Treating food refusal in a child with Williams syndrome using the parent as therapist in the home setting

The present authors examined the effectiveness of a behavioural intervention which included escape extinction and differential reinforcement of each bite eaten to treat non-organic food refusal in a child with Williams syndrome. The intervention was implemented by the child's mother in the home...

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Bibliographic Details
Published in:Journal of intellectual disability research 2001-02, Vol.45 (1), p.41-46
Main Authors: O'REILLY, M. F, LANCIONI, G. E
Format: Article
Language:English
Subjects:
Behavior Therapy - methods
Behavior therapy. Cognitive therapy
Behavioural approaches
Biological and medical sciences
Caregivers
Child, Preschool
Children
Daily Living Skills
Developmental Disabilities
Eating - psychology
Family (Sociological Unit)
Feeding Behavior - psychology
Food refusal
Humans
Hyperactivity
Intellectual Disability
Male
Medical sciences
Mothers
Negative Reinforcement
Pregnancy
Psychological Patterns
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Research Design
Research Methodology
Resistance (Psychology)
Treatment Outcome
Treatments
William's syndrome
Williams Syndrome
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Summary:The present authors examined the effectiveness of a behavioural intervention which included escape extinction and differential reinforcement of each bite eaten to treat non-organic food refusal in a child with Williams syndrome. The intervention was implemented by the child's mother in the home during normal meal schedules. The child was not allowed to leave the meal situation for a predetermined time period and was praised by the mother for each bite consumed. The intervention was evaluated using a multiple baseline design across meals (i.e. breakfast and lunch). The results demonstrate an increase in food consumed and decreases in other inappropriate behaviours. The mother continued to implement the treatment successfully during follow-up assessments up to 3 months after the intervention. This is a minimally intrusive intervention in comparison to typical treatments for non-organic food refusal in children with intellectual disabilities.
ISSN:0964-2633
1365-2788
DOI:10.1046/j.1365-2788.2001.00291.x