A Comparison of a Behavioral Feeding Intervention With and Without Pre-meal Sensory Integration Therapy

This study compared a behavioral feeding intervention with and without pre-meal sensory integration therapy (SIT) in two boys with autism spectrum disorder and severe food selectivity. For both participants, child bite and drink consumption and total intake increased to similar levels with corresponding decreases in inappropriate mealtime behavior (IMB) in both conditions. The SIT condition was then discontinued and both participants continued to exhibit high levels of bite and drink consumption with corresponding low levels of IMB during a non-SIT phase. Caregivers of both participants were then trained in the behavioral feeding intervention. Follow-up data were collected for one participant for two months following intervention and showed maintenance of treatment gains over time. Limitations of the current study and directions for future research comparing the effects of behavioral feeding interventions with and without SIT are discussed.