinforcement%22">Negative Reinforcement</searchLink><br /><searchLink fieldCode="DE" term="%22Positive+Reinforcement%22">Positive Reinforcement</searchLink>
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  Data: 10.1002/jaba.2912
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– Name: Abstract
  Label: Abstract
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  Data: Inappropriate mealtime behavior (IMB) is a type of feeding challenge within the broader class of food refusal. The purpose of this study was to critically analyze the efficacy of interventions for the treatment of IMB through a meta-analysis of research using single-case experimental designs. We examined the extent to which different interventions resulted in decreases in IMB while also producing increases in food acceptance. This meta-analysis was also used to examine the efficiency of different interventions in achieving clinical significance. We identified 38 studies involving 266 cases in which IMB was treated with a behavioral intervention. The results indicated interventions that combined escape extinction and non-escape extinction had greater effect sizes for both reducing IMB and increasing food acceptance than either escape extinction alone or non-escape extinction alone. However, interventions that included escape extinction were slightly less efficient at decreasing IMB than were interventions that did not include escape extinction. We discuss the implications of these findings and provide recommendations for future research.
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        Value: 10.1002/jaba.2912
    Languages:
      – Text: English
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        PageCount: 20
        StartPage: 859
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      – SubjectFull: Eating Disorders
        Type: general
      – SubjectFull: Eating Habits
        Type: general
      – SubjectFull: Behavior Disorders
        Type: general
      – SubjectFull: Behavior Modification
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      – SubjectFull: Response to Intervention
        Type: general
      – SubjectFull: Intervention
        Type: general
      – SubjectFull: Pediatrics
        Type: general
      – SubjectFull: Child Health
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Outcomes of Treatment
        Type: general
      – SubjectFull: Negative Reinforcement
        Type: general
      – SubjectFull: Positive Reinforcement
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      – TitleFull: On the Efficacy and Efficiency of Treating Pediatric Feeding Disorder
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            NameFull: Victoria Scott
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            NameFull: Valdeep Saini
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            NameFull: Micaela Totino
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              Type: published
              Y: 2024
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              Value: 1938-3703
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              Value: 57
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            – TitleFull: Journal of Applied Behavior Analysis
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