Evaluation of Instructions and Video Modeling to Train Parents to Implement a Structured Meal Procedure for Food Selecti
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BRIEF PRACTICE
Evaluation of Instructions and Video Modeling to Train Parents to Implement a Structured Meal Procedure for Food Selectivity Among Children With Autism Ronald J. Clark 1,2 & David A. Wilder 1,2 & Michael E. Kelley 3 & Victoria Ryan 1,2
# Association for Behavior Analysis International 2020
Abstract We evaluated written instructions plus video modeling—and when necessary, in vivo prompting and feedback—to teach 3 parents to implement a structured meal procedure to decrease food selectivity among their children with autism. In addition to data on correct parent implementation, we also collected data on child bite acceptance. Results showed that instructions and video modeling were effective to achieve the mastery criteria for 1 parent; the other 2 parents required in vivo prompts and feedback. Two of the children exhibited an increase in bite acceptance during the structured meal procedure. Keywords food selectivity . parent training . structured meal . video modeling
Author Note Ronald J. Clark, School of Behavior Analysis, Florida Institute of Technology, and the Scott Center for Autism Treatment; David A. Wilder, School of Behavior Analysis, Florida Institute of Technology, and the Scott Center for Autism Treatment; Michael E. Kelley, School of Behavior Analysis, Florida Institute of Technology, and the Scott Center for Autism Treatment; Victoria Ryan, School of Behavior Analysis, Florida Institute of Technology, and the Scott Center for Autism Treatment. Research Highlights • Food selectivity is a common problem among young children with autism. • In some cases, a structured meal procedure may be helpful to decrease food selectivity. • Written instructions and video modeling may be useful to train some parents to implement a structured meal procedure. • In vivo prompting and feedback may be effective to train parents when instructions and modeling are insufficient. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40617-020-00419-w) contains supplementary material, which is available to authorized users. * David A. Wilder [email protected] 1
Florida Institute of Technology and the Scott Center for Autism Treatment, Melbourne, FL, USA
2
Florida Institute of Technology, School of Behavior Analysis, 150 West University Blvd., Melbourne, FL 32901, USA
3
The University of Scranton, 800 Linden St., Scranton, PA 18510, USA
Children with autism spectrum disorder (ASD) may exhibit selective food intake, food refusal, and problem behavior during mealtimes. Although outright food refusal is more concerning, food selectivity, or consumption of a very narrow range of foods, is exhibited by up to 90% of children with ASD at some point in their development (Volkert & Vaz, 2010). Despite this, most of the intervention research on feeding disorders has focused on food refusal and has examined procedures such as escape extinction (Piazza, Patel, Gulotta, Sevin, & Layer, 2003). Relatively few studies have evaluated interventions to address food selectivity exhibit
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