ERIC Number: EJ719031
Record Type: Journal
Publication Date: 2005
Reference Count: 18
Severe Feeding Problems Secondary to Anatomical Disorders: Effectiveness of Behavioural Treatment in Three School-Aged Children
de Moor, Jan; Didden, Robert; Tolboom, Jules
Educational Psychology, v25 n2-3 p325-340 Apr-Jun 2005
In the present study, behavioural treatment is described of three school-aged children with severe feeding problems caused by (surgically corrected) anatomical disorders of the digestive system. Two children showed food refusal and were tube-fed whereas the third child showed extreme food selectivity. During treatment, shaping, (non)verbal instruction, intermittent contingent attention, and a token economy were effective in eliminating feeding problems in the children. During a mean of 50 sessions of treatment conducted during a period of seven months, each child learned to consume food items orally within a normal speed range. They also learned to accept food items varying in both taste and texture. Each child's caloric needs were met as a result of total amount of food consumed. The following are discussed: (1) the results of treatment; (2) consequences of participant age for treatment choice; (3) the necessity of recording during treatment sessions; (4) the shortcomings of existing systems of classification of feeding problems.
Descriptors: Token Economy, Behavior Modification, Eating Habits, Eating Disorders, Nutrition, Psychological Patterns, Young Children, Foreign Countries, Outcomes of Treatment, Physical Health, Contingency Management
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Publication Type: Journal Articles; Reports - Research
Education Level: Elementary Education
Authoring Institution: N/A
Identifiers - Location: Netherlands