Abstract
This study evaluates the effectiveness of a variation of the high-probability (high-p) sequence involving bites of food as high-p tasks on the acceptance of low-probability (low-p) foods in an adolescent with autism spectrum disorder. After demonstrating the effectiveness of the high-p sequence using a reversal design, the participant’s mother implemented the intervention. Intervention effects were partially maintained during 7-month maintenance probes. Implications for research and practice are provided.
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Notes
Inappropriate mealtime behavior was only measured with two of the participants.
References
Bachmeyer, M. H. (2009). Treatment of selective and inadequate food intake in children: a review and practical guide. Behavior Analysis in Practice, 2, 43–50.
Dawson, J. E., Piazza, C. C., Sevin, B. M., Gulotta, C. S., Lerman, D., & Kelly, M. L. (2003). Use of the high-probability instructional sequence and escape extinction in a child with food refusal. Journal of Applied Behavior Analysis, 36, 105–108. doi:10.1901/jaba.2003.36-105.
Meier, A. E., Fryling, M. J., & Wallace, M. D. (2012). Using high-probability foods to increase the acceptance of low-probability foods. Journal of Applied Behavior Analysis, 45, 149–153. doi:10.1901/jaba.45-149.
Patel, M. R., Reed, G. K., Piazza, C. C., Muller, M., Bachmeyer, M. H., Layer, S. A., & Pabico, R. S. (2006). An evaluation of a high-probability instructional sequence to increase acceptance of food and decrease inappropriate behavior in children with pediatric feeding disorders. Research in Developmental Disabilities, 27, 430–442. doi:10.1016/j.ridd.2005.05.005.
Patel, M. R., Reed, G. K., Piazza, C. C., Muller, M., Bachmeyer, M. H., & Layer, S. A. (2007). Use of a high-probability instructional sequence to increase compliance to feeding demands in the absence of escape extinction. Behavioral Interventions, 22, 305–310. doi:10.1002/bin.251.
Seubert, C., Fryling, M. J., Wallace, M. D., Jiminez, A., & Meier, A. (2014). Antecedent interventions for pediatric feeding problems. Journal of Applied Behavior Analysis, 47, 449–457. doi:10.1002/jaba.11.
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-Intervention may be considered preventative and used with less severe feeding problems
-Parents may implement this intervention with integrity
-Critical to consider the child’s chewing and swallowing skills before implementing
-Systematic fading may be necessary
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Ewry, D.M., Fryling, M.J. Evaluating the High-Probability Instructional Sequence to Increase the Acceptance of Foods with an Adolescent with Autism. Behav Analysis Practice 9, 380–383 (2016). https://doi.org/10.1007/s40617-015-0098-4
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DOI: https://doi.org/10.1007/s40617-015-0098-4